Wang Grace, Bailey Jeannie F, Yang Manshu, Krauss Jeffrey
Director of Clinical Research, Hinge Health, Inc., San Francisco, CA, United States.
Department of Orthopaedic Surgery, University of California, San Francisco, San Francisco, CA, United States.
Front Digit Health. 2021 Aug 3;3:693170. doi: 10.3389/fdgth.2021.693170. eCollection 2021.
We investigated use and clinical outcomes in a digital musculoskeletal (MSK) program, by generation. This longitudinal study uses retrospective data collected online or by app. The study included adults with 12 or more weeks of pain who took part in a digital MSK program. We compared Gen Z and Millennials, Gen X, working age Baby Boomers, and retiree age Baby Boomer and Silent Generation. Program use outcomes were program start, program completion, and number of exercises, educational articles, and messages to coaches. Clinical outcomes were changes in pain, depression, and anxiety from baseline to 12 weeks. We calculated descriptive statistics and conducted adjusted regression models. Odds of starting the program were significantly higher for Gen Xers (OR: 1.12) and working age Baby Boomers (OR: 1.37) vs. Gen Zers and Millennials. Compared to Gen Zers and Millennials, we observed significantly higher odds of program completion among Gen Xers (OR: 1.62), working age Baby Boomers (OR: 2.24), and retirees (OR: 2.36). Compared to Gen Zers and Millennials, retirees had 19 more exercise sessions (IRR: 1.69), accessed 11 more articles (IRR: 1.84), and sent 4 more messages to coaches (IRR: 1.26). Compared to Gen Z and Millennials, we observed no significant differences in change in pain for Gen Xers, working age Baby Boomers, or retirees. Adults from multiple generations took part in a digital MSK program. Findings suggest that older generations used a digital MSK program more than younger generations, but had similar pain outcomes.
我们按代际调查了数字肌肉骨骼（MSK）项目的使用情况和临床结果。这项纵向研究使用了通过在线或应用程序收集的回顾性数据。该研究纳入了患有疼痛12周或更长时间且参加数字MSK项目的成年人。我们比较了Z世代、千禧一代、X世代、工作年龄的婴儿潮一代以及退休年龄的婴儿潮一代和沉默一代。项目使用结果包括项目开始、项目完成情况，以及锻炼次数、教育文章数量和给教练的留言数量。临床结果是从基线到12周时疼痛、抑郁和焦虑的变化。我们计算了描述性统计数据并进行了调整后的回归模型分析。X世代（比值比：1.12）和工作年龄的婴儿潮一代（比值比：1.37）开始该项目的几率显著高于Z世代和千禧一代。与Z世代和千禧一代相比，我们观察到X世代（比值比：1.62）、工作年龄的婴儿潮一代（比值比：2.24）和退休人员（比值比：2.36）完成项目的几率显著更高。与Z世代和千禧一代相比，退休人员多进行了19次锻炼（发病率比值比：1.69），多阅读了11篇文章（发病率比值比：1.84），并多给教练发送了4条留言（发病率比值比：1.26）。与Z世代和千禧一代相比，我们未观察到X世代、工作年龄的婴儿潮一代或退休人员在疼痛变化方面有显著差异。多代成年人参与了数字MSK项目。研究结果表明，较年长的一代比年轻一代更多地使用数字MSK项目，但疼痛结果相似。
