The Role of Self-Efficacy and Activity Patterns in the Physical Activity Levels of Women with Fibromyalgia

SIMPLE SUMMARY: Self-efficacy has been identified as a crucial variable to reduce sedentarism in women with fibromyalgia. The present study aimed to evaluate the role of self-efficacy, the impact of fibromyalgia, and activity patterns on the objective physical activity levels. One hundred and twenty-three women with fibromyalgia participated in this cross-sectional study. Physical activity levels were assessed with accelerometers, while self-efficacy, activity patterns, and fibromyalgia impact were evaluated through questionnaires. Results revealed that self-efficacy for physical activity was directly related to light, moderate, and vigorous physical activity, as well as inversely related to sedentary time. Self-efficacy for walking and light physical activity seems to be more relevant than self-efficacy for moderate and vigorous physical activity to achieve higher levels of physical activity. ABSTRACT: Keeping high levels of physical activity is a challenge among chronic patients. In this regard, self-efficacy has been identified as a crucial variable to reduce sedentarism and physical inactivity in women with fibromyalgia. The current study aimed to evaluate the associations among objective physical activity levels, self-efficacy, activity patterns, and the impact of the disease, as well as to compare those variables between women with fibromyalgia with different self-efficacy levels. For this purpose, in this cross-sectional study, the physical activity levels of 123 women with fibromyalgia were assessed by accelerometers, together with self-efficacy, the impact of the disease, and activity patterns. Results revealed that self-efficacy for light or moderate physical activity was directly related to light (p < 0.01), moderate (p < 0.01), and vigorous physical activity (p < 0.05), as well as inversely related to sedentary time (p < 0.01). Moreover, the main differences were observed between those with low self-efficacy levels and the rest of the sample, while there were no differences between the high and the medium self-efficacy groups (p > 0.05). Thus, self-efficacy for walking and light physical activity seems to be more relevant than self-efficacy for moderate and vigorous physical activity to achieve higher levels of physical activity.