背景:人口研究表明,肌肉骨骼疾病是导致健康生活损失总负担的主要因素,仅次于癌症,负担与心血管疾病相似。必须优先提供有效的治疗方法,随着消费者智能设备的普及,数字健康干预措施的使用正在增加。消息是流行和易于使用,并已研究了一系列与健康相关的用途,包括健康促进,鼓励行为改变,和监测疾病进展。它可能在肌肉骨骼疾病的管理和自我管理中发挥有用的作用。
目的:以前关于肌肉骨骼疾病患者使用信息传递的综述集中在从随机对照试验中综合有效性的证据。在这次审查中,我们的目标是更广泛地绘制肌肉骨骼消息传递文献,以识别可能为未来消息传递干预设计提供信息的信息,并总结当前的有效性证据。有效性,和经济学。
方法:遵循使用JoannaBriggs研究所证据综合手册开发的预先发布的方案,我们对文献进行了全面的范围审查(2010-2022年;来源:PubMed,CINAHL,Embase,和PsycINFO)与具有肌肉骨骼疾病的人的SMS文本消息和基于应用程序的消息有关。我们用表格描述了我们的发现,地块,和叙述性总结。
结果:我们总共确定了8328篇用于筛查的论文,其中50篇(0.6%)被纳入本综述(3/50,6%以前的综述和47/50,94%描述40项主要研究的论文).纳入的主要研究中风湿性疾病占比最大(19/40,48%),其次是对多种肌肉骨骼疾病或疼痛部位的研究(10/40,25%),背痛(9/40,23%),颈部疼痛(1/40,3%),和“其他”(1/40,3%)。大多数研究(33/40,83%)描述了旨在促进积极行为改变的干预措施。通常通过鼓励增加体力活动和锻炼。这些研究评估了一系列结果,包括疼痛,函数,生活质量,和药物依从性。总的来说,结果要么支持信息传递干预,要么结果模棱两可.虽然干预措施的理论基础总体上得到了很好的描述,只有4%(2/47)的论文提供了对消息传递干预设计和开发过程的全面描述。我们没有发现相关的经济评估。
结论:消息已用于一系列肌肉骨骼疾病的护理和自我管理,据报道总体上具有良好的结局。然而,除了少数例外,设计考虑因素在文献中描述得很少。需要进一步的工作来理解和传播有关消息传递内容和消息传递特征的信息,例如时间和频率,特别适用于患有肌肉骨骼疾病的人。同样,需要进一步的工作来了解信息传递的经济影响以及与实施和可持续性有关的实际考虑。
■RR2-10.1136/bmjopen-2021-048964。
BACKGROUND: Population studies show that musculoskeletal conditions are a leading contributor to the total burden of healthy life lost, second only to cancer and with a similar burden to cardiovascular disease. Prioritizing the delivery of effective treatments is necessary, and with the ubiquity of consumer smart devices, the use of digital health interventions is increasing. Messaging is popular and easy to use and has been studied for a range of health-related uses, including health promotion, encouragement of behavior change, and monitoring of disease progression. It may have a useful role to play in the management and self-management of musculoskeletal conditions.
OBJECTIVE: Previous reviews on the use of messaging for people with musculoskeletal conditions have focused on synthesizing evidence of
effectiveness from randomized controlled trials. In this review, our objective was to map the musculoskeletal messaging literature more broadly to identify information that may inform the design of future messaging interventions and summarize the current evidence of efficacy,
effectiveness, and economics.
METHODS: Following a prepublished protocol developed using the Joanna Briggs Institute Manual for Evidence Synthesis, we conducted a comprehensive scoping review of the literature (2010-2022; sources: PubMed, CINAHL, Embase, and PsycINFO) related to SMS text messaging and app-based messaging for people with musculoskeletal conditions. We described our findings using tables, plots, and a narrative summary.
RESULTS: We identified a total of 8328 papers for screening, of which 50 (0.6%) were included in this review (3/50, 6% previous reviews and 47/50, 94% papers describing 40 primary studies). Rheumatic diseases accounted for the largest proportion of the included primary studies (19/40, 48%), followed by studies on multiple musculoskeletal conditions or pain sites (10/40, 25%), back pain (9/40, 23%), neck pain (1/40, 3%), and \"other\" (1/40, 3%). Most studies (33/40, 83%) described interventions intended to promote positive behavior change, typically by encouraging increased physical activity and exercise. The studies evaluated a range of outcomes, including pain, function, quality of life, and medication adherence. Overall, the results either favored messaging interventions or had equivocal outcomes. While the theoretical underpinnings of the interventions were generally well described, only 4% (2/47) of the papers provided comprehensive descriptions of the messaging intervention design and development process. We found no relevant economic evaluations.
CONCLUSIONS: Messaging has been used for the care and self-management of a range of musculoskeletal conditions with generally favorable outcomes reported. However, with few exceptions, design considerations are poorly described in the literature. Further work is needed to understand and disseminate information about messaging content and message delivery characteristics, such as timing and frequency specifically for people with musculoskeletal conditions. Similarly, further work is needed to understand the economic effects of messaging and practical considerations related to implementation and sustainability.
UNASSIGNED: RR2-10.1136/bmjopen-2021-048964.