PDF(Pubmed)
Abstract：
BACKGROUND: Telehealth has emerged as an alternative model for treatment delivery and has become an important component of health service delivery. However, there is inconsistency in the use of terminologies and a lack of research priorities in telehealth in musculoskeletal pain. The purpose of this international, multidisciplinary expert panel assembled in a modified three-round e-Delphi survey is to achieve a consensus on research priorities and for the standard terminology for musculoskeletal pain telehealth practice.
METHODS: In this international modified e-Delphi survey, we invited an expert panel consisting of researchers, clinicians, consumer representatives, industry partners, healthcare managers, and policymakers to participate in a three-round e-Delphi. Expert panels were identified through the Expertscape website, PubMed database, social media, and a snowball approach. In Round 1, potential research priorities and terminologies were presented to panel members. Panel members rated the agreement of each research priority on a 5-point Likert scale and an 11-point numerical scale, and each terminology on a 5-point Likert scale for the \"telehealth in musculoskeletal pain \" field over rounds. At least 80% of the panel members were required to agree to be deemed a consensus. We analyzed the data descriptively and assessed the stability of the results using the Wilcoxon matched-pairs signed rank test.
RESULTS: We performed an international e-Delphi survey from February to August 2022. Of 694 invited people, 160 panel members participated in the first round, 133 in the second round (83% retention), and 134 in the third round (84% retention). Most of the panel members were researchers 76 (47%), clinicians 57 (36%), and consumer representatives 9 (6%) of both genders especially from Brazil 31 (19%), India 22 (14%), and Australia 19 (12%) in the first round. The panel identified fourteen telehealth research priorities spanned topics including the development of strategies using information and communication technology, telehealth implementation services, the effectiveness and cost-effectiveness of telehealth interventions, equity of telehealth interventions, qualitative research and eHealth literacy in musculoskeletal pain conditions from an initial list of 20 research priorities. The consensus was reached for \"digital health\" and \"telehealth\" as standard terminologies from an initial list of 37 terminologies.
CONCLUSIONS: An international, multidisciplinary expert consensus recommends that future research should consider the 14 research priorities for telehealth musculoskeletal pain reached. Additionally, the terms digital health and telehealth as the most appropriate terminologies to be used in musculoskeletal telehealth research.
UNASSIGNED: Open Science Framework ( https://osf.io/tqmz2/ ).
METHODS: In this international modified e-Delphi survey, we invited an expert panel consisting of researchers, clinicians, consumer representatives, industry partners, healthcare managers, and policymakers to participate in a three-round e-Delphi. Expert panels were identified through the Expertscape website, PubMed database, social media, and a snowball approach. In Round 1, potential research priorities and terminologies were presented to panel members. Panel members rated the agreement of each research priority on a 5-point Likert scale and an 11-point numerical scale, and each terminology on a 5-point Likert scale for the \"telehealth in musculoskeletal pain \" field over rounds. At least 80% of the panel members were required to agree to be deemed a consensus. We analyzed the data descriptively and assessed the stability of the results using the Wilcoxon matched-pairs signed rank test.
RESULTS: We performed an international e-Delphi survey from February to August 2022. Of 694 invited people, 160 panel members participated in the first round, 133 in the second round (83% retention), and 134 in the third round (84% retention). Most of the panel members were researchers 76 (47%), clinicians 57 (36%), and consumer representatives 9 (6%) of both genders especially from Brazil 31 (19%), India 22 (14%), and Australia 19 (12%) in the first round. The panel identified fourteen telehealth research priorities spanned topics including the development of strategies using information and communication technology, telehealth implementation services, the effectiveness and cost-effectiveness of telehealth interventions, equity of telehealth interventions, qualitative research and eHealth literacy in musculoskeletal pain conditions from an initial list of 20 research priorities. The consensus was reached for \"digital health\" and \"telehealth\" as standard terminologies from an initial list of 37 terminologies.
CONCLUSIONS: An international, multidisciplinary expert consensus recommends that future research should consider the 14 research priorities for telehealth musculoskeletal pain reached. Additionally, the terms digital health and telehealth as the most appropriate terminologies to be used in musculoskeletal telehealth research.
UNASSIGNED: Open Science Framework ( https://osf.io/tqmz2/ ).
摘要：
背景：远程医疗已成为治疗交付的替代模式，并已成为医疗服务交付的重要组成部分。然而,在肌肉骨骼疼痛的远程健康中，术语的使用不一致，缺乏研究重点。这个国际的目的，在经过修改的三轮e-Delphi调查中组建的多学科专家小组旨在就研究重点和肌肉骨骼疼痛远程健康实践的标准术语达成共识。
方法：在这项国际修改的e-Delphi调查中，我们邀请了一个由研究人员组成的专家小组，临床医生,消费者代表,行业合作伙伴,医疗保健经理，和政策制定者参加三轮电子德尔福。通过Expertscape网站确定了专家小组，PubMed数据库，社交媒体,和滚雪球的方法。在第一轮中，向小组成员介绍了潜在的研究重点和术语。小组成员以5分的李克特量表和11分的数字量表对每项研究优先事项的协议进行评级，以及“肌肉骨骼疼痛中的远程健康”领域的5点Likert量表上的每个术语。至少80％的小组成员被要求同意被视为共识。我们对数据进行了描述性分析，并使用Wilcoxon配对符号秩检验评估了结果的稳定性。
结果：我们于2022年2月至8月进行了一项国际e-Delphi调查。在694名被邀请的人中，160名小组成员参加了第一轮比赛，第二轮133人（保留率为83%），和134在第三轮（84％的保留）。大多数小组成员是研究人员76（47％），临床医生57（36%），男女消费者代表9人(6%)，特别是来自巴西的31人(19%)，印度22（14%），和澳大利亚19（12％）在第一轮。小组确定了十四个远程保健研究重点，涵盖了使用信息和通信技术制定战略等主题，远程医疗实施服务，远程医疗干预措施的有效性和成本效益，远程保健干预措施的公平性，从20个研究重点的初始列表中，对肌肉骨骼疼痛状况进行定性研究和电子健康素养。从最初的37个术语列表中，“数字健康”和“远程健康”作为标准术语达成了共识。
结论：国际，多学科专家共识建议，未来的研究应考虑远程保健肌肉骨骼疼痛的14项研究重点。此外,术语数字健康和远程健康是肌肉骨骼远程健康研究中使用的最合适的术语。
■开放科学框架(https://osf.io/tqmz2/)。
方法：在这项国际修改的e-Delphi调查中，我们邀请了一个由研究人员组成的专家小组，临床医生,消费者代表,行业合作伙伴,医疗保健经理，和政策制定者参加三轮电子德尔福。通过Expertscape网站确定了专家小组，PubMed数据库，社交媒体,和滚雪球的方法。在第一轮中，向小组成员介绍了潜在的研究重点和术语。小组成员以5分的李克特量表和11分的数字量表对每项研究优先事项的协议进行评级，以及“肌肉骨骼疼痛中的远程健康”领域的5点Likert量表上的每个术语。至少80％的小组成员被要求同意被视为共识。我们对数据进行了描述性分析，并使用Wilcoxon配对符号秩检验评估了结果的稳定性。
结果：我们于2022年2月至8月进行了一项国际e-Delphi调查。在694名被邀请的人中，160名小组成员参加了第一轮比赛，第二轮133人（保留率为83%），和134在第三轮（84％的保留）。大多数小组成员是研究人员76（47％），临床医生57（36%），男女消费者代表9人(6%)，特别是来自巴西的31人(19%)，印度22（14%），和澳大利亚19（12％）在第一轮。小组确定了十四个远程保健研究重点，涵盖了使用信息和通信技术制定战略等主题，远程医疗实施服务，远程医疗干预措施的有效性和成本效益，远程保健干预措施的公平性，从20个研究重点的初始列表中，对肌肉骨骼疼痛状况进行定性研究和电子健康素养。从最初的37个术语列表中，“数字健康”和“远程健康”作为标准术语达成了共识。
结论：国际，多学科专家共识建议，未来的研究应考虑远程保健肌肉骨骼疼痛的14项研究重点。此外,术语数字健康和远程健康是肌肉骨骼远程健康研究中使用的最合适的术语。
■开放科学框架(https://osf.io/tqmz2/)。
