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Perspectives on Group-Based Physical Activity Interventions for Fibromyalgia: A Qualitative Study.

Martin Pursley1, Fiona Muirhead1, Craig Donnachie1

  • 1Department of Physical Activity and Health, School of Psychological Sciences and Health, University of Strathclyde, Glasgow, Scotland, UK.

Journal of Frailty, Sarcopenia and Falls
|March 4, 2026
PubMed
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People with fibromyalgia need understanding and validation for physical activity programs. Interventions must be patient-centered, with empathetic practitioners recognizing the condition's fluctuating nature.

Area of Science:

  • Rheumatology
  • Pain Management
  • Rehabilitation

Background:

  • Fibromyalgia is a chronic condition causing pain, fatigue, and sleep issues, significantly impacting quality of life.
  • Physical activity is key for fibromyalgia management, with guidelines recommending tailored, supervised programs.
  • Barriers to physical activity are common in fibromyalgia patients, and group-based interventions are under-explored.

Purpose of the Study:

  • To examine adult fibromyalgia patients' perspectives on group-based physical activity.
  • To identify challenges and inform future practice for physical activity interventions.

Main Methods:

  • Two focus groups were conducted with 8 participants from Musculoskeletal and Pain Management Services.
  • Discussions were audio-recorded, transcribed, and thematically analyzed by three independent researchers.
Keywords:
Chronic PainExerciseFibromyalgiaGroup-based Physical ActivityPain Management

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Main Results:

  • A key theme was the lack of understanding and need for validation regarding fibromyalgia's impact.
  • Participants highlighted challenges in engaging with physical activity.
  • Priorities for intervention design included practitioners with empathy, openness, and recognition of fibromyalgia's fluctuating nature.

Conclusions:

  • Practitioner understanding and patient-centered design are crucial for acceptable group physical activity interventions.
  • Empathy and recognition of symptom variability are essential for successful fibromyalgia management through exercise.