Long-Term Clinical Outcomes of a Remote Digital Musculoskeletal Program: An Ad Hoc Analysis from a Longitudinal Study with a Non-Participant Comparison Group
Digital solutions have emerged as an alternative to conventional physiotherapy, particularly for chronic musculoskeletal pain (CMP) management; however, its long-term effects remain largely unexplored. This study focuses on patients reporting CMP, assessing 1-year clinical outcomes after a multimoda...
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| Veröffentlicht in: | Healthcare (Basel) 2022-11, Vol.10 (12), p.2349 |
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| creator | Areias, Anabela C Costa, Fabíola Janela, Dora Molinos, Maria Moulder, Robert G Lains, Jorge Scheer, Justin K Bento, Virgílio Yanamadala, Vijay Correia, Fernando Dias |
| description | Digital solutions have emerged as an alternative to conventional physiotherapy, particularly for chronic musculoskeletal pain (CMP) management; however, its long-term effects remain largely unexplored. This study focuses on patients reporting CMP, assessing 1-year clinical outcomes after a multimodal digital care program (DCP) versus non-participants, who enrolled in the program but never engaged in a single exercise session or partook of the educational content made available to them. In this longitudinal study ad-hoc analysis, pain and functionality outcomes at 1-year reassessment were studied, focusing on the odds of reaching minimal clinically important difference (MCID) and, overall average reduction in both outcomes. Healthcare utilization was additionally studied within the same period. From 867 individuals allocated to the study, 460 completed the 1-year reassessment (intervention group: 310; comparison group: 150). The intervention group presented sustained and greater pain reduction until 1-year reassessment than the comparison group, reflecting greater odds ratio of achieving the MCID both in pain and functionality (1.90 95% CI: 1.27-2.86,
= 0.002 and 2.02 95% CI: 1.31-3.12,
= 0.001, respectively). A lower healthcare utilization during the 1-year follow-up was observed in the intervention group than in the comparison group. This study suggests that a digital CMP program may have a lasting impact on improved pain and functionality in patients with CMP. |
| doi_str_mv | 10.3390/healthcare10122349 |
| format | Article |
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= 0.002 and 2.02 95% CI: 1.31-3.12,
= 0.001, respectively). A lower healthcare utilization during the 1-year follow-up was observed in the intervention group than in the comparison group. This study suggests that a digital CMP program may have a lasting impact on improved pain and functionality in patients with CMP.</description><identifier>ISSN: 2227-9032</identifier><identifier>EISSN: 2227-9032</identifier><identifier>DOI: 10.3390/healthcare10122349</identifier><identifier>PMID: 36553873</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Arthritis ; Behavior modification ; Care and treatment ; Clinical outcomes ; Costs ; Disability ; E-health ; Education ; Emergency medical care ; Evaluation ; Evidence-based medicine ; Intervention ; Knee ; Longitudinal studies ; Medical research ; Medicine, Experimental ; Mental health ; Methods ; Musculoskeletal diseases ; Osteoarthritis ; Outcome and process assessment (Health Care) ; Pain ; Pain management ; Patient outcomes ; Patients ; Physical therapy ; Quality of life ; Rehabilitation ; Telemedicine ; Therapeutics, Physiological</subject><ispartof>Healthcare (Basel), 2022-11, Vol.10 (12), p.2349</ispartof><rights>COPYRIGHT 2022 MDPI AG</rights><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c497t-3a025a7b413f5a7d53e88b5dbf52b155b6e75bf15ca9f797cafd2d2efe7157e73</citedby><cites>FETCH-LOGICAL-c497t-3a025a7b413f5a7d53e88b5dbf52b155b6e75bf15ca9f797cafd2d2efe7157e73</cites><orcidid>0000-0001-8981-7049 ; 0000-0002-1807-7386 ; 0000-0002-8737-7569 ; 0000-0002-8440-2044</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9778537/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9778537/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,725,778,782,883,27907,27908,53774,53776</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36553873$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Areias, Anabela C</creatorcontrib><creatorcontrib>Costa, Fabíola</creatorcontrib><creatorcontrib>Janela, Dora</creatorcontrib><creatorcontrib>Molinos, Maria</creatorcontrib><creatorcontrib>Moulder, Robert G</creatorcontrib><creatorcontrib>Lains, Jorge</creatorcontrib><creatorcontrib>Scheer, Justin K</creatorcontrib><creatorcontrib>Bento, Virgílio</creatorcontrib><creatorcontrib>Yanamadala, Vijay</creatorcontrib><creatorcontrib>Correia, Fernando Dias</creatorcontrib><title>Long-Term Clinical Outcomes of a Remote Digital Musculoskeletal Program: An Ad Hoc Analysis from a Longitudinal Study with a Non-Participant Comparison Group</title><title>Healthcare (Basel)</title><addtitle>Healthcare (Basel)</addtitle><description>Digital solutions have emerged as an alternative to conventional physiotherapy, particularly for chronic musculoskeletal pain (CMP) management; however, its long-term effects remain largely unexplored. This study focuses on patients reporting CMP, assessing 1-year clinical outcomes after a multimodal digital care program (DCP) versus non-participants, who enrolled in the program but never engaged in a single exercise session or partook of the educational content made available to them. In this longitudinal study ad-hoc analysis, pain and functionality outcomes at 1-year reassessment were studied, focusing on the odds of reaching minimal clinically important difference (MCID) and, overall average reduction in both outcomes. Healthcare utilization was additionally studied within the same period. From 867 individuals allocated to the study, 460 completed the 1-year reassessment (intervention group: 310; comparison group: 150). The intervention group presented sustained and greater pain reduction until 1-year reassessment than the comparison group, reflecting greater odds ratio of achieving the MCID both in pain and functionality (1.90 95% CI: 1.27-2.86,
= 0.002 and 2.02 95% CI: 1.31-3.12,
= 0.001, respectively). A lower healthcare utilization during the 1-year follow-up was observed in the intervention group than in the comparison group. This study suggests that a digital CMP program may have a lasting impact on improved pain and functionality in patients with CMP.</description><subject>Arthritis</subject><subject>Behavior modification</subject><subject>Care and treatment</subject><subject>Clinical outcomes</subject><subject>Costs</subject><subject>Disability</subject><subject>E-health</subject><subject>Education</subject><subject>Emergency medical care</subject><subject>Evaluation</subject><subject>Evidence-based medicine</subject><subject>Intervention</subject><subject>Knee</subject><subject>Longitudinal studies</subject><subject>Medical research</subject><subject>Medicine, Experimental</subject><subject>Mental health</subject><subject>Methods</subject><subject>Musculoskeletal diseases</subject><subject>Osteoarthritis</subject><subject>Outcome and process assessment (Health Care)</subject><subject>Pain</subject><subject>Pain management</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>Physical therapy</subject><subject>Quality of life</subject><subject>Rehabilitation</subject><subject>Telemedicine</subject><subject>Therapeutics, Physiological</subject><issn>2227-9032</issn><issn>2227-9032</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptUsFu1DAQjRCIVqU_wAFZ4sIlJbbXccIBabXQFmmhFZSz5TjjXRfHTm0HtB_Tf8WhpbSAfZjnmffeyKMpiue4OqK0rV5vQdq0VTIArjAhdNE-KvYJIbxsK0oe38N7xWGMl1U-LaYNZU-LPVozRhtO94vrtXeb8gLCgFbWOKOkRWdTUn6AiLxGEn2GwSdA78zGpFz8OEU1WR-_gYX5fR78JsjhDVo6tOzRqVcZSbuLJiId_JAd5hYmTb3JefQlgx36YdI2Vz55V57LkIwyo3QJrfwwymCid-gk-Gl8VjzR0kY4vI0Hxdfj9xer03J9dvJhtVyXatHyVFJZESZ5t8BU59gzCk3Tsb7TjHSYsa4GzjqNmZKt5i1XUvekJ6CBY8aB04Pi7Y3vOHUD9ApcCtKKMZhBhp3w0oiHFWe2YuO_i5bzhtHZ4NWtQfBXE8QkBhMVWCsd-CkKwlmDMcOUZerLv6iXfgp5NL9Ydd1igukf1kZaEMZpn_uq2VQs-WJR0xbXJLOO_sPKt4fBKO9Am5x_ICA3AhV8jAH03R9xJea9Ev_uVRa9uD-dO8nvLaI_AVcwzNc</recordid><startdate>20221123</startdate><enddate>20221123</enddate><creator>Areias, Anabela C</creator><creator>Costa, Fabíola</creator><creator>Janela, Dora</creator><creator>Molinos, Maria</creator><creator>Moulder, Robert G</creator><creator>Lains, Jorge</creator><creator>Scheer, Justin K</creator><creator>Bento, Virgílio</creator><creator>Yanamadala, Vijay</creator><creator>Correia, Fernando Dias</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7XB</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>KB0</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-8981-7049</orcidid><orcidid>https://orcid.org/0000-0002-1807-7386</orcidid><orcidid>https://orcid.org/0000-0002-8737-7569</orcidid><orcidid>https://orcid.org/0000-0002-8440-2044</orcidid></search><sort><creationdate>20221123</creationdate><title>Long-Term Clinical Outcomes of a Remote Digital Musculoskeletal Program: An Ad Hoc Analysis from a Longitudinal Study with a Non-Participant Comparison Group</title><author>Areias, Anabela C ; 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however, its long-term effects remain largely unexplored. This study focuses on patients reporting CMP, assessing 1-year clinical outcomes after a multimodal digital care program (DCP) versus non-participants, who enrolled in the program but never engaged in a single exercise session or partook of the educational content made available to them. In this longitudinal study ad-hoc analysis, pain and functionality outcomes at 1-year reassessment were studied, focusing on the odds of reaching minimal clinically important difference (MCID) and, overall average reduction in both outcomes. Healthcare utilization was additionally studied within the same period. From 867 individuals allocated to the study, 460 completed the 1-year reassessment (intervention group: 310; comparison group: 150). The intervention group presented sustained and greater pain reduction until 1-year reassessment than the comparison group, reflecting greater odds ratio of achieving the MCID both in pain and functionality (1.90 95% CI: 1.27-2.86,
= 0.002 and 2.02 95% CI: 1.31-3.12,
= 0.001, respectively). A lower healthcare utilization during the 1-year follow-up was observed in the intervention group than in the comparison group. This study suggests that a digital CMP program may have a lasting impact on improved pain and functionality in patients with CMP.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>36553873</pmid><doi>10.3390/healthcare10122349</doi><orcidid>https://orcid.org/0000-0001-8981-7049</orcidid><orcidid>https://orcid.org/0000-0002-1807-7386</orcidid><orcidid>https://orcid.org/0000-0002-8737-7569</orcidid><orcidid>https://orcid.org/0000-0002-8440-2044</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Arthritis Behavior modification Care and treatment Clinical outcomes Costs Disability E-health Education Emergency medical care Evaluation Evidence-based medicine Intervention Knee Longitudinal studies Medical research Medicine, Experimental Mental health Methods Musculoskeletal diseases Osteoarthritis Outcome and process assessment (Health Care) Pain Pain management Patient outcomes Patients Physical therapy Quality of life Rehabilitation Telemedicine Therapeutics, Physiological |
| title | Long-Term Clinical Outcomes of a Remote Digital Musculoskeletal Program: An Ad Hoc Analysis from a Longitudinal Study with a Non-Participant Comparison Group |
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