{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T07:27:07Z","timestamp":1786692427119,"version":"build-2736575974"},"reference-count":56,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T00:00:00Z","timestamp":1774569600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Occupational Therapy"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Importance:<\/jats:title>\n                    <jats:p>Fibromyalgia syndrome (FMS) symptoms affect people\u2019s activity behaviors, limiting their daily participation. Integrating activity pacing strategies into occupational therapy may improve chronic pain management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate the effectiveness of activity management (AM) in improving activity patterns, limitations related to FMS, occupational performance, occupational balance, and quality of life among women with FMS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Randomized controlled trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>University hospital occupational therapy clinic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>Thirty-one women with FMS (ages 18\u201365 yr; 15 intervention, 16 control).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention:<\/jats:title>\n                    <jats:p>The intervention group received individual, online AM sessions twice weekly for 4 wk, including activity pacing, mindfulness and ergonomics training, posture and relaxation exercises, and joint energy conservation techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes and Measures:<\/jats:title>\n                    <jats:p>Physical and sociodemographic characteristics were recorded for each participant, and the Patterns of Activity Measure\u2013Pain, Revised Fibromyalgia Impact Questionnaire, Canadian Occupational Performance Measure, Occupational Balance Questionnaire, and Nottingham Health Profile were administered twice, at baseline and at the end of the study, and the results were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The intervention group showed decreased overdoing and avoidance and increased pacing (from 6.7% to 60%). Significant improvements were found in activity patterns (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = .012), symptoms (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = .004), occupational satisfaction (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = .001), and quality of life pain (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = .003).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Relevance:<\/jats:title>\n                    <jats:p>AM is effective in reducing symptoms related to FMS among women and maladaptive activity patterns caused by chronic pain. AM can be considered an effective intervention method for FMS. Larger sample sizes and long-term studies are needed to confirm these findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5014\/ajot.2026.051431","type":"journal-article","created":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T18:41:51Z","timestamp":1774636911000},"page":"509-520","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness of Activity Management Among Women With Fibromyalgia Syndrome: A Randomized Controlled Trial"],"prefix":"10.1177","volume":"80","author":[{"given":"Sena","family":"Albay","sequence":"first","affiliation":[{"name":"Sena Albay, MSc, is Lecturer, Faculty of Health Sciences, Occupational Therapy Department, Ankara Medipol University, Ankara, T\u00fcrkiye."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sinem","family":"Salar","sequence":"additional","affiliation":[{"name":"Sinem Salar, PhD, is Associate Professor, Faculty of Health Sciences, Occupational Therapy Department, Trakya University, Edirne, T\u00fcrkiye."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gamze","family":"Ekici","sequence":"additional","affiliation":[{"name":"Gamze Ekici, PhD, is Professor, Faculty of Health Sciences, Occupational Therapy Department, Hacettepe University, Ankara, T\u00fcrkiye;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,27]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2018.1504994"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2012.05.029"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2016.05.001"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0000000000000401"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-045398"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/07380577.2021.2010160"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/ar2783"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/030802260406701005"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2014.961657"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-857X(01)00005-9"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000000553"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0b013e31825e452f"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203771587"},{"key":"e_1_3_2_15_1","volume-title":"Mathematical methods of statistics","author":"Cram\u00e9r H.","year":"1999","unstructured":"Cram\u00e9r H. 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