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Assessing Walking Programs in Fibromyalgia: A Concordance Study between Measures, 2022, López-Roig et al

Discussion in 'Other psychosomatic news and research' started by Andy, Mar 11, 2022.

  1. Andy

    Andy Committee Member

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    Abstract

    This study analyzes the degree of agreement between three self-report measures (Walking Behavior, WALK questionnaire and logbooks) assessing adherence to walking programs through reporting their components (minutes, rests, times a week, consecutive weeks) and their concordance with a standard self-report of physical activity (IPAQ-S questionnaire) and an objective, namely number of steps (pedometer), in 275 women with fibromyalgia. Regularized partial correlation networks were selected as the analytic framework. Three network models based on two different times of assessment, namely T1 and T2, including 6 weeks between both, were used. WALK and the logbook were connected with Walking Behavior and also with the IPAQ-S. The logbook was associated with the pedometers (Z-score > 1 in absolute value). When the behavior was assessed specifically and in a detailed manner, participants’ results for the different self-report measures were in agreement. Specific self-report methods provide detailed information that is consistent with validated self-report measures (IPAQ-S) and objective measures (pedometers). The self-report measures that assess the behavioral components of physical activity are useful when studying the implementation of walking as physical exercise.

    Open access, https://www.mdpi.com/1660-4601/19/5/2995/htm
     
    Andy, Mar 11, 2022
    #1
    Peter Trewhitt and Trish like this.
  2. MEMarge

    MEMarge Senior Member (Voting Rights)

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    So, is this going to be another excuse for just using self-report measures?
     
    MEMarge, Mar 11, 2022
    #2
    alktipping, Peter Trewhitt and Trish like this.
  3. Sean

    Sean Moderator Staff Member

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    So, when there is no intervention to convince patients to change self-report scores they correlate well to objective activity scores.

    But when they do use such an intervention then the self-report and objective activity scores do not correlate. (Wiborg, 2010)

    Comparability of these two studies is clearly limited as the first is for fibromyalgia, and the second for CFS.

    But it raises the possibility that these kinds of intervention not only fail to show genuine benefit, but may actually distort patients' scoring on self-report measures.
     
    Last edited: Mar 16, 2022
    Sean, Mar 15, 2022
    #3
    shak8, Trish, NelliePledge and 1 other person like this.
  4. shak8

    shak8 Senior Member (Voting Rights)

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    Having to document, wear a device, and pay attention to the study, all takes away from the joy (sometimes) of being able to walk and walking. This "study" seems much ado about nothing. Walking, if all you have is a crowded and noisy street, is no joy.

    The researchers tear their hair out with sedentery FM people believing that walking (because it's a so-called light exercise---which is can be but also isn't when one's muscles are flared up, and tender points highly active) is a universal first step panacea. Maybe. Maybe not.

    People are who they are pre-fibro. If they were sedentery pre-fibro, it's unlikely they are going to find that walking improves well-being.
     
    shak8, Mar 15, 2022
    #4
    Sean, NelliePledge and Trish like this.

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