PDF(Pubmed)
Abstract：
While musculoskeletal pain (MSP) stands as the most prevalent health condition among Veterans, timely and high-quality care is often hindered due to access barriers. Team Red, White & Blue (Team RWB), a nonprofit organization dedicated to promoting a healthier lifestyle among Veterans, aimed to assess innovative approaches to veteran care. This is a single-arm pilot study investigating the feasibility, clinical outcomes, engagement, and satisfaction of a remote multimodal digital care program among Veterans with MSP. The impact of deployment experience on outcomes was explored as a secondary aim. From 75 eligible Veterans, 61 started the program, reporting baseline pain frequently comorbid with mental distress. Program acceptance was suggested by the high completion rate (82%) and engagement levels, alongside high satisfaction (9.5/10, SD 1.0). Significant improvements were reported in all clinical outcomes: pain (1.98 points, 95%CI 0.13; 3.84, p = 0.036); mental distress, with those reporting at least moderate baseline depression ending the program with mild symptoms (8.50 points, 95%CI: 6.49; 10.51, p = 0.012); daily activity impairment (13.33 points, 95%CI 1.31; 25.34, p = 0.030). Deployed Veterans recovered similarly to their counterparts. Overall, the above results underscore the potential of a remote digital intervention to expand Veterans\' access to timely MSP care.
摘要：
虽然肌肉骨骼疼痛（MSP）是退伍军人中最普遍的健康状况，由于获得障碍，及时和高质量的护理往往受到阻碍。红队,白色和蓝色（团队RWB），一个致力于在退伍军人中促进更健康的生活方式的非营利组织，旨在评估退伍军人护理的创新方法。这是一项单臂试点研究，调查可行性，临床结果，订婚,以及MSP退伍军人对远程多模式数字护理计划的满意度。作为次要目标，探讨了部署经验对成果的影响。从75名合格的退伍军人中，61开始了这个程序，报告基线疼痛经常与精神困扰并存。高完成率(82%)和参与水平建议接受计划，满意度高（9.5/10，SD1.0）。所有临床结果均有显著改善：疼痛（1.98分，95CI0.13；3.84，p=0.036）；精神困扰，那些报告至少中度基线抑郁的人以轻度症状结束了该计划(8.50分，95CI：6.49；10.51，p=0.012）；每日活动障碍（13.33分，95CI1.31；25.34，p=0.030）。已部署的退伍军人与他们的同伴相似。总的来说,上述结果强调了远程数字干预的潜力，以扩大退伍军人获得及时的MSP护理。
