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Cited by 118Telemedicine and Telehealth ImplementationMusculoskeletal pain and rehabilitationMobile Health and mHealth Applications

The DOI matches its Crossref record; 85 of the 85 references it cites were found in a registry or an index.

At my own pace, space, and place: a systematic review of qualitative studies of enablers and barriers to telehealth interventions for people with chronic pain

Fernandes, Lívia G., Devan, Hemakumar, Fioratti, Iuri, Kamper, Steven J., Williams, Christopher M., Saragiotto, Bruno T.·2022·Pain
DOI 10.1097/j.pain.0000000000002364
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Abstract

Telehealth is a promising approach to support self-management with the potential to overcome geographical barriers. Understanding patient perspectives will identify practical challenges to delivering self-management strategies by telehealth. The aim of this study was to synthesize the perceptions of people with chronic musculoskeletal pain for engaging in interventions delivered using telehealth. We searched MEDLINE, Embase, CINAHL, LILACS, and PsycINFO databases. We included qualitative studies that explored perceptions or experiences or attitudes of people with chronic musculoskeletal pain engaging with telehealth. We assessed the methodological quality using the Critical Appraisal Skills Programme checklist. Meta-synthesis was guided by a thematic synthesis approach. The level of confidence of review findings was assessed using the Confidence in the Evidence from Reviews of Qualitative Studies (GRADE-CERQual). Twenty-one studies were included (n = 429). Telehealth comprised web-based, videoconference-based, telephone-based, video-based, and smartphone app–based programs delivered solely or combined. Chronic musculoskeletal conditions included people with knee or hip osteoarthritis, chronic low back pain, persistent pain (chronic joint pain or nonspecific chronic musculoskeletal pain), rheumatoid arthritis, and functional fatigue syndrome. The enablers for engaging in telehealth interventions were as follows: (1) “at my own pace, space, and place” and (2) empowered patient. Barriers to engaging in telehealth interventions were as follows: (1) impersonal, (2) technological challenges, (3) irrelevant content, and (4) limited digital (health) literacy. Telehealth interventions with well-designed interactive platforms, flexibility to fit patients' routine, and the broad availability of material may favor better engagement. Encouragement of self-efficacy is linked to successful telehealth-delivered self-management programs.

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Crossref · 10.1097/j.pain.0000000000002364

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Research works printed but not linked: 1

  1. Eriksson, 2011, Effects and patients' experiences of telerehabilitation at home after shoulder joint replacement, Physiotherapy (United Kingdom), 1, eS1479

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Metadata

Authors
Fernandes, L. G., Devan, H., Fioratti, I., Kamper, S. J., Williams, C. M., & Saragiotto, B. T.
Affiliations
  • Universidade Cidade de São Paulo (BR)
  • University of Otago (NZ)
  • The University of Sydney (AU)
  • Hunter Medical Research Institute (AU)
Corresponding author
Fernandes, Lívia G.
ORCID
Venue
Pain
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2021-06-14
Volume
163
Issue
2
Pages
e165-e181
ISSN
  • 0304-3959 (ISSN-L)
  • 1872-6623
DOI
10.1097/j.pain.0000000000002364
OpenAlex
W3177245897
Cited by
118
References
85
Citations by year
2026: 16 · 2025: 19 · 2024: 36 · 2023: 25 · 2022: 18 · 2021: 4
FWCI
3.70
Type
journal article
Language
en
Open access
closed
Locations
  • Pain (publishedVersion)
  • PubMed (publishedVersion)
  • NOVA (University of Newcastle Australia) (submittedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Keywords
telemedicine, chronic musculoskeletal pain, self-management, patient engagement, barriers and facilitators, patient perspectives, digital health literacy, technical challenges, osteoarthritis, chronic low back pain, rheumatoid arthritis, chronic pain, fatigue syndrome, self-efficacy, mobile application
MeSH terms
Self-Management, Humans, Telemedicine, Qualitative Research, Chronic Pain, Musculoskeletal Pain

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