Optimizing Fibromyalgia Self-management

The overall objective of this work is to improve treatment outcomes for persons with fibromyalgia by optimizing the approach to self-management. The purpose of this research project is to evaluate and compare, in a randomized, controlled trial involving 200 women, the short and long-term effectiveness of four approaches to fibromyalgia self-management for improving health and functional status, self-efficacy, and symptom severity. Additionally, we will also examine the effect of each intervention on health care usage. We will assess the following 16-week interventions: * cardiovascular and flexibility exercise * strength training, cardiovascular and flexibility exercise * Arthritis Foundation\'s Fibromyalgia Self-Help course * a combination of the Fibromyalgia Self-Help Course and strength training exercise interventions