Loading…
A randomized controlled trial of a wellness intervention for women with fibromyalgia syndrome
Objective: To examine the effects of a wellness intervention, Lifestyle Counts, for women with fibromyalgia syndrome on the level of self-efficacy for health-promoting behaviours, health-promoting activity and perceived quality of life. Design: A randomized controlled single-blinded trial with treat...
Saved in:
| Published in: | Clinical rehabilitation 2010-04, Vol.24 (4), p.305-318 |
|---|---|
| Main Authors: | , , , , , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c492t-86c02921a85b971189e0c9ebd5c872639dc1925e55468a84e581dfeafe8ff0653 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c492t-86c02921a85b971189e0c9ebd5c872639dc1925e55468a84e581dfeafe8ff0653 |
| container_end_page | 318 |
| container_issue | 4 |
| container_start_page | 305 |
| container_title | Clinical rehabilitation |
| container_volume | 24 |
| creator | Stuifbergen, Alexa K Blozis, Shelley A Becker, Heather Phillips, Lorraine Timmerman, Gayle Kullberg, Vicki Taxis, Carole Morrison, Janet |
| description | Objective: To examine the effects of a wellness intervention, Lifestyle Counts, for women with fibromyalgia syndrome on the level of self-efficacy for health-promoting behaviours, health-promoting activity and perceived quality of life.
Design: A randomized controlled single-blinded trial with treatment and attention-control groups.
Setting: Community in the southwestern United States.
Subjects: Convenience sample of 187 women (98 treatment, 89 attention control) with fibromyalgia syndrome (mean age = 53.08 years, SD 9.86).
Intervention: The two-phase Lifestyle Counts intervention programme included lifestyle change classes for eight weeks, with goal-setting and telephone follow-up for three months. Participants in the attention-control group were offered an equivalent amount of contact in classes on general disease-related information and health education topics and unstructured follow-up phone calls. Participants were followed for a total of eight months after baseline.
Outcome measures: Self-report instruments measuring self-efficacy for health behaviours, health-promotion behaviours and health-related quality of life (SF-36 and the Fibromyalgia Impact Questionnaire) were completed at baseline, two months (after the classes), five months (after telephone follow-up) and at eight months.
Results: Both groups improved significantly (P |
| doi_str_mv | 10.1177/0269215509343247 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7236616</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_0269215509343247</sage_id><sourcerecordid>733847539</sourcerecordid><originalsourceid>FETCH-LOGICAL-c492t-86c02921a85b971189e0c9ebd5c872639dc1925e55468a84e581dfeafe8ff0653</originalsourceid><addsrcrecordid>eNqNkctrVDEUxoModqzuXUlw4-pq3o-NUIovKLjRpYRM7sk05d6kJnc6jH-9GaZWLQiukvD9znfOyYfQc0peU6r1G8KUZVRKYrngTOgHaEWF1gMxmj9Eq4M8HPQT9KS1K0KIYYI-RieMcEWopCv07QxXn8cypx8w4lDyUss09etSk59widjjHUxThtZwygvUG8hLKhnHUvGuzJDxLi2XOKZ1LfPeT5vkcdvnsb_gKXoU_dTg2e15ir6-f_fl_ONw8fnDp_OziyEIy5bBqEBYX8QbubaaUmOBBAvrUQajmeJ2DNQyCVIKZbwRIA0dI_gIJkaiJD9Fb4--19v1DGPoI1Y_ueuaZl_3rvjk_lZyunSbcuM040pR1Q1e3RrU8n0LbXFzaqHv7TOUbXNaMM0JNf9Bcm6Eltx28uU98qpsa-7_4BghWtCeRofIEQq1tFYh3g1NiTtk7O5n3Ete_LnsXcGvUDswHIHmN_C76T8NfwLKF69l</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>200741082</pqid></control><display><type>article</type><title>A randomized controlled trial of a wellness intervention for women with fibromyalgia syndrome</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Social Science Premium Collection</source><source>Sociology Collection</source><source>Sage Journals Online</source><creator>Stuifbergen, Alexa K ; Blozis, Shelley A ; Becker, Heather ; Phillips, Lorraine ; Timmerman, Gayle ; Kullberg, Vicki ; Taxis, Carole ; Morrison, Janet</creator><creatorcontrib>Stuifbergen, Alexa K ; Blozis, Shelley A ; Becker, Heather ; Phillips, Lorraine ; Timmerman, Gayle ; Kullberg, Vicki ; Taxis, Carole ; Morrison, Janet</creatorcontrib><description>Objective: To examine the effects of a wellness intervention, Lifestyle Counts, for women with fibromyalgia syndrome on the level of self-efficacy for health-promoting behaviours, health-promoting activity and perceived quality of life.
Design: A randomized controlled single-blinded trial with treatment and attention-control groups.
Setting: Community in the southwestern United States.
Subjects: Convenience sample of 187 women (98 treatment, 89 attention control) with fibromyalgia syndrome (mean age = 53.08 years, SD 9.86).
Intervention: The two-phase Lifestyle Counts intervention programme included lifestyle change classes for eight weeks, with goal-setting and telephone follow-up for three months. Participants in the attention-control group were offered an equivalent amount of contact in classes on general disease-related information and health education topics and unstructured follow-up phone calls. Participants were followed for a total of eight months after baseline.
Outcome measures: Self-report instruments measuring self-efficacy for health behaviours, health-promotion behaviours and health-related quality of life (SF-36 and the Fibromyalgia Impact Questionnaire) were completed at baseline, two months (after the classes), five months (after telephone follow-up) and at eight months.
Results: Both groups improved significantly (P<0.05) over time on the measures of self-efficacy, health behaviours, fibromyalgia impact and quality of life. There were significant group × time interactions for scores on the Health Promoting Lifestyle II subscales of physical activity and stress management.
Conclusions: The Lifestyle Counts wellness intervention holds promise for improving health-promoting behaviours and quality of life of women with fibromyalgia syndrome.</description><identifier>ISSN: 0269-2155</identifier><identifier>EISSN: 1477-0873</identifier><identifier>DOI: 10.1177/0269215509343247</identifier><identifier>PMID: 20360151</identifier><identifier>CODEN: CEHAEN</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Aged ; Clinical trials ; Exercise ; Fatigue ; Female ; Fibromyalgia ; Fibromyalgia - psychology ; Fibromyalgia - rehabilitation ; Goals ; Health Behavior ; Health behaviour ; Health Promotion ; Humans ; Intervention ; Life Style ; Lifestyle ; Lifestyles ; Middle Aged ; Nursing schools ; Pain ; Patient Education as Topic ; Physical fitness ; Quality of Life ; Self Efficacy ; Selfefficacy ; Single-Blind Method ; Stress ; Women ; Womens health</subject><ispartof>Clinical rehabilitation, 2010-04, Vol.24 (4), p.305-318</ispartof><rights>The Author(s), 2010.</rights><rights>SAGE Publications © Apr 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c492t-86c02921a85b971189e0c9ebd5c872639dc1925e55468a84e581dfeafe8ff0653</citedby><cites>FETCH-LOGICAL-c492t-86c02921a85b971189e0c9ebd5c872639dc1925e55468a84e581dfeafe8ff0653</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/200741082?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,778,782,883,12833,21381,21382,27911,27912,30986,30987,33598,33599,34517,34518,43720,44102,79119</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20360151$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stuifbergen, Alexa K</creatorcontrib><creatorcontrib>Blozis, Shelley A</creatorcontrib><creatorcontrib>Becker, Heather</creatorcontrib><creatorcontrib>Phillips, Lorraine</creatorcontrib><creatorcontrib>Timmerman, Gayle</creatorcontrib><creatorcontrib>Kullberg, Vicki</creatorcontrib><creatorcontrib>Taxis, Carole</creatorcontrib><creatorcontrib>Morrison, Janet</creatorcontrib><title>A randomized controlled trial of a wellness intervention for women with fibromyalgia syndrome</title><title>Clinical rehabilitation</title><addtitle>Clin Rehabil</addtitle><description>Objective: To examine the effects of a wellness intervention, Lifestyle Counts, for women with fibromyalgia syndrome on the level of self-efficacy for health-promoting behaviours, health-promoting activity and perceived quality of life.
Design: A randomized controlled single-blinded trial with treatment and attention-control groups.
Setting: Community in the southwestern United States.
Subjects: Convenience sample of 187 women (98 treatment, 89 attention control) with fibromyalgia syndrome (mean age = 53.08 years, SD 9.86).
Intervention: The two-phase Lifestyle Counts intervention programme included lifestyle change classes for eight weeks, with goal-setting and telephone follow-up for three months. Participants in the attention-control group were offered an equivalent amount of contact in classes on general disease-related information and health education topics and unstructured follow-up phone calls. Participants were followed for a total of eight months after baseline.
Outcome measures: Self-report instruments measuring self-efficacy for health behaviours, health-promotion behaviours and health-related quality of life (SF-36 and the Fibromyalgia Impact Questionnaire) were completed at baseline, two months (after the classes), five months (after telephone follow-up) and at eight months.
Results: Both groups improved significantly (P<0.05) over time on the measures of self-efficacy, health behaviours, fibromyalgia impact and quality of life. There were significant group × time interactions for scores on the Health Promoting Lifestyle II subscales of physical activity and stress management.
Conclusions: The Lifestyle Counts wellness intervention holds promise for improving health-promoting behaviours and quality of life of women with fibromyalgia syndrome.</description><subject>Adult</subject><subject>Aged</subject><subject>Clinical trials</subject><subject>Exercise</subject><subject>Fatigue</subject><subject>Female</subject><subject>Fibromyalgia</subject><subject>Fibromyalgia - psychology</subject><subject>Fibromyalgia - rehabilitation</subject><subject>Goals</subject><subject>Health Behavior</subject><subject>Health behaviour</subject><subject>Health Promotion</subject><subject>Humans</subject><subject>Intervention</subject><subject>Life Style</subject><subject>Lifestyle</subject><subject>Lifestyles</subject><subject>Middle Aged</subject><subject>Nursing schools</subject><subject>Pain</subject><subject>Patient Education as Topic</subject><subject>Physical fitness</subject><subject>Quality of Life</subject><subject>Self Efficacy</subject><subject>Selfefficacy</subject><subject>Single-Blind Method</subject><subject>Stress</subject><subject>Women</subject><subject>Womens health</subject><issn>0269-2155</issn><issn>1477-0873</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>ALSLI</sourceid><sourceid>HEHIP</sourceid><sourceid>M2R</sourceid><sourceid>M2S</sourceid><recordid>eNqNkctrVDEUxoModqzuXUlw4-pq3o-NUIovKLjRpYRM7sk05d6kJnc6jH-9GaZWLQiukvD9znfOyYfQc0peU6r1G8KUZVRKYrngTOgHaEWF1gMxmj9Eq4M8HPQT9KS1K0KIYYI-RieMcEWopCv07QxXn8cypx8w4lDyUss09etSk59widjjHUxThtZwygvUG8hLKhnHUvGuzJDxLi2XOKZ1LfPeT5vkcdvnsb_gKXoU_dTg2e15ir6-f_fl_ONw8fnDp_OziyEIy5bBqEBYX8QbubaaUmOBBAvrUQajmeJ2DNQyCVIKZbwRIA0dI_gIJkaiJD9Fb4--19v1DGPoI1Y_ueuaZl_3rvjk_lZyunSbcuM040pR1Q1e3RrU8n0LbXFzaqHv7TOUbXNaMM0JNf9Bcm6Eltx28uU98qpsa-7_4BghWtCeRofIEQq1tFYh3g1NiTtk7O5n3Ete_LnsXcGvUDswHIHmN_C76T8NfwLKF69l</recordid><startdate>201004</startdate><enddate>201004</enddate><creator>Stuifbergen, Alexa K</creator><creator>Blozis, Shelley A</creator><creator>Becker, Heather</creator><creator>Phillips, Lorraine</creator><creator>Timmerman, Gayle</creator><creator>Kullberg, Vicki</creator><creator>Taxis, Carole</creator><creator>Morrison, Janet</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2R</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201004</creationdate><title>A randomized controlled trial of a wellness intervention for women with fibromyalgia syndrome</title><author>Stuifbergen, Alexa K ; Blozis, Shelley A ; Becker, Heather ; Phillips, Lorraine ; Timmerman, Gayle ; Kullberg, Vicki ; Taxis, Carole ; Morrison, Janet</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c492t-86c02921a85b971189e0c9ebd5c872639dc1925e55468a84e581dfeafe8ff0653</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Clinical trials</topic><topic>Exercise</topic><topic>Fatigue</topic><topic>Female</topic><topic>Fibromyalgia</topic><topic>Fibromyalgia - psychology</topic><topic>Fibromyalgia - rehabilitation</topic><topic>Goals</topic><topic>Health Behavior</topic><topic>Health behaviour</topic><topic>Health Promotion</topic><topic>Humans</topic><topic>Intervention</topic><topic>Life Style</topic><topic>Lifestyle</topic><topic>Lifestyles</topic><topic>Middle Aged</topic><topic>Nursing schools</topic><topic>Pain</topic><topic>Patient Education as Topic</topic><topic>Physical fitness</topic><topic>Quality of Life</topic><topic>Self Efficacy</topic><topic>Selfefficacy</topic><topic>Single-Blind Method</topic><topic>Stress</topic><topic>Women</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stuifbergen, Alexa K</creatorcontrib><creatorcontrib>Blozis, Shelley A</creatorcontrib><creatorcontrib>Becker, Heather</creatorcontrib><creatorcontrib>Phillips, Lorraine</creatorcontrib><creatorcontrib>Timmerman, Gayle</creatorcontrib><creatorcontrib>Kullberg, Vicki</creatorcontrib><creatorcontrib>Taxis, Carole</creatorcontrib><creatorcontrib>Morrison, Janet</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>PML(ProQuest Medical Library)</collection><collection>Psychology Database</collection><collection>ProQuest Social Science Journals</collection><collection>Sociology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Clinical rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stuifbergen, Alexa K</au><au>Blozis, Shelley A</au><au>Becker, Heather</au><au>Phillips, Lorraine</au><au>Timmerman, Gayle</au><au>Kullberg, Vicki</au><au>Taxis, Carole</au><au>Morrison, Janet</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A randomized controlled trial of a wellness intervention for women with fibromyalgia syndrome</atitle><jtitle>Clinical rehabilitation</jtitle><addtitle>Clin Rehabil</addtitle><date>2010-04</date><risdate>2010</risdate><volume>24</volume><issue>4</issue><spage>305</spage><epage>318</epage><pages>305-318</pages><issn>0269-2155</issn><eissn>1477-0873</eissn><coden>CEHAEN</coden><abstract>Objective: To examine the effects of a wellness intervention, Lifestyle Counts, for women with fibromyalgia syndrome on the level of self-efficacy for health-promoting behaviours, health-promoting activity and perceived quality of life.
Design: A randomized controlled single-blinded trial with treatment and attention-control groups.
Setting: Community in the southwestern United States.
Subjects: Convenience sample of 187 women (98 treatment, 89 attention control) with fibromyalgia syndrome (mean age = 53.08 years, SD 9.86).
Intervention: The two-phase Lifestyle Counts intervention programme included lifestyle change classes for eight weeks, with goal-setting and telephone follow-up for three months. Participants in the attention-control group were offered an equivalent amount of contact in classes on general disease-related information and health education topics and unstructured follow-up phone calls. Participants were followed for a total of eight months after baseline.
Outcome measures: Self-report instruments measuring self-efficacy for health behaviours, health-promotion behaviours and health-related quality of life (SF-36 and the Fibromyalgia Impact Questionnaire) were completed at baseline, two months (after the classes), five months (after telephone follow-up) and at eight months.
Results: Both groups improved significantly (P<0.05) over time on the measures of self-efficacy, health behaviours, fibromyalgia impact and quality of life. There were significant group × time interactions for scores on the Health Promoting Lifestyle II subscales of physical activity and stress management.
Conclusions: The Lifestyle Counts wellness intervention holds promise for improving health-promoting behaviours and quality of life of women with fibromyalgia syndrome.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>20360151</pmid><doi>10.1177/0269215509343247</doi><tpages>14</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0269-2155 |
| ispartof | Clinical rehabilitation, 2010-04, Vol.24 (4), p.305-318 |
| issn | 0269-2155 1477-0873 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7236616 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); Social Science Premium Collection; Sociology Collection; Sage Journals Online |
| subjects | Adult Aged Clinical trials Exercise Fatigue Female Fibromyalgia Fibromyalgia - psychology Fibromyalgia - rehabilitation Goals Health Behavior Health behaviour Health Promotion Humans Intervention Life Style Lifestyle Lifestyles Middle Aged Nursing schools Pain Patient Education as Topic Physical fitness Quality of Life Self Efficacy Selfefficacy Single-Blind Method Stress Women Womens health |
| title | A randomized controlled trial of a wellness intervention for women with fibromyalgia syndrome |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-15T12%3A51%3A25IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20randomized%20controlled%20trial%20of%20a%20wellness%20intervention%20for%20women%20with%20fibromyalgia%20syndrome&rft.jtitle=Clinical%20rehabilitation&rft.au=Stuifbergen,%20Alexa%20K&rft.date=2010-04&rft.volume=24&rft.issue=4&rft.spage=305&rft.epage=318&rft.pages=305-318&rft.issn=0269-2155&rft.eissn=1477-0873&rft.coden=CEHAEN&rft_id=info:doi/10.1177/0269215509343247&rft_dat=%3Cproquest_pubme%3E733847539%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c492t-86c02921a85b971189e0c9ebd5c872639dc1925e55468a84e581dfeafe8ff0653%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=200741082&rft_id=info:pmid/20360151&rft_sage_id=10.1177_0269215509343247&rfr_iscdi=true |