eHealth interventions to support self-management: Perceptions and experiences of people with musculoskeletal disorders and physiotherapists - ‘eHealth: It’s TIME’: A qualitative study

Kelly, Marie; Fullen, Brona M.; Martin, Denis; Bradley, Colin; McVeigh, Joseph G.

eHealth interventions to support self-management: Perceptions and experiences of people with musculoskeletal disorders and physiotherapists - ‘eHealth: It’s TIME’: A qualitative study

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eHealth interventions to support self-management Perceptions and experiences of people with musculoskeletal disorders and physiotherapists - eHealth.pdf(889.29 KB)

Published Version

Date

2022-11-25

Authors

Kelly, Marie

Fullen, Brona M.

Martin, Denis

Bradley, Colin

McVeigh, Joseph G.

Publisher

Taylor & Francis

Published Version

https://doi.org/10.1080/09593985.2022.2151334

Abstract

Background: There is increasing interest in the potential role of eHealth interventions to support self-management in people with musculoskeletal disorders (MSDs). The COVID-19 pandemic appears to have been a significant catalyst for the implementation of eHealth modalities into routine practice, providing a unique opportunity for real-world evaluation of this underutilized method of delivering physiotherapy. Objective: To explore the perceptions of eHealth-mediated supported self-management from the perspective of people with MSDs and physiotherapists who work in this clinical area. Methods: A qualitative interpretive descriptive approach was used. Semi-structured telephone interviews with 13 musculoskeletal physiotherapists and 13 people with musculoskeletal disorders were undertaken. Transcripts were analyzed using reflexive thematic analysis. Results: Three main themes were identified: 1) Flexibility within a blended care model; 2) eHealth as a facilitator of self-management support; and 3) Technology: Getting it right. Participants expressed concerns about assessment and diagnosis, establishing a therapeutic relationship and felt eHealth should be reserved for follow-up purposes. There was a consistent view expressed that eHealth could facilitate aspects of self-management support. A lack of resources and suboptimal user experience remains a challenge. Conclusions: eHealth-mediated self-management support interventions were broadly acceptably, predominately as a follow-up option.

Keywords

eHealth , Self-management , Qualitative research , Musculoskeletal pain , Intervention development

Citation

Kelly, M., Fullen, B. M., Martin, D., Bradley, C. and McVeigh, J. G. (2022) 'eHealth interventions to support self-management: Perceptions and experiences of people with musculoskeletal disorders and physiotherapists - ‘eHealth: It’s TIME’: A qualitative study', Physiotherapy Theory and Practice, 40(5), pp. 1011–1021. https://doi.org/10.1080/09593985.2022.2151334