{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T06:50:54Z","timestamp":1790146254701,"version":"4.0.1"},"reference-count":46,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,2,25]],"date-time":"2017-02-25T00:00:00Z","timestamp":1487980800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Division of Behavioral Medicine and Clinical Psychology at Cincinnati Children's Hospital Medical Center and by the Connecticut Children's Medical Center."},{"name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases, a division of the NIH","award":["K24-AR-056687 and R21-AR-063412"],"award-info":[{"award-number":["K24-AR-056687 and R21-AR-063412"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthritis Care &amp;amp; Research"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Cognitive\u2013behavioral therapy (CBT) is effective in reducing disability among youth with juvenile fibromyalgia (FM); however, engagement in moderate to vigorous physical activity remains poor, even after CBT. The purpose of this study was to evaluate the feasibility and preliminary outcomes of an innovative program combining CBT with specialized neuromuscular exercise: the Fibromyalgia Integrative Training for Teens (FIT Teens) program.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Adolescents with juvenile FM (n\u2009=\u200922, all female, ages 12\u201318 years) from 2 urban children's hospitals participated in the 8\u2010week FIT Teens intervention. Participants completed measures of pain intensity, functional disability, depressive symptoms, pain catastrophizing, fear of movement, and readiness to change at baseline and after the intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The feasibility of the intervention across 2 sites was documented, including high retention rates (80%). Participants showed significant decreases in functional disability (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05), depression (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), fear of movement (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01), and pain catastrophizing (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) from pre\u2010 to postintervention. Results of the readiness to change measure indicated a significant decrease in precontemplation (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01) and increase in action\/maintenance scores (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). All results demonstrated medium to large effect sizes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Adolescents with juvenile FM reported significant improvements in physical function and reduced fear of movement following the intervention. Improvement in physical function was achieved in a shorter time frame than in a prior trial of CBT without an exercise component. Further work is needed to compare the FIT Teens program with existing approaches and determine whether objective changes in exercise participation are achieved.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr.22946","type":"journal-article","created":{"date-parts":[[2016,6,22]],"date-time":"2016-06-22T19:12:25Z","timestamp":1466622745000},"page":"413-420","source":"Crossref","is-referenced-by-count":41,"title":["Preliminary Outcomes of a Cross\u2010Site Cognitive\u2013Behavioral and Neuromuscular Integrative Training Intervention for Juvenile Fibromyalgia"],"prefix":"10.1002","volume":"69","author":[{"given":"Susan T.","family":"Tran","sequence":"first","affiliation":[{"name":"DePaul University Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica W.","family":"Guite","sequence":"additional","affiliation":[{"name":"Connecticut Children's Medical Center and University of Connecticut School of Medicine 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