{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T06:13:10Z","timestamp":1787724790289,"version":"build-2784847793"},"reference-count":28,"publisher":"SAGE Publications","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,11,1]]},"abstract":"Abstract<\/jats:title>\n Importance: Fibromyalgia is a complex chronic pain condition for which effective nonpharmacological treatment interventions are lacking.<\/jats:p>\n Objective: To explore the effects of an occupational therapy intervention for fibromyalgia on client-reported outcomes of pain interference, self-efficacy, mood, and function.<\/jats:p>\n Design: Retrospective cohort study using a chart review method.<\/jats:p>\n Setting: Outpatient clinic.<\/jats:p>\n Participants: Twenty-one adults with fibromyalgia (M age = 54 yr).<\/jats:p>\n Intervention: A 10-wk occupational therapy group intervention using a Lifestyle Redesign\u00ae (LRD) approach.<\/jats:p>\n Outcomes and Measures: The Brief Pain Inventory, Pain Self-Efficacy Scale, Beck Depression Inventory (BDI), and the Fibromyalgia Impact Questionnaire (FIQ) or the Revised Fibromyalgia Impact Questionnaire were administered at the first and last sessions of the program.<\/jats:p>\n Results: Between 2015 and 2018, 37 clients entered the program, and 21 completed it. Changes in group averages exceeded the minimal clinically important difference for the BDI and the FIQ. Eighty-one percent of clients who completed the program had a clinically significant improvement on one or more of the outcome measures.<\/jats:p>\n Conclusions and Relevance: The findings demonstrate the potential benefit of occupational therapy as a complementary approach to pharmacological treatment for people with fibromyalgia. Preliminary evidence suggests that a 10-wk occupational therapy group intervention using an LRD approach may reduce symptoms of depression and decrease the impact on daily function for people with fibromyalgia.<\/jats:p>\n What This Article Adds: Occupational therapy should be considered as a nonpharmacological intervention for adults with fibromyalgia to improve psychological well-being and function.<\/jats:p>","DOI":"10.5014\/ajot.2022.049243","type":"journal-article","created":{"date-parts":[[2022,12,9]],"date-time":"2022-12-09T10:40:38Z","timestamp":1670582438000},"source":"Crossref","is-referenced-by-count":3,"title":["Lifestyle Redesign\u00ae Intervention for Psychological Well-Being and Function in People With Fibromyalgia: A Retrospective Cohort Study"],"prefix":"10.1177","volume":"76","author":[{"given":"Lindsey","family":"Shomer","sequence":"first","affiliation":[{"name":"Lindsey Shomer, OTD, OTR\/L, CEAS, is Associate Professor of Clinical Occupational Therapy, Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles; lindsey.shomer@med.usc.edu"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shawn C.","family":"Roll","sequence":"additional","affiliation":[{"name":"Shawn C. Roll, PhD, OTR\/L, RMSKS, FAOTA, FAIUM, is Associate Professor, Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,12,5]]},"reference":[{"key":"2023010916521837900_bib1","first-page":"7412410010","article-title":"Occupational therapy practice framework: Domain and process","volume":"74","author":"American Occupational Therapy Association","year":"2020","journal-title":"American Journal of Occupational Therapy"},{"key":"2023010916521837900_bib2","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1080\/00325481.2017.1336417","article-title":"Challenges of implementing fibromyalgia treatment guidelines in current clinical practice","volume":"129","author":"Arnold","year":"2017","journal-title":"Postgraduate Medicine"},{"key":"2023010916521837900_bib3","doi-asserted-by":"crossref","first-page":"1304","DOI":"10.3899\/jrheum.081090","article-title":"Minimal clinically important difference in the Fibromyalgia Impact Questionnaire","volume":"36","author":"Bennett","year":"2009","journal-title":"Journal of Rheumatology"},{"key":"2023010916521837900_bib4","doi-asserted-by":"crossref","first-page":"R120","DOI":"10.1186\/ar2783","article-title":"The Revised Fibromyalgia Impact Questionnaire (FIQR): Validation and psychometric properties","volume":"11","author":"Bennett","year":"2009","journal-title":"Arthritis Research and Therapy"},{"key":"2023010916521837900_bib5","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1007\/s11916-016-0556-x","article-title":"Fibromyalgia pathogenesis and treatment options update","volume":"20","author":"Chinn","year":"2016","journal-title":"Current Pain and Headache Reports"},{"key":"2023010916521837900_bib6","doi-asserted-by":"crossref","first-page":"1321","DOI":"10.1001\/jama.1997.03550160041036","article-title":"Occupational therapy for independent-living older adults. 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