eHealth Interventions to Support Self-Management in People With Musculoskeletal Disorders, "eHealth: It's TIME"-A Scoping Review.
Marie Kelly, Brona Fullen, Denis Martin and 2 others
PMID 35079826WHAT IT FOUND
The most common eHealth self-management interventions for musculoskeletal disorders were internet-based, and most combined eHealth with face-to-face care; 50% of reported outcomes improved, but effectiveness cannot be concluded.
Key findings
01Of 87 included studies, 60 were randomized controlled trials, and most were published in the last five years.
02Of 63 interventions, 22 were internet-based, and 35 combined face-to-face and eHealth delivery.
03Among 149 reported outcomes, 50% improved, 21% unchanged, 28% were mixed, and 1% worsened, but the review did not critically appraise the studies.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The review was a scoping review, so it mapped the range of studies but did not judge which intervention was effective. No quality appraisal was done, and outcome categories came from original authors' conclusions. Only English papers were included, and guidelines, websites, and book chapters were not included. Most studies were in chronic or persistent musculoskeletal conditions; only 4 studies involved acute presentations, so it says little about early care. Follow-up was often absent: 29 studies reported post-treatment data only. Interventions varied widely in modality, components, provider, duration, and outcomes. Direct comparisons were difficult. Total participant numbers were not reported, so the review's scope is described by study and intervention counts rather than people.
Declared interests
The Irish Society of Chartered Physiotherapists is identified under the funding source declaration and played no role in the design, conduct, or reporting of the review.
The easy way to misread this
Do not read the 50% of outcomes reported as improved as proof that eHealth self-management works. The review did not critically appraise the studies, and the authors state conclusions about effectiveness cannot be drawn.