Group and individual telehealth for chronic musculoskeletal pain: A scoping review.
group exercise
musculoskeletal disorders
pain management
patient experiences
telehealth
Journal
Musculoskeletal care
ISSN: 1557-0681
Titre abrégé: Musculoskeletal Care
Pays: England
ID NLM: 101181344
Informations de publication
Date de publication:
06 2022
06 2022
Historique:
revised:
30
09
2021
received:
23
09
2021
accepted:
02
10
2021
pubmed:
21
10
2021
medline:
15
6
2022
entrez:
20
10
2021
Statut:
ppublish
Résumé
Musculoskeletal (MSK) pain presents a global challenge. Individual and group pain management programmes (PMPs) are recommended approaches for patients with chronic MSK disorders. With advances in remote healthcare capability, telehealth, and the recent COVID-19 pandemic, the importance of telehealth PMPs has become even more evident. Nevertheless, it is not known how patients perceive PMPs for their MSK complaint when delivered via telehealth. To synthesise the evidence of patients' experiences of group and individual telehealth PMPs for chronic MSK pain. A scoping review informed by the PRISMA extension for scoping reviews. Based on a planned search strategy, modified following initial searches, an electronic search was conducted of key databases: Cochrane Library, Medline, CINAHL, EMBASE, AMED, SportDiscus and APA PsychInfo from 2010 until 11 May 2021. Any qualitative or mixed methods study reporting patient experiences of telehealth PMPs for patients with MSK disorders. Data were extracted and synthesised using thematic analysis. From 446 identified studies, 10 were included. Just two studies investigated group telehealth PMPs for patients with MSK disorders, with eight delivered individually. Four main themes emerged: (1) Usability of the technology, (2) Tailored care, (3) Therapeutic alliance and (4) Managing behaviour. The findings highlight patient acceptability of telehealth to support self-management for chronic MSK disorders, with appropriate clinical and technical support. Group telehealth has the potential to empower patients with peer support. Remote delivery of PMPs also impacts on how patients and providers interact, communicate and develop a therapeutic relationship. Barriers and enablers to engagement in telehealth PMPs for patients with chronic MSK disorders have been identified. Peer support and group cohesiveness can be achieved remotely to enhance the patient experience. There is a critical need for further research in this area.
Sections du résumé
BACKGROUND CONTEXT
Musculoskeletal (MSK) pain presents a global challenge. Individual and group pain management programmes (PMPs) are recommended approaches for patients with chronic MSK disorders. With advances in remote healthcare capability, telehealth, and the recent COVID-19 pandemic, the importance of telehealth PMPs has become even more evident. Nevertheless, it is not known how patients perceive PMPs for their MSK complaint when delivered via telehealth.
OBJECTIVE
To synthesise the evidence of patients' experiences of group and individual telehealth PMPs for chronic MSK pain.
DESIGN
A scoping review informed by the PRISMA extension for scoping reviews.
DATA SOURCES
Based on a planned search strategy, modified following initial searches, an electronic search was conducted of key databases: Cochrane Library, Medline, CINAHL, EMBASE, AMED, SportDiscus and APA PsychInfo from 2010 until 11 May 2021.
STUDY SELECTION
Any qualitative or mixed methods study reporting patient experiences of telehealth PMPs for patients with MSK disorders.
DATA EXTRACTION AND DATA SYNTHESIS
Data were extracted and synthesised using thematic analysis.
RESULTS
From 446 identified studies, 10 were included. Just two studies investigated group telehealth PMPs for patients with MSK disorders, with eight delivered individually. Four main themes emerged: (1) Usability of the technology, (2) Tailored care, (3) Therapeutic alliance and (4) Managing behaviour. The findings highlight patient acceptability of telehealth to support self-management for chronic MSK disorders, with appropriate clinical and technical support. Group telehealth has the potential to empower patients with peer support. Remote delivery of PMPs also impacts on how patients and providers interact, communicate and develop a therapeutic relationship.
CONCLUSIONS AND IMPLICATIONS
Barriers and enablers to engagement in telehealth PMPs for patients with chronic MSK disorders have been identified. Peer support and group cohesiveness can be achieved remotely to enhance the patient experience. There is a critical need for further research in this area.
Types de publication
Journal Article
Review
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
245-258Informations de copyright
© 2021 John Wiley & Sons Ltd.
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