Abstract

Objectives:

Fibromyalgia is a chronic condition characterised by persistent pain, fatigue, and poor sleep, with major impacts on quality of life, psychological wellbeing, and disability. Physical activity is a cornerstone of management, and the National Institute for Health and Care Excellence recommends supervised programmes tailored to individual needs. Yet, people with fibromyalgia frequently face barriers to physical activity, and few studies have explored experiences of group-based interventions. This study examined the perspectives of adults with fibromyalgia on group-based physical activity to identify challenges and inform future practice.

Methods:

Two focus groups were conducted with participants (n=8) recruited from Musculoskeletal and Pain Management Services in NHS Ayrshire and Arran. Discussions were audio-recorded, transcribed, and thematically analysed by three independent researchers.

Results:

An overarching theme was a lack of understanding of the impact of fibromyalgia and a desire for validation. This was evident across all discussions. Two further themes were identified: the challenges of engaging in physical activity, and priorities for intervention design and delivery. Participants emphasised the need for practitioners who recognise the fluctuating nature of fibromyalgia and who demonstrate empathy, openness, and collaboration.

Conclusions:

Findings highlight the importance of practitioner understanding and patient-centred design in developing acceptable group-based physical activity interventions for people with fibromyalgia.