Article

OBJECTIVE: To examine the effects of a wellness intervention, Lifestyle Counts,
for women with fibromyalgia syndrome on the level of self-efficacy for
health-promoting behaviours, health-promoting activity and perceived quality of
life. DESIGN: A randomized controlled single-blinded trial with treatment and
attention-control groups. SETTING: Community in the southwestern United States.
SUBJECTS: Convenience sample of 187 women (98 treatment, 89 attention control)
with fibromyalgia syndrome (mean age = 53.08 years, SD 9.86). INTERVENTION: The
two-phase Lifestyle Counts intervention programme included lifestyle change
classes for eight weeks, with goal-setting and telephone follow-up for three
months. Participants in the attention-control group were offered an equivalent
amount of contact in classes on general disease-related information and health
education topics and unstructured follow-up phone calls. Participants were
followed for a total of eight months after baseline. OUTCOME MEASURES:
Self-report instruments measuring self-efficacy for health behaviours,
health-promotion behaviours and health-related quality of life (SF-36 and the
Fibromyalgia Impact Questionnaire) were completed at baseline, two months (after
the classes), five months (after telephone follow-up) and at eight months.
RESULTS: Both groups improved significantly (P<0.05) over time on the measures of
self-efficacy, health behaviours, fibromyalgia impact and quality of life. There
were significant group x time interactions for scores on the Health Promoting
Lifestyle II subscales of physical activity and stress management. CONCLUSIONS:
The Lifestyle Counts wellness intervention holds promise for improving
health-promoting behaviours and quality of life of women with fibromyalgia
syndrome.

Langue : ANGLAIS