ESS, Polytechnic Institute of Setúbal, Setúbal, Portugal.
National School of Public Health, NOVA University of Lisbon, Lisboa, Portugal.
PLoS One. 2023 Dec 22;18(12):e0291638. doi: 10.1371/journal.pone.0291638. eCollection 2023.
Musculoskeletal conditions are a major source of disability worldwide, and its burden have been rising in the last decades. Rural areas, in particular, are associated with higher prevalence of these conditions as well as higher levels of disability, which is likely related to other determinants that affect these communities. Although digital health has been identified as a potential solution to mitigate the impact of these determinants, it is also known that these populations may face barriers that limit the implementation of these interventions. Therefore, the aim of this scoping review is to comprehensively map the evidence regarding the implementation of digital health interventions in rural populations with chronic musculoskeletal conditions. We will include studies published from the year 2000; that report the use of digital interventions that promote prevention, treatment or monitoring of any chronic musculoskeletal condition or chronic pain from musculoskeletal origin, in patients that live in rural areas. This protocol follows the methodological framework for scoping reviews proposed by Arksey and O'Malley, as well as the Joana Briggs Institute (JBI) approach. We will conduct the search on Medline (PubMed), EMBASE, Web of Science and Scopus, as well as grey literature databases. Two independent reviewers will screen titles and abstracts followed by a full-text review to assess the eligibility of the articles. Data extracted will include the identification of the digital interventions used, barriers and enablers identified by the patients or healthcare providers, the patient-level outcomes measured, and the implementation strategies and outcomes reported. By mapping the evidence on the implementation of digital health interventions in rural communities with musculoskeletal conditions, this scoping review will enhance our understanding of their applicability in real-world settings.
肌肉骨骼疾病是全球范围内主要的残疾来源,其负担在过去几十年中一直在增加。特别是农村地区,这些疾病的患病率和残疾程度都更高,这可能与影响这些社区的其他决定因素有关。尽管数字健康已被确定为减轻这些决定因素影响的一种潜在解决方案,但也知道这些人群可能面临限制这些干预措施实施的障碍。因此,本范围综述的目的是全面绘制关于在患有慢性肌肉骨骼疾病的农村人群中实施数字健康干预措施的证据。我们将纳入 2000 年以来发表的研究;报告使用数字干预措施来预防、治疗或监测任何慢性肌肉骨骼疾病或源于肌肉骨骼的慢性疼痛,这些研究的患者居住在农村地区。本方案遵循 Arksey 和 O'Malley 提出的范围综述方法框架以及 Joanna Briggs 研究所(JBI)方法。我们将在 Medline(PubMed)、EMBASE、Web of Science 和 Scopus 以及灰色文献数据库中进行搜索。两名独立的审查员将筛选标题和摘要,然后进行全文审查,以评估文章的合格性。提取的数据将包括所使用的数字干预措施的识别、患者或医疗保健提供者确定的障碍和促进因素、测量的患者水平结果以及报告的实施策略和结果。通过绘制关于在患有肌肉骨骼疾病的农村社区中实施数字健康干预措施的证据,本范围综述将增强我们对其在实际环境中适用性的理解。