• Carolina Climent-Sanz, Montserrat Gea-Sánchez, María T Moreno-Casbas, Joan Blanco-Blanco, Ester García-Martínez, and Fran Valenzuela-Pascual.
• Faculty of Nursing and Physiotherapy, University of Lleida, Lleida, Spain.
• J Adv Nurs. 2020 Jun 1; 76 (6): 1425-1435.

AimsTo evaluate cognitive and behavioural factors related to pain and poor sleep quality in women diagnosed with fibromyalgia and to develop and test the effects of a web-based therapeutic education intervention on pain intensity, pain catastrophizing, chronic pain self-efficacy, sleep quality, dysfunctional beliefs and attitudes about sleep and quality of life and health status related to fibromyalgia.DesignThe project will employ a sequential exploratory mixed methods research design.MethodsFor the qualitative phase, a theoretical sample living in the community will be recruited to participate in personal, semi-structured interviews. For the quantitative phase, a sample of adult women with fibromyalgia will be recruited from secondary care centres and randomly allocated an intervention or a control group. The study protocol was approved in 2019.DiscussionFibromyalgia is the most common central sensitivity syndrome and one of the principal worldwide causes of chronic widespread pain among the adult population. Poor sleep quality is a highly prevalent and troublesome symptom for people with fibromyalgia. Psychosocial and behavioural factors have been shown to relate intimately with the symptom experiences of people with fibromyalgia; pain catastrophizing and dysfunctional beliefs and attitudes about sleep can perpetuate those and other fibromyalgia symptoms.ConclusionIt is imperative to reflect people's actual symptom experiences to develop effective symptom management strategies. In the Internet era, this project's proposed web-based therapeutic education intervention could offer women with fibromyalgia a new avenue for treatment as part of standard fibromyalgia management programs in primary and secondary healthcare services.ImpactPain and poor sleep quality are highly prevalent and troublesome symptoms for people with fibromyalgia. The web-based therapeutic education intervention proposed in this project could provide women with fibromyalgia a new avenue for treatment in primary and secondary healthcare services. Protocol registration: ClinicalTrials.gov Identifier: NCT03686410.© 2020 John Wiley & Sons Ltd.

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