MEYER, B. B., and K. J. LEMLEY. Utilizing exercise to affect the symptomology of fibromyalgia: a pilot study. Med. Sci. Sports Exerc., Vol. 32, No. 10, pp. 1691–1697, 2000. Fibromyalgia (FM), a rheumatological disorder of unknown origin, is characterized by both physical and psychological symptoms. Although inconclusive results have been reported for most treatment modalities, exercise appears to have universal support for decreasing the myriad of symptoms associated with FM. Weaknesses in the literature, however, prevent conclusive statements regarding exercise prescription and concomitant impact on FM symptomology. The current pilot study attempted to examine the effect of a 24-wk walking program at predetermined intensities on FM. Initial design was a randomized control trial with high- and low-intensity exercise groups, and a control group. Subsequent nonrandomized control trials were based on actual exercise behavior. No differences between initial groups were identified. By collapsing groups, heart rate (HR) decreased (P < 0.05) weeks 0–12. Functional impairments were reduced 54% weeks 0–24, with exercise having a large impact (ω2 = 0.30) on this decrease. By reassigning groups, impact of FM on current health status decreased in the low-intensity group (P < 0.05) and increased in the high-intensity group (P < 0.02) weeks 0–24. Omega squared indicated strong influence of exercise on pain (ω2 = 0.51), with greater pain in the high-intensity group. A larger number of subjects and direct supervision of the training program to increase compliance is necessary to clarify the effects of a walking program on the manifestations of FM. Results indicate that intensity of the walking program is an important consideration. Individuals with FM can adhere to low-intensity walking programs two to three times per week, possibly reducing FM impact on daily activities.

Emotional intelligence (EI), or knowledge of how emotions function in self and others, is a popular construct in both scientific and professional communities. Current theoretical models suggest that EI is a combination of dynamic skills that can be learned and enhanced through participation in targeted intervention programs. Although popular, few if any of the aforementioned interventions have been subjected to empirical scrutiny. Consistent with calls for efficacy studies of intervention programs, the purpose of this exploratory study was to examine the effect of an adventure-based intervention on the EI of employees of a multisite dental practice. Fifteen individuals completed the Mayer-Salovey-Caruso Emotional Intelligence Test before and after participation in a day-long intervention. Results suggest that the intervention had a small but positive effect on the participants' EI and that improvements in the 4 branches of EI varied within employee subgroups. Implications for future research and practical considerations for the health care environment are discussed.

The purpose of the current study was to examine the factorial validity of existing grit measures and to examine differences in the grit level of athletes across performance tiers (i.e., collegiate, professional, Olympic). Female soccer players (N = 305) of varying competitive levels completed measures of grit. Results revealed preliminary support for the 8-item Grit Scale factorial validity, as well as a significant age-adjusted difference in grit level between Division I and Division II collegiate athletes. Taken together, study results prompt questions regarding the theoretical underpinnings, and consequent measurement, of the grit construct in sport psychology practice.

Firefighting is an occupation with high injury risks, particularly when conducting fireground operations. The fire service generally quantifies the job demands of firefighting through tracking emergency call volume across 24 h shifts; however, volume alone does not account for the specific work completed in response to different call types. Utilization of external (i.e., objective work) and internal (i.e., intrinsic responses to work) training load measures have the potential to quantify the multifaceted workload demands of responses to medical and fire emergencies and inform injury prevention strategies. Therefore, the purpose of this study was to utilize training load measures to quantify the workloads across emergency call types. For medical emergencies and fire emergencies, the external load and the physiological, perceived, and cumulative internal loads were quantified. The results indicate that the magnitude of objective work required for fire emergency responses that include fire suppression and/or auto-extrication is approximately three times greater than that of medical and other fire emergency (i.e., no suppression or extrication) responses. Further, in response to the objective work for fire suppression and/or auto-extrication calls, the intrinsic workloads are six times more physiologically and perceptually demanding than—as well as double, cumulatively—those of medical and other fire emergency responses.

Web-based interventions for enhancing physical activity participation are in demand for application in health care settings. Recent research suggests Web-based interventions that are based on motivational interviewing are effective to increase physical activity. It is unclear whether motivational interviewing can influence targeted psychological variables such as perceived readiness, willingness, and ability to participate in physical activity. The aims of this study were to determine whether there were changes in physical activity and psychological variables associated with readiness, willingness, and perceived ability to participate in physical activity following completion of a novel Web-based intervention. The goal of the motivational interviewing-based intervention was to increase physical activity. Twenty-three underactive or inactive urban dwelling adults were recruited at a medical office for participation in a 4-session Web-based intervention lasting approximately 15 minutes per week. Sessions were based on principles of motivational interviewing. Assessment of physical activity was conducted using pedometers immediately prior to intervention participation (pre) and immediately post intervention (post1). Self-report assessments of physical activity and psychological variables were conducted using online surveys at pre, post1, and again at one month following intervention participation (post2). Comparisons of pre and post1 pedometer recordings revealed significant increases in steps per day (t22=2.09, P=.049). There were also significant changes in total physical activity energy expenditure per week (χ(2) 2=8.4, P=.02) and in moderate intensity physical activity energy expenditure per week (χ(2) 2=13.9, P<.001) over time following participation in the Web-based intervention. Significant changes in psychological variables following participation in the Web-based intervention included: (1) change in stage classification over time (χ(2) 2=21.5, P<.001), where the percentage of participants classified in the action or maintenance stages of change in physical activity increased over time (pre=25% [6/24], post1=71% [17/24], post2=68% [15/22]); (2) decreases in self-reported decisional balance cons (F2,42=12.76, P<.001); (3) increases in self-reported decisional balance pros (F2,42=16.19, P<.001); (4) increases in physical activity enjoyment (F2,20=3.85, P=.04); and (5) increases in self-efficacy (F2,42=3.30, P=.047). The Web-based intervention piloted in this study shows preliminary promise as a tool to promote physical activity in health care settings. Additional research is needed to test the effectiveness of motivational interviewing compared to a control condition and to refine content by considering mediation by psychological variables in a larger sample.

Context: Although researchers have directed scholars toward investigating the effectiveness of the nonwork personal time of athletic trainers (ATs), no one has characterized the occupational recovery experiences of ATs. Objective: To examine the reliability and validity of the Recovery Experience Questionnaire (REQ) for use in AT populations. Design: Cross-sectional study. Setting: Web-based survey. Patients or Other Participants: A total of 144 ATs (71 men, 73 women) working in a variety of National Collegiate Athletic Association sports across all levels of competition. Main Outcome Measure(s): The REQ was administered to assess the AT recovery experience. Results: Preliminary evidence emerged for the reliability (ω = 0.80–0.90) and validity of the REQ for use in AT populations. Weak linear relationships were identified between stress and perceptions of psychological detachment (r = −0.314, P < .001), mastery (r = −0.179, P = .32), control (r = −0.284, P = .001), and relaxation (r = −0.157, P = .06). Conclusions: Our results support measuring and applying occupational recovery for AT stress and work-life balance. Given that occupational recovery as a construct was only weakly related to stress, it is clearly a unique and distinct variable worth considering within the work-life balance line of inquiry.