Developing an Activity Pacing Framework: Feasibility and Acceptability

Feasibility Study Inclusion Criteria: * Patients with an initial General Practitioner (GP)/hospital consultant referral to The Pennine Acute Hospitals NHS Trust with diagnoses of chronic low back pain, chronic widespread pain, fibromyalgia or CFS/ME, with a minimum symptom duration of 3 months. * Patients referred to a rehabilitation programme for chronic pain/fatigue * Patients aged ≥18 years * Patients able to read/write in English Exclusion Criteria: * Patients with evidence of a serious underlying pathology, such as a current diagnosis of cancer * Patients with severe mental health/cognitive functioning issues Acceptability Study (qualitative interviews) Inclusion Criteria: * Patients with an initial GP/hospital consultant referral to The Pennine Acute Hospitals National Health Service (NHS) Trust with diagnoses of chronic low back pain, chronic widespread pain, fibromyalgia or CFS/ME, with a minimum symptom duration of 3 months (as per the feasibility study). * Patients who attended a minimum of one session of the rehabilitation programme, who consented to the study and completed the first questionnaire booklet. Patients do not need to have completed the programme, since the interviews will include patients who both completed and did not complete the programme. * Qualified healthcare professionals delivering the rehabilitation programmes who received training in using the activity pacing framework: physiotherapists and psychological wellbeing practitioners employed by The Pennine Acute Hospitals NHS Trust and Pennine Care NHS Foundation Trust.