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Introduction: People living with a painful distal upper limb musculoskeletal disorder (DUL-MSD) often experience pain, difficulty in doing everyday tasks and a reduced quality of life. Currently, there are challenges in the treatment of DUL-MSDs, highlighting the need to develop innovative approaches to rehabilitation. A potential solution is to develop and implement a digital self-management rehabilitation programme focussing on optimising recovery, improving function and reducing pain. Before developing this programme, we aimed to identify the barriers and facilitators to using a digital health intervention (DHI) for self-management of DUL-MSDs.

Objective: This study aimed to investigate the potential barriers and facilitators to using a DHI with people living with DUL-MSDs and healthcare professionals (HCPs).

Methods: A qualitative exploratory study was carried out with purposely selected participants consisting of 15 participants with DUL-MSDs and 13 HCPs. Three focus groups (FGs) and four semistructured interviews with DUL-MSD participants and semistructured interviews with 13 HCPs were conducted. FGs and interviews were digitally recorded, transcribed and analysed using reflexive thematic analysis.

Results: To address challenges in the care and management of DUL-MSDs, both HCPs and people living with a DUL-MSD welcomed the development of a DHI. This study identified several barriers and facilitators that would influence engagement with a digital intervention. Findings suggest that in developing a DHI, attention needs to be paid to digital design features, usability, tailoring, personalisation and consideration of how well usual care could be replicated digitally without direct HCP involvement.

Conclusion: The identified digital design features of importance to participants will inform the design of a digital self-management rehabilitation programme for people living with DUL-MSDs. Addressing the barriers and facilitators to engagement with a DHI is essential in ensuring its relevance and acceptability to those who will use it.

Patient or Public Contribution: Patient and Public Involvement and Engagement (PPIE) was integral throughout the study. PPIE members contributed to the development and planning of this study, checked and confirmed the relevance of the findings and are involved in the dissemination plans.

Titel:	Barriers and facilitators to engaging with a digital self-management programme for painful distal upper limb musculoskeletal disorders: A qualitative exploratory study.
Autor/in / Beteiligte Person:	Mason, SJ ; Brading, LM ; Kane, K ; Conaghan, PG ; Kingsbury, SR ; McHugh, GA
Link:	Full Text Finder (Volltext)
Zeitschrift:	Health expectations : an international journal of public participation in health care and health policy, Jg. 27 (2024-06-01), Heft 3, S. e14056
Veröffentlichung:	Oxford, UK : Wiley, c1998-, 2024
Medientyp:	academicJournal
ISSN:	1369-7625 (electronic)
DOI:	10.1111/hex.14056
Schlagwort:	Humans Female Male Adult Middle Aged Interviews as Topic Quality of Life Qualitative Research Self-Management methods Upper Extremity Focus Groups Musculoskeletal Diseases therapy Musculoskeletal Diseases rehabilitation
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [Health Expect] 2024 Jun; Vol. 27 (3), pp. e14056. MeSH Terms: Qualitative Research* ; Self-Management* / methods ; Upper Extremity* ; Focus Groups* ; Musculoskeletal Diseases* / therapy ; Musculoskeletal Diseases* / rehabilitation ; Humans ; Female ; Male ; Adult ; Middle Aged ; Interviews as Topic ; Quality of Life References: Fam Pract. 2006 Dec;23(6):609-17. (PMID: 17035285) ; Psychol Health. 2010 Dec;25(10):1229-45. (PMID: 20204937) ; BMC Public Health. 2016 Nov 14;16(1):1158. (PMID: 27842533) ; JMIR Mhealth Uhealth. 2019 Feb 08;7(2):e11636. (PMID: 30735143) ; J Med Internet Res. 2022 Sep 6;24(9):e37869. (PMID: 36066943) ; Eur J Investig Health Psychol Educ. 2022 Jan 27;12(2):144-165. (PMID: 35200235) ; Pilot Feasibility Stud. 2019 Mar 12;5:41. (PMID: 30923626) ; JBI Database System Rev Implement Rep. 2019 Apr;17(4):461-469. (PMID: 30451710) ; Int J Med Inform. 2011 Jan;80(1):1-12. (PMID: 21112244) ; J Med Internet Res. 2020 Jun 5;22(6):e15617. (PMID: 32501277) ; Ann Rheum Dis. 2019 Jan;78(1):16-24. (PMID: 30154087) ; JMIR Res Protoc. 2016 May 19;5(2):e67. (PMID: 27197702) ; J Patient Exp. 2019 Jun;6(2):133-141. (PMID: 31218259) ; Health Expect. 2024 Jun;27(3):e14056. (PMID: 38858844) ; Hand (N Y). 2023 Jun;18(4):680-685. (PMID: 34697956) ; J Orthop Sports Phys Ther. 2022 Nov;52(11):726-739. (PMID: 35960507) ; BMC Health Serv Res. 2018 Oct 19;18(1):794. (PMID: 30340639) ; Arthritis Rheum. 2004 Aug 15;51(4):642-51. (PMID: 15334439) ; Chronic Illn. 2010 Jun;6(2):101-10. (PMID: 20444766) ; Psychol Health. 2011 Nov;26(11):1479-98. (PMID: 21678185) ; Ann Rheum Dis. 2011 Feb;70(2):334-6. (PMID: 21081529) ; Pain. 1994 Sep;58(3):387-392. (PMID: 7838588) ; BMC Musculoskelet Disord. 2021 Aug 31;22(1):751. (PMID: 34465326) ; Cochrane Database Syst Rev. 2017 Jan 31;1:CD010388. (PMID: 28141914) ; Am J Epidemiol. 2006 Dec 1;164(11):1065-74. (PMID: 16968862) ; JMIR Mhealth Uhealth. 2018 Aug 24;6(8):e10003. (PMID: 30143477) ; Clin Geriatr Med. 2010 Aug;26(3):355-69. (PMID: 20699159) ; Eval Program Plann. 2017 Apr;61:125-127. (PMID: 28056403) ; Implement Sci. 2017 Jun 21;12(1):77. (PMID: 28637486) ; Int J Qual Health Care. 2007 Dec;19(6):349-57. (PMID: 17872937) ; Arch Intern Med. 2007 Nov 12;167(20):2192-200. (PMID: 17998491) ; Rheumatology (Oxford). 2007 Mar;46(3):508-15. (PMID: 16973688) ; BMJ. 2021 Sep 30;374:n2061. (PMID: 34593508) ; BMJ Open. 2020 Dec 12;10(12):e038800. (PMID: 33310794) ; PLoS One. 2020 Dec 10;15(12):e0242192. (PMID: 33301455) ; J Med Internet Res. 2003 Dec 18;5(4):e32. (PMID: 14713660) ; Adm Policy Ment Health. 2015 Sep;42(5):533-44. (PMID: 24193818) ; BMC Med Inform Decis Mak. 2016 Sep 15;16(1):120. (PMID: 27630020) ; Digit Health. 2017 Apr 12;3:2055207617704273. (PMID: 29942594) ; Int J Nurs Sci. 2020 Jul 19;7(Suppl 1):S80-S87. (PMID: 32995384) ; Br J Pain. 2015 Nov;9(4):241-55. (PMID: 26526466) ; Int J Environ Res Public Health. 2023 Jan 02;20(1):. (PMID: 36613163) ; Pain. 1993 Nov;55(2):195-203. (PMID: 8309709) Grant Information: NIHR201612 National Institute for Health and Care Research and Versus Arthritis Contributed Indexing: Keywords: digital engagement; distal upper limb; musculoskeletal; patient and public involvement and engagement; qualitative; rehabilitation; self‐management Entry Date(s): Date Created: 20240611 Date Completed: 20240611 Latest Revision: 20240613 Update Code: 20240613 PubMed Central ID: PMC11164711

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Barriers and facilitators to engaging with a digital self-management programme for painful distal upper limb musculoskeletal disorders: A qualitative exploratory study.