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Assessing Walking Programs in Fibromyalgia: A Concordance Study between Measures
Sofía López-Roig1, Carmen Ecija2, Cecilia Peñacoba2
1Department of Behavioral Sciences and Health, University Miguel Hernández, 03540 San Juan de Alicante, Spain.
Summary
Detailed self-report measures for walking adherence, like the logbook, align well with objective step counts and standard physical activity questionnaires in women with fibromyalgia. Specificity in reporting enhances agreement.
Area of Science:
- Exercise Science
- Rehabilitation Medicine
- Fibromyalgia Research
Background:
- Assessing adherence to physical activity programs is crucial for effective interventions, especially in chronic conditions like fibromyalgia.
- Self-report measures are common but their accuracy and agreement with objective data require validation.
- Understanding the concordance between different assessment methods informs intervention design and patient monitoring.
Purpose of the Study:
- To evaluate the agreement between three self-report measures of walking program adherence (Walking Behavior, WALK questionnaire, logbooks) and objective measures (pedometer) in women with fibromyalgia.
- To assess the concordance of these self-report measures with a standard physical activity questionnaire (IPAQ-S).
- To determine if detailed reporting of behavioral components improves agreement among measures.
Main Methods:
- A study involving 275 women with fibromyalgia assessed adherence using Walking Behavior, WALK questionnaire, and logbooks, alongside the IPAQ-S and pedometers.
- Regularized partial correlation networks were employed to analyze the relationships between measures at two time points (T1 and T2) over 6 weeks.
- Network models visualized the connections between self-report components, IPAQ-S, and pedometer step counts.
Main Results:
- The WALK questionnaire and logbooks showed connections with the Walking Behavior measure and the IPAQ-S.
- The logbook measure demonstrated association with pedometer data (Z-score > 1 in absolute value).
- Agreement among self-report measures increased when participants provided specific and detailed behavioral components of their walking activity.
Conclusions:
- Specific self-report methods that detail behavioral components of physical activity are consistent with validated questionnaires and objective measures.
- Detailed self-report measures are valuable tools for studying the implementation and adherence to walking exercise programs in fibromyalgia.
- These findings support the use of specific, component-based self-report tools to accurately assess physical activity adherence.
