Enablers and barriers of people with chronic musculoskeletal pain for engaging in telehealth interventions: protocol for a qualitative systematic review and meta-synthesis
Open accessAbstract
Background: Chronic musculoskeletal pain represents an enormous burden in society. Best-practice care for chronic musculoskeletal pain suggests adoption of self-management strategies. Telehealth interventions (e.g., videoconferencing) are a promising approach to promote self-management and have the potential to overcome geographical barriers between patient and care providers. Understanding patient perspectives will inform and identify practical challenges towards applying the self-management strategies delivered via telehealth to everyday lives. The aim of this study is to synthesize the perceptions of individuals with musculoskeletal pain with regards to enablers and barriers to engaging in telehealth interventions for chronic musculoskeletal pain self-management. Methods: A systematic review of qualitative studies will be performed based on searches of MEDLINE, EMBASE, CINAHL, LILACS, and PsycINFO databases. Screening of identified titles will be conducted by two independent investigators. Data extraction will retrieve detailed qualitative information from selected articles. The critical appraisal skills program (CASP) checklist will be used for critical appraisal of included studies, and the level of confidence in the findings will be assessed using the confidence in the evidence from reviews of qualitative research (GRADE-CERQual). A thematic synthesis approach will be used to derive analytical themes. Discussion: This review will systematically identify, synthesize, and present enablers and barriers reported by people with musculoskeletal pain to engage in telehealth interventions. The review will provide information required to support the design and improvement of telehealth services. Systematic review registration: PROSPERO CRD42019136148
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Existing research has focused on individual health conditions, such as COPD and chronic musculoskeletal pain.
“Existing research has focused on individual health conditions, such as COPD [12] and chronic musculoskeletal pain, [14] with none assessing the role of telemonitoring in patients with a broader range of long-term conditions and multimorbidity.”
From Use of telemonitoring in patient self-management of chronic disease: a qualitative meta-synthesis (2023) · cites this paper as [14]
Few meta-syntheses evaluating patients' satisfaction, acceptability, and feasibility of telemonitoring are present in the literature.
“Few meta-syntheses evaluating patients’ satisfaction, acceptability (how well the intervention is received by the target population), and feasibility (if the intervention is appropriate for future testing/implementation) of telemonitoring are present in the literature. [12–14]”
From Use of telemonitoring in patient self-management of chronic disease: a qualitative meta-synthesis (2023) · cites this paper as [14]
No existing research has assessed the role of telemonitoring in patients with a broader range of long-term conditions and multimorbidity.
“Existing research has focused on individual health conditions, such as COPD [12] and chronic musculoskeletal pain, [14] with none assessing the role of telemonitoring in patients with a broader range of long-term conditions and multimorbidity.”
From Use of telemonitoring in patient self-management of chronic disease: a qualitative meta-synthesis (2023) · cites this paper as [14]
This meta-synthesis has drawn attention to concerns regarding security of personal data, not seen in other meta-syntheses.
“It has also drawn attention to concerns regarding security of personal data, not seen in other meta-syntheses. [12–14]”
From Use of telemonitoring in patient self-management of chronic disease: a qualitative meta-synthesis (2023) · cites this paper as [14]
Few meta-syntheses are available that focus on telemonitoring within chronic disease management.
“Few meta-syntheses [12–14] are available that focus on telemonitoring within chronic disease management.”
From Use of telemonitoring in patient self-management of chronic disease: a qualitative meta-synthesis (2023) · cites this paper as [14]
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Self-citationUse of telemonitoring in patient self-management of chronic disease: a qualitative meta-synthesis
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- Authors
- Fernandes, L. G., Devan, H., 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
- Systematic Reviews
- Published
- 2020-05-31
- Volume
- 9
- Issue
- 1
- Pages
- 122-122
- ISSN
- 2046-4053 (ISSN-L)
- PMC
- PMC7262761
- OpenAlex
- W3030037215
- Cited by
- 23
- References
- 36
- Citations by year
- 2025: 4 · 2024: 6 · 2023: 5 · 2022: 3 · 2021: 4 · 2020: 1
- FWCI
- 0.54
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Systematic Reviews (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- University of Otago
- Hunter New England Local Health District
- Hunter Medical Research Institute
- University of Sydney
- Fundação de Amparo à Pesquisa do Estado de São Paulo (2019/, 16/24217-7, 2019/14032-8)
- Faculty of Medicine and Health, University of Sydney
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- chronic musculoskeletal pain, telemedicine, self-management, patient engagement, barriers and facilitators, patient perspectives, videoconferencing
- MeSH terms
- Self-Management, Systematic Reviews as Topic, Humans, Telemedicine, Qualitative Research, Chronic Pain, Musculoskeletal Pain
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