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Long-Term Clinical Outcomes of a Remote Digital Musculoskeletal Program: An Ad Hoc Analysis from a Longitudinal Study with a Non-Participant Comparison Group

Digital solutions have emerged as an alternative to conventional physiotherapy, particularly for chronic musculoskeletal pain (CMP) management; however, its long-term effects remain largely unexplored. This study focuses on patients reporting CMP, assessing 1-year clinical outcomes after a multimoda...

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Autores principales: Areias, Anabela C., Costa, Fabíola, Janela, Dora, Molinos, Maria, Moulder, Robert G., Lains, Jorge, Scheer, Justin K., Bento, Virgílio, Yanamadala, Vijay, Correia, Fernando Dias
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9778537/
https://www.ncbi.nlm.nih.gov/pubmed/36553873
http://dx.doi.org/10.3390/healthcare10122349
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author Areias, Anabela C.
Costa, Fabíola
Janela, Dora
Molinos, Maria
Moulder, Robert G.
Lains, Jorge
Scheer, Justin K.
Bento, Virgílio
Yanamadala, Vijay
Correia, Fernando Dias
author_facet Areias, Anabela C.
Costa, Fabíola
Janela, Dora
Molinos, Maria
Moulder, Robert G.
Lains, Jorge
Scheer, Justin K.
Bento, Virgílio
Yanamadala, Vijay
Correia, Fernando Dias
author_sort Areias, Anabela C.
collection PubMed
description Digital solutions have emerged as an alternative to conventional physiotherapy, particularly for chronic musculoskeletal pain (CMP) management; however, its long-term effects remain largely unexplored. This study focuses on patients reporting CMP, assessing 1-year clinical outcomes after a multimodal digital care program (DCP) versus non-participants, who enrolled in the program but never engaged in a single exercise session or partook of the educational content made available to them. In this longitudinal study ad-hoc analysis, pain and functionality outcomes at 1-year reassessment were studied, focusing on the odds of reaching minimal clinically important difference (MCID) and, overall average reduction in both outcomes. Healthcare utilization was additionally studied within the same period. From 867 individuals allocated to the study, 460 completed the 1-year reassessment (intervention group: 310; comparison group: 150). The intervention group presented sustained and greater pain reduction until 1-year reassessment than the comparison group, reflecting greater odds ratio of achieving the MCID both in pain and functionality (1.90 95% CI: 1.27–2.86, p = 0.002 and 2.02 95% CI: 1.31–3.12, p = 0.001, respectively). A lower healthcare utilization during the 1-year follow-up was observed in the intervention group than in the comparison group. This study suggests that a digital CMP program may have a lasting impact on improved pain and functionality in patients with CMP.
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spelling pubmed-97785372022-12-23 Long-Term Clinical Outcomes of a Remote Digital Musculoskeletal Program: An Ad Hoc Analysis from a Longitudinal Study with a Non-Participant Comparison Group Areias, Anabela C. Costa, Fabíola Janela, Dora Molinos, Maria Moulder, Robert G. Lains, Jorge Scheer, Justin K. Bento, Virgílio Yanamadala, Vijay Correia, Fernando Dias Healthcare (Basel) Article Digital solutions have emerged as an alternative to conventional physiotherapy, particularly for chronic musculoskeletal pain (CMP) management; however, its long-term effects remain largely unexplored. This study focuses on patients reporting CMP, assessing 1-year clinical outcomes after a multimodal digital care program (DCP) versus non-participants, who enrolled in the program but never engaged in a single exercise session or partook of the educational content made available to them. In this longitudinal study ad-hoc analysis, pain and functionality outcomes at 1-year reassessment were studied, focusing on the odds of reaching minimal clinically important difference (MCID) and, overall average reduction in both outcomes. Healthcare utilization was additionally studied within the same period. From 867 individuals allocated to the study, 460 completed the 1-year reassessment (intervention group: 310; comparison group: 150). The intervention group presented sustained and greater pain reduction until 1-year reassessment than the comparison group, reflecting greater odds ratio of achieving the MCID both in pain and functionality (1.90 95% CI: 1.27–2.86, p = 0.002 and 2.02 95% CI: 1.31–3.12, p = 0.001, respectively). A lower healthcare utilization during the 1-year follow-up was observed in the intervention group than in the comparison group. This study suggests that a digital CMP program may have a lasting impact on improved pain and functionality in patients with CMP. MDPI 2022-11-23 /pmc/articles/PMC9778537/ /pubmed/36553873 http://dx.doi.org/10.3390/healthcare10122349 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Areias, Anabela C.
Costa, Fabíola
Janela, Dora
Molinos, Maria
Moulder, Robert G.
Lains, Jorge
Scheer, Justin K.
Bento, Virgílio
Yanamadala, Vijay
Correia, Fernando Dias
Long-Term Clinical Outcomes of a Remote Digital Musculoskeletal Program: An Ad Hoc Analysis from a Longitudinal Study with a Non-Participant Comparison Group
title Long-Term Clinical Outcomes of a Remote Digital Musculoskeletal Program: An Ad Hoc Analysis from a Longitudinal Study with a Non-Participant Comparison Group
title_full Long-Term Clinical Outcomes of a Remote Digital Musculoskeletal Program: An Ad Hoc Analysis from a Longitudinal Study with a Non-Participant Comparison Group
title_fullStr Long-Term Clinical Outcomes of a Remote Digital Musculoskeletal Program: An Ad Hoc Analysis from a Longitudinal Study with a Non-Participant Comparison Group
title_full_unstemmed Long-Term Clinical Outcomes of a Remote Digital Musculoskeletal Program: An Ad Hoc Analysis from a Longitudinal Study with a Non-Participant Comparison Group
title_short Long-Term Clinical Outcomes of a Remote Digital Musculoskeletal Program: An Ad Hoc Analysis from a Longitudinal Study with a Non-Participant Comparison Group
title_sort long-term clinical outcomes of a remote digital musculoskeletal program: an ad hoc analysis from a longitudinal study with a non-participant comparison group
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9778537/
https://www.ncbi.nlm.nih.gov/pubmed/36553873
http://dx.doi.org/10.3390/healthcare10122349
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