ArticleNPJ digital medicine2023
The potential of a multimodal digital care program in addressing healthcare inequities in musculoskeletal pain management.
Article in NPJ digital medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Digital Health Approaches to Geriatric Rehabilitation: A Narrative Paper.Annals of rehabilitation medicine · 2026Article
- Predicting pain outcomes after digital care in chronic spinal pain: the roles of disability, work impairment, and occupation in a secondary analysis of a prospective clinical study.Pain medicine (Malden, Mass.) · 2026Observational
- Psychological mediators in chronic spinal pain after fully remote digital rehabilitation: a real-world, large-sample study.Physical therapy · 2026Article
- Exploring the Impact of Behavioral Engagement Indicators on Pain Outcomes in AI-Enabled Musculoskeletal Rehabilitation: A Real-World Investigation.Journal of pain research · 2026Article
- Digital Versus In-Person Physical Therapy in Adults With Musculoskeletal Conditions: Retrospective Matched-Cohort Analysis of Surgery and Low-Value Surgical Rates.Journal of medical Internet research · 2025Article
- Prevalence, Geographic Variations, and Determinants of Pain Among Older Adults in China: Findings from the National Urban and Rural Elderly Population (UREP) Survey.Healthcare (Basel, Switzerland) · 2025Article
- Are depression, anxiety, and fear-avoidance predictors of outcomes after digital care for chronic musculoskeletal pain?Pain reports · 2025Article
- Evaluation of the Effectiveness of a Cardiac Telerehabilitation Program in Chronic Heart Failure: Design and Rationale of the TELEREHAB-HF Study.Healthcare (Basel, Switzerland) · 2025Article
- Evaluating Digital Rehabilitation Outcomes in Chronic Musculoskeletal Conditions Across Non-Obesity, Obesity, and Severe Obesity.Journal of pain research · 2025Article
- Strategies to optimise the health equity impact of digital pain self-reporting tools: a series of multi-stakeholder focus groups.International journal for equity in health · 2024Article
- Exploring the Importance of Race and Gender Concordance Between Patients and Physical Therapists in Digital Rehabilitation for Musculoskeletal Conditions: Observational, Longitudinal Study.Journal of medical Internet research · 2024Observational
- Transforming Veteran Rehabilitation Care: Learnings from a Remote Digital Approach for Musculoskeletal Pain.Healthcare (Basel, Switzerland) · 2024Article
- Applying AI to Safely and Effectively Scale Care to Address Chronic MSK Conditions.Journal of clinical medicine · 2024Article
- Qualitative Classification of Late Systemic Symptoms in Head and Neck Cancer Survivors.Cancers · 2024Article
- New Approach to Equitable Intervention Planning to Improve Engagement and Outcomes in a Digital Health Program: Simulation Study.JMIR diabetes · 2024Article
- Survivorship from pediatric and adult brain tumors: The 2024 Brain Tumor Epidemiology Consortium meeting report.Neuro-oncology advancesArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Digital interventions have emerged as a solution for time and geographical barriers, however, their potential to target other social determinants of health is largely unexplored. In this post-hoc analysis, we report the impact of social deprivation on engagement and clinical outcomes after a completely remote multimodal musculoskeletal (MSK) digital care program managed by a culturally-sensitive clinical team. Patients were stratified in five categories according to their social deprivation index, and cross-referenced with their race/ethnicity, rurality and distance to healthcare facilities. From a total of 12,062 patients from all U.S. states, 8569 completed the program. Higher social deprivation was associated with greater baseline disease burden. We observed that all categories reported pain improvements (ranging from -2.0 95%CI -2.1, -1.9 to -2.1 95%CI -2.3, -1.9, p < 0.001) without intergroup differences in mean changes or responder rates (from 59.9% (420/701) to 66.6% (780/1172), p = 0.067), alongside reduction in analgesic consumption. We observed significant improvements in mental health and productivity across all categories, with productivity and non-work-related functional recovery being greater within the most deprived group. Engagement was high but varied slightly across categories. Together these findings highlight the importance of a patient-centered digital care program as a tool to address health inequities in musculoskeletal pain management. The idea of investigating social deprivation within a digital program provides a foundation for future work in this field to identify areas of improvement.
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Registered trials
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