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

Autor(es)

Fernandes, Livia G. ^[1] ; Devan, Hemakumar ^[2] ; Fioratti, Iuri ^[1] ; Kamper, Steven J. ^{[3, 4, 5, 6]} ; Williams, Christopher M. ^{[7, 8]} ; Saragiotto, Bruno T. ^{[1, 3, 4]}

Afiliação do(s) autor(es)

^[1] Univ Cidade Sao Paulo UNICID, Masters & Doctoral Programs Phys Therapy, Sao Paulo, SP - Brazil

^[2] Univ Otago, Ctr Hlth Act & Rehabil Res CHARR, Sch Physiotherapy, Wellington - New Zealand

^[3] Sydney Local Hlth Dist, Inst Musculoskeletal Hlth, Camperdown, NSW - Australia

^[4] Univ Sydney, Camperdown, NSW - Australia

^[5] Univ Sydney, Fac Med & Hlth, Sch Hlth Sci, Sydney, NSW - Australia

^[6] Nepean Hosp, Nepean Blue Mt Local Hlth Dist, Penrith, NSW - Australia

^[7] Hunter New England Local Hlth Dist, Hunter New England Populat Hlth, Wallsend - Australia

^[8] Univ Newcastle, Sch Med & Publ Hlth, Hunter Med Res Inst, Newcastle, NSW - Australia

• Tipo de documento: Artigo de Revisão
• Fonte: Pain; v. 163, n. 2, p. E165-E181, FEB 2022.
• Citações Web of Science: 2

Resumo

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. (AU)

• Processo FAPESP: 16/24217-7 - A efetividade de um programa de tele-reabilitação para o tratamento da dor crônica musculoesquelética: programa e-Rehab
• Beneficiário: Bruno Tirotti Saragiotto
• Modalidade de apoio: Auxílio à Pesquisa - Jovens Pesquisadores
• Processo FAPESP: 19/14032-8 - Facilitadores e barreiras para pacientes com dor crônica participarem em programas de reabilitação à distância
• Beneficiário: Lívia Gaspar Fernandes
• Modalidade de apoio: Bolsas no Brasil - Mestrado