{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T19:35:33Z","timestamp":1770492933299,"version":"3.49.0"},"reference-count":64,"publisher":"MDPI AG","issue":"23","license":[{"start":{"date-parts":[[2021,11,26]],"date-time":"2021-11-26T00:00:00Z","timestamp":1637884800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Ministry of Economy and Competitiveness, Spain","award":["PSI2016-79566-C2-1-R"],"award-info":[{"award-number":["PSI2016-79566-C2-1-R"]}]},{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["PI17\/00858"],"award-info":[{"award-number":["PI17\/00858"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Being physically active has positive effects on fibromyalgia functioning. However, promoting an active lifestyle in these patients continues to be a relevant clinical challenge. Our aim was to test a motivational model to explain light (LPA) and moderate-vigorous physical activity (MVPA). A cross-sectional prospective study was conducted at a tertiary level of care. Participants completed sociodemographic, clinical, motivational (physical activity self-efficacy and goal preferences) and behavioral measures (activity avoidance). LPA and MVPA were measured with triaxial accelerometers, starting the same day of the aforementioned assessment. Out of 211 women, 183 completed this measure. Structural models were performed. Our results show that the best fit indices (CFI = 0.97, SRMR = 0.04) showed a model with direct influence of PA self-efficacy on MVPA (p &lt; 0.01) and indirect influence on LPA (p &lt; 0.001). LPA received the influence of PA self-efficacy mainly through activity avoidance (p &lt; 0.01). Clinical variables did not have any effect on PA intensities. Thus, the motivational variables showed different paths to explain two PA intensities. Targeting PA self-efficacy in rehabilitation settings is needed to enhance both daily LPA and MVPA intensities.<\/jats:p>","DOI":"10.3390\/jcm10235547","type":"journal-article","created":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T01:43:22Z","timestamp":1638323002000},"page":"5547","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Motivational Determinants of Objective Physical Activity in Women with Fibromyalgia Who Attended Rehabilitation Settings"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9574-1666","authenticated-orcid":false,"given":"Mar\u00eda-\u00c1ngeles","family":"Pastor-Mira","sequence":"first","affiliation":[{"name":"Department of Behavioral Sciences and Health, Miguel Hern\u00e1ndez University, 03550 Alicante, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5303-4085","authenticated-orcid":false,"given":"Sof\u00eda","family":"L\u00f3pez-Roig","sequence":"additional","affiliation":[{"name":"Department of Behavioral Sciences and Health, Miguel Hern\u00e1ndez University, 03550 Alicante, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0874-0962","authenticated-orcid":false,"given":"Ferm\u00edn","family":"Mart\u00ednez-Zaragoza","sequence":"additional","affiliation":[{"name":"Department of Behavioral Sciences and Health, Miguel Hern\u00e1ndez University, 03550 Alicante, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eva","family":"Toribio","sequence":"additional","affiliation":[{"name":"Fibromyalgia Unit, Hospital of San Vicente del Raspeig, 03690 Alicante, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3219-4973","authenticated-orcid":false,"given":"Ainara","family":"Nardi-Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Department of Behavioral Sciences and Health, Miguel Hern\u00e1ndez University, 03550 Alicante, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6307-5921","authenticated-orcid":false,"given":"Cecilia","family":"Pe\u00f1acoba","sequence":"additional","affiliation":[{"name":"Department of Psychology, Rey Juan Carlos University, 28922 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,11,26]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1016\/j.jpain.2015.12.014","article-title":"Turning Pain Into Cues for Goal-Directed Behavior: Implementation Intentions Reduce Escape-Avoidance Behavior on a Painful Task","volume":"17","author":"Karsdorp","year":"2016","journal-title":"J. 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