Perspectives on physical activity among women with fibromyalgia: a qualitative study

AimThis study aimed to understand physical activity (PA) behaviors and beliefs in fibromyalgia (FM) patients to address intervention needs.Subject and methodsA qualitative study was conducted using semi-structured interviews based on five social cognitive theory (SCT) constructs: behavioral capability, outcome expectations, self-efficacy, self-regulation, and social support. Ten female FM patients aged 18-65 were interviewed for 30-60 min. Data were audio recorded, transcribed, and analyzed using content analysis.ResultsFindings organized by SCT constructs revealed eight key themes. For behavioral capacity, participants reported a lack of knowledge about PA and the need for a person-centered approach. Regarding outcome expectations, they focused on perceived health benefits. Self-efficacy was influenced by past negative experiences, environmental barriers, and personal challenges. Integrating PA into daily routines emerged as a form of self-regulation, while positive social interactions were critical for social support.ConclusionThis study identified factors and beliefs related to PA behavior in FM patients, offering suggestions for developing effective PA interventions. Fostering self-efficacy and addressing social support, along with telehealth, can help overcome barriers and enhance long-term PA adherence.