Table 1.
Structure of the Nature Activity Therapy for people with Fibromyalgia (NAT-FM), indicating the activities to be performed and the psychological targets to be addressed in each of the sessions.
| Session | Activities | Targets | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| NW | YO | HK * | PH | SY ** | Negative Affect | Positive Affect | Pain/Fatigue | Emotional Regulation | Self-Efficacy | Catastrophising | |
| 1 | X | 1–16 | |||||||||
| 2 | X | X | 1–6 | 1–2 | |||||||
| 3 | X | X | X | 3–4 | 1–6 | ||||||
| 4 | X | X | 5–6 | 7–10 | |||||||
| 5 | X | X | X | 7–8 | |||||||
| 6 | X | X | X | 1–6 | 9–10 | ||||||
| 7 | X | X | X | 11–12 | 1–6 | ||||||
| 8 | X | X | X | 13–14 | 1–5 | ||||||
| 9 | X | X | 15–16 | 6–8 | |||||||
| 10 | X | X | Family session | ||||||||
| 11 | X | X | X | 1–6 | 1–8 | 1–6 | |||||
| 12 | X | X | 1–6 | 1–10 | |||||||
Note. The “X” expresses the sessions in which each activity is planned. The numbers of the targets’ columns are referred to the steps described on Table 2. Cognitive behavioural intervention on primary and secondary outcomes is distributed along the sessions. * Hiking is a homework assignment to do as a therapeutic exercise with cognitive targets. ** Shinrin Yoku is understood as mindfulness in a natural context. Nordic walking (NW); yoga (YO); hiking (HK); photography (PH); Shinrin Yoku (SY).