Enablers and barriers of people with chronic musculoskeletal pain for engaging in telehealth interventions: protocol for a qualitative systematic review and meta-synthesis.


Journal

Systematic reviews
ISSN: 2046-4053
Titre abrégé: Syst Rev
Pays: England
ID NLM: 101580575

Informations de publication

Date de publication:
31 05 2020
Historique:
received: 20 09 2019
accepted: 18 05 2020
entrez: 2 6 2020
pubmed: 2 6 2020
medline: 25 6 2021
Statut: epublish

Résumé

Chronic musculoskeletal pain represents an enormous burden in society. Best-practice care for chronic musculoskeletal pain suggests adoption of self-management strategies. Telehealth interventions (e.g., videoconferencing) are a promising approach to promote self-management and have the potential to overcome geographical barriers between patient and care providers. Understanding patient perspectives will inform and identify practical challenges towards applying the self-management strategies delivered via telehealth to everyday lives. The aim of this study is to synthesize the perceptions of individuals with musculoskeletal pain with regards to enablers and barriers to engaging in telehealth interventions for chronic musculoskeletal pain self-management. A systematic review of qualitative studies will be performed based on searches of MEDLINE, EMBASE, CINAHL, LILACS, and PsycINFO databases. Screening of identified titles will be conducted by two independent investigators. Data extraction will retrieve detailed qualitative information from selected articles. The critical appraisal skills program (CASP) checklist will be used for critical appraisal of included studies, and the level of confidence in the findings will be assessed using the confidence in the evidence from reviews of qualitative research (GRADE-CERQual). A thematic synthesis approach will be used to derive analytical themes. This review will systematically identify, synthesize, and present enablers and barriers reported by people with musculoskeletal pain to engage in telehealth interventions. The review will provide information required to support the design and improvement of telehealth services. PROSPERO CRD42019136148.

Sections du résumé

BACKGROUND
Chronic musculoskeletal pain represents an enormous burden in society. Best-practice care for chronic musculoskeletal pain suggests adoption of self-management strategies. Telehealth interventions (e.g., videoconferencing) are a promising approach to promote self-management and have the potential to overcome geographical barriers between patient and care providers. Understanding patient perspectives will inform and identify practical challenges towards applying the self-management strategies delivered via telehealth to everyday lives. The aim of this study is to synthesize the perceptions of individuals with musculoskeletal pain with regards to enablers and barriers to engaging in telehealth interventions for chronic musculoskeletal pain self-management.
METHODS
A systematic review of qualitative studies will be performed based on searches of MEDLINE, EMBASE, CINAHL, LILACS, and PsycINFO databases. Screening of identified titles will be conducted by two independent investigators. Data extraction will retrieve detailed qualitative information from selected articles. The critical appraisal skills program (CASP) checklist will be used for critical appraisal of included studies, and the level of confidence in the findings will be assessed using the confidence in the evidence from reviews of qualitative research (GRADE-CERQual). A thematic synthesis approach will be used to derive analytical themes.
DISCUSSION
This review will systematically identify, synthesize, and present enablers and barriers reported by people with musculoskeletal pain to engage in telehealth interventions. The review will provide information required to support the design and improvement of telehealth services.
SYSTEMATIC REVIEW REGISTRATION
PROSPERO CRD42019136148.

Identifiants

pubmed: 32475341
doi: 10.1186/s13643-020-01390-x
pii: 10.1186/s13643-020-01390-x
pmc: PMC7262761
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

122

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Auteurs

Lívia G Fernandes (LG)

Masters and Doctoral Programs in Physical Therapy, Universidade Cidade São Paulo (UNICID), São Paulo, Brazil. lfernandesft@gmail.com.
Centre for Pain, Health, and Lifestyle (CPHL), New Lambton Heights, Australia. lfernandesft@gmail.com.

Hemakumar Devan (H)

Centre for Health, Activity and Rehabilitation Research (CHARR), School of Physiotherapy, University of Otago, Wellington, New Zealand.

Steven J Kamper (SJ)

Centre for Pain, Health, and Lifestyle (CPHL), New Lambton Heights, Australia.
Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Australia Institute for Musculoskeletal Health, Sydney, Australia.

Christopher M Williams (CM)

Centre for Pain, Health, and Lifestyle (CPHL), New Lambton Heights, Australia.
School of Medicine and Public Health, Hunter Medical Research Institute, University of Newcastle, Newcastle, Australia.
Hunter New England Population Health, Hunter New England Local Health District, Wallsend, Australia.

Bruno T Saragiotto (BT)

Masters and Doctoral Programs in Physical Therapy, Universidade Cidade São Paulo (UNICID), São Paulo, Brazil.
Centre for Pain, Health, and Lifestyle (CPHL), New Lambton Heights, Australia.
Australia Institute for Musculoskeletal Health, Sydney, Australia.

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Classifications MeSH