Health Promotion for Women with Fibromyalgia

描述（由申请人提供）：患有纤维肌痛综合征（FMS）等慢性致残疾病的妇女必须管理各种与疾病相关的、个人的和环境的需求，以保持她们的健康和生活质量。参与促进健康的行为是一项建议的策略，以管理疾病症状和提高生活质量（美国卫生与公众服务部，2000年）。这项为期四年的研究的目的是测试一种基于理论和经验的干预措施，以促进患有纤维肌痛慢性残疾的妇女的健康和福祉。这种健康干预最初是在一项针对多发性硬化症女性（N=113）的随机临床试验中开发和测试的，结果显著改善了自我效能感、健康行为、疼痛和心理健康。本研究旨在探讨适应性健康干预对纤维肌痛患者自我效能感、资源、障碍、健康行为和健康结果的影响。将招募160名患有FMS的女性参加一项随机临床研究，以确定这种健康干预的效果，包括8周的健康促进/行为改变部分和3个月的随访电话支持。女性将被随机分配到干预组和注意力控制组。干预组的妇女将获得有关压力管理、生活方式调整、体育活动、营养和妇女健康问题的内容，重点是赋予妇女权力所需的独特适应和相关技能，使其掌握个人控制其健康行为的工具。干预对结果变量的影响将在8个月的时间内进行评估，包括基线、2个月（教育/技能建设部分之后）、5个月（电话支持3个月后）和8个月的测量。层次线性建模技术将被用来确定在四个测量周期的组时间相互作用的意义。

DESCRIPTION (provided by applicant): Women with chronic disabling conditions such as fibromyalgia syndrome (FMS) must manage a wide variety of disease-related, intrapersonal, and environmental demands to maintain their health and quality of life. Engaging in health-promoting behaviors is one strategy recommended to manage disease symptoms and enhance quality of life (USDHHS, 2000). The purpose of this four-year study is to test a theoretically and empirically based intervention to promote the health and well being of women with the chronic disabling condition of fibromyalgia. This wellness intervention, originally developed and tested in a randomized clinical trial of women with MS (N=113), resulted in significant improvements in self-efficacy, health behaviors and improvements in pain, and mental health. The specific aims of this study are to examine the effects of the adapted wellness intervention on self-efficacy, resources, barriers, health behaviors and health outcomes for women with fibromyalgia. A sample of 160 women with FMS will be recruited to participate in a randomized clinical study to determine the effects of this wellness intervention that includes an eight-week health promotion/behavior change component and 3 months of follow-up phone support. Women will be randomly assigned to either the intervention or the attention control group. Women in the intervention group will receive content regarding stress management, lifestyle adjustment, physical activity, nutrition and women's health issues with an emphasis on the unique adaptations and associated skills required to empower women with the tools for exercising personal control over their health behaviors. The effects of the intervention on outcome variables will be assessed over an 8-month period with measurements at baseline, 2 months (immediately after the educational/skill-building component), 5 months (after 3 months of phone support) and at 8 months. Hierarchical linear modeling techniques will be used to determine the significance of group by time interactions across the four measurement periods.