Technology-Enhanced Delivery Models to Facilitate the Implementation of Psychologically Informed Practice for Chronic Musculoskeletal Pain
Open accessAbstract
Chronic musculoskeletal pain is prevalent, challenging to treat, and often disabling. Evidence supports the role of psychological factors in pain-related outcomes, and it is now accepted that rehabilitation should combine physical and psychological approaches (ie, psychologically informed practice). This Perspective articulates a vision for technology-enhanced psychologically informed practice for chronic musculoskeletal pain, highlights relevant research evidence, discusses how technology can circumvent implementation barriers, and proposes directions for future research.
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Online delivery of PiPT has been shown to be beneficial in reducing cost, increasing accessibility, retention, patient satisfaction, and to be non-inferior to in-person care.
“Online delivery of PiPT has been shown to be beneficial in reducing cost, increasing accessibility, retention, patient satisfaction, and to be non-inferior to in-person care. 72”
From Remotely Delivered Psychologically Informed Mindful Movement Physical Therapy for Pain Care: A Framework for Operationalization (2023) · cites this paper as [72]
In “What Is the Evidence for Technology-Enhanced PiP?” (page unavailable), the paper reports lower costs and greater accessibility for telehealth physical therapy, and noninferiority for virtual chronic-pain therapies. It also says studies of technology-enhanced PiP are scant. Retention and patient satisfaction are described as comparable to in-person psychotherapy, not improved, so the sentence overstates both those outcomes and the evidence for online PiP specifically. (LLM, conf=0.88)
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“72 The successful translation of this program to remote delivery provides bene fi t to those for whom access to transportation would be limited, or the process of getting to a clinic would increase physical and mental stress or be cost-prohibitive.”
Background
- Authors
- Doorley, J. D., Lentz, T. A., Yeh, G. Y., Wayne, P. M., Archer, K. R., & Vranceanu, A.-M.
- Affiliations
- Harvard University (US)
- Duke University (US)
- Beth Israel Deaconess Medical Center (US)
- Brigham and Women's Hospital (US)
- Vanderbilt University Medical Center (US)
- Corresponding author
- Doorley, James D
- ORCID
- Venue
- Physical Therapy
- Publisher
- Oxford University Press (OUP)
- Published
- 2022-10-10
- Volume
- 103
- Issue
- 1
- ISSN
- 0031-9023 (ISSN-L)
- 1538-6724
- PMC
- PMC10071498
- OpenAlex
- W4304091897
- Cited by
- 8
- References
- 28
- Citations by year
- 2025: 2 · 2024: 4 · 2023: 2
- FWCI
- 1.20
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- Physical Therapy (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5T32AT000051–23; K24AT009465)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- chronic musculoskeletal pain, implementation barriers, psychological factors in pain, pain rehabilitation, digital health interventions
- MeSH terms
- Humans, Technology, Chronic Pain, Musculoskeletal Pain
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