■综合患者和临床医生的共同或不同看法,这些看法会影响对慢性肌肉骨骼(MSK)状况的在线提供的运动计划(ODEP)的吸收。
■从开始到2023年4月搜索了八个数据库的研究,包括(1)患有和/或临床医生为慢性MSK疾病提供ODEP的患者,和(2)同步ODEP,其中信息同时交换(模式A);异步ODEP,具有至少一个同步功能(模式B);或无ODEP,记录过去的经验和/或参与ODEP的可能性(模式C)。关键评估技能计划清单用于评估研究质量。提取了影响ODEP摄取的患者和临床医生的感知。对定量和定性数据进行了综合和整合。
■纳入了21项研究(12项定量研究,七个定性,和两种混合方法)调查1275名患者和534名临床医生对ODEP模式A(n=7)的看法,模式B(n=8),和模式C(n=6)。在23个确定的与满意度相关的感知中,有16个,可接受性,可用性,和有效性是常见的,70%的感知促进吸收,30%的感知阻碍吸收。
■研究结果强调需要促进针对患者和临床医生的针对性教育,以解决相互关联的观念。并制定以证据为基础的感知为中心的策略,鼓励综合护理和基于指南的慢性MSK疾病管理。
几乎70%的感知与满意度有关,可接受性,可用性,患者和临床医生共享影响在线提供的慢性肌肉骨骼疾病运动计划的有效性。与临床医生不同并阻碍摄取的患者认知包括误诊的风险,缺乏社会支持,以及他们的诊所和/或临床医生的建议。与患者不同并阻碍摄取的临床医生的看法包括最后一刻预约取消的风险,建立的成本,和摄像机角度的限制。可以通过针对患者和临床医生的针对性教育来支持在线提供的锻炼计划的实施,以解决误解。
UNASSIGNED: To synthesize common or differing perceptions of patients\' and clinicians\' that influence uptake of online-delivered exercise programmes (ODEPs) for chronic musculoskeletal (MSK) conditions.
UNASSIGNED: Eight databases were searched from inception to April 2023 for studies including (1) patients with and/or clinicians delivering ODEPs for chronic MSK conditions, and (2) synchronous ODEPs, where information is exchanged simultaneously (mode A); asynchronous ODEPs, with at least one synchronous feature (mode B); or no ODEPs, documenting past experiences and/or likelihood of participating in an ODEP (mode C). Critical Appraisal Skills Programme checklists were used to assess study quality. Perceptions of patients\' and clinicians\' influencing uptake of ODEPs were extracted. Quantitative and qualitative data were synthesised and integrated.
UNASSIGNED: Twenty-one studies were included (twelve quantitative, seven qualitative, and two mixed-methods) investigating the perceptions of 1275 patients and 534 clinicians on ODEP mode A (n = 7), mode B (n = 8), and mode C (n = 6). Sixteen of the 23 identified perceptions related to satisfaction, acceptability, usability, and effectiveness were common, with 70% of perceptions facilitating uptake and 30% hindering uptake.
UNASSIGNED: Findings highlight the need to promote targeted education for patients and clinicians addressing interconnected perceptions, and to develop evidence-based perception-centred strategies encouraging integrated care and guideline-based management of chronic MSK conditions.
Almost 70% of perceptions related to satisfaction, acceptability, usability, and effectiveness that influence the uptake of online-delivered exercise programmes for chronic musculoskeletal conditions are shared by patients and clinicians.Patient perceptions that differ from clinicians and that hinder uptake include the risk of misdiagnosis, lack of social support, and advice from their clinic and/or clinician.Clinician perceptions that differ from patients and that hinder uptake include risk of last-minute appointment cancellations, the cost to set-up, and limitations of camera angles.Implementation of online-delivered exercise programmes may be supported by targeted education for patients and clinicians that addresses misinformed perceptions.