Care at a distance: Understanding lived experiences of people with MSK disorders receiving non-pharmacological interventions delivered through synchronous telehealth: A systematic rapid review

Background Little is known about lived experience of synchronous telehealth in patients with musculoskeletal (MSK) disorders. Objective We conducted a rapid systematic review to answer: (1) what are the lived experiences and/or perspectives of people with MSK disorders receiving non-pharmacological...

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Main Authors: Melissa Atkinson-Graham, Ginny Brunton, Carol Cancelliere, Melissa Corso, Annemarie de Zoete, Sidney M Rubinstein, Kent Murnaghan, Silvano Mior
Format: Article
Language:English
Published: SAGE Publishing 2024-03-01
Series:Digital Health
Online Access:https://doi.org/10.1177/20552076241236573
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author Melissa Atkinson-Graham
Ginny Brunton
Carol Cancelliere
Melissa Corso
Annemarie de Zoete
Sidney M Rubinstein
Kent Murnaghan
Silvano Mior
author_facet Melissa Atkinson-Graham
Ginny Brunton
Carol Cancelliere
Melissa Corso
Annemarie de Zoete
Sidney M Rubinstein
Kent Murnaghan
Silvano Mior
author_sort Melissa Atkinson-Graham
collection DOAJ
description Background Little is known about lived experience of synchronous telehealth in patients with musculoskeletal (MSK) disorders. Objective We conducted a rapid systematic review to answer: (1) what are the lived experiences and/or perspectives of people with MSK disorders receiving non-pharmacological interventions delivered through synchronous telehealth; and (2) what clinical implications can be inferred from qualitative studies focusing on lived experiences for how telehealth is delivered in the management of MSK disorders? Data sources A comprehensive search of MEDLINE, CINAHL, PsycINFO, ProQuest, and Google Scholar from June 2010 to July 2023. Eligible qualitative and mixed methods studies capturing lived experiences of adults with MSK disorders receiving non-pharmacological interventions via synchronous telehealth were included. Study methods Systematic rapid review conducted according to WHO guidelines. Titles and abstracts screened by reviewers independently, eligible studies critically appraised, and data was extracted. Themes summarized using the Consolidated Framework for Implementation Research (CFIR). GRADE-CERQual (Confidence in the Evidence from Reviews of Qualitative research) used to assess confidence in synthesis findings. Results We identified 9782 references, screened 8029, and critically appraised 22, and included 17 studies. There is evidence to suggest that the experience of telehealth prior to and during the pandemic was shaped by (1) patient perception of telehealth, (2) existing relationships with practitioners, (3) availability and accessibility of telehealth technologies, and (4) perceptions about the importance of the role of the physical exam in assessing and treating MSK disorders. Conclusion The five identified implications could be used to inform future research, policy, and strategy development.
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spelling doaj.art-b21fc131962448a6bffccc26e5b83dcc2024-03-16T09:03:23ZengSAGE PublishingDigital Health2055-20762024-03-011010.1177/20552076241236573Care at a distance: Understanding lived experiences of people with MSK disorders receiving non-pharmacological interventions delivered through synchronous telehealth: A systematic rapid reviewMelissa Atkinson-Graham0Ginny Brunton1Carol Cancelliere2Melissa Corso3Annemarie de Zoete4Sidney M Rubinstein5Kent Murnaghan6Silvano Mior7 Division of Research and Innovation, , Toronto ON, Canada Faculty of Health Sciences, and Institute for Disability and Rehabilitation Research, , Oshawa, ON, Canada Faculty of Health Sciences, and Institute for Disability and Rehabilitation Research, , Oshawa, ON, Canada Institute for Disability and Rehabilitation Research, , Oshawa, ON, Canada Department of Health Sciences, , Amsterdam, The Netherlands Department of Health Sciences, , Amsterdam, The Netherlands Library Sciences, , Toronto ON, Canada Division of Research and Innovation, , Toronto ON, CanadaBackground Little is known about lived experience of synchronous telehealth in patients with musculoskeletal (MSK) disorders. Objective We conducted a rapid systematic review to answer: (1) what are the lived experiences and/or perspectives of people with MSK disorders receiving non-pharmacological interventions delivered through synchronous telehealth; and (2) what clinical implications can be inferred from qualitative studies focusing on lived experiences for how telehealth is delivered in the management of MSK disorders? Data sources A comprehensive search of MEDLINE, CINAHL, PsycINFO, ProQuest, and Google Scholar from June 2010 to July 2023. Eligible qualitative and mixed methods studies capturing lived experiences of adults with MSK disorders receiving non-pharmacological interventions via synchronous telehealth were included. Study methods Systematic rapid review conducted according to WHO guidelines. Titles and abstracts screened by reviewers independently, eligible studies critically appraised, and data was extracted. Themes summarized using the Consolidated Framework for Implementation Research (CFIR). GRADE-CERQual (Confidence in the Evidence from Reviews of Qualitative research) used to assess confidence in synthesis findings. Results We identified 9782 references, screened 8029, and critically appraised 22, and included 17 studies. There is evidence to suggest that the experience of telehealth prior to and during the pandemic was shaped by (1) patient perception of telehealth, (2) existing relationships with practitioners, (3) availability and accessibility of telehealth technologies, and (4) perceptions about the importance of the role of the physical exam in assessing and treating MSK disorders. Conclusion The five identified implications could be used to inform future research, policy, and strategy development.https://doi.org/10.1177/20552076241236573
spellingShingle Melissa Atkinson-Graham
Ginny Brunton
Carol Cancelliere
Melissa Corso
Annemarie de Zoete
Sidney M Rubinstein
Kent Murnaghan
Silvano Mior
Care at a distance: Understanding lived experiences of people with MSK disorders receiving non-pharmacological interventions delivered through synchronous telehealth: A systematic rapid review
Digital Health
title Care at a distance: Understanding lived experiences of people with MSK disorders receiving non-pharmacological interventions delivered through synchronous telehealth: A systematic rapid review
title_full Care at a distance: Understanding lived experiences of people with MSK disorders receiving non-pharmacological interventions delivered through synchronous telehealth: A systematic rapid review
title_fullStr Care at a distance: Understanding lived experiences of people with MSK disorders receiving non-pharmacological interventions delivered through synchronous telehealth: A systematic rapid review
title_full_unstemmed Care at a distance: Understanding lived experiences of people with MSK disorders receiving non-pharmacological interventions delivered through synchronous telehealth: A systematic rapid review
title_short Care at a distance: Understanding lived experiences of people with MSK disorders receiving non-pharmacological interventions delivered through synchronous telehealth: A systematic rapid review
title_sort care at a distance understanding lived experiences of people with msk disorders receiving non pharmacological interventions delivered through synchronous telehealth a systematic rapid review
url https://doi.org/10.1177/20552076241236573
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