Evidence map›Paper›PMID 41280296›Full record

ArticleFrontiers in rehabilitation sciences2025

Clinical and engagement efficacy of a virtual musculoskeletal integrated practice unit in health system employees: aggregate and comparative results from two employers.

Austin G Cross, Usmaan Zunnu Rain, Eric C Makhni, Emily N Schnettler, Prakash Jayakumar, Sameer Berry, Jeff Vandenboom, Courtland Keteyian, Russell Day, Daniel Verhagen and 3 more

Abstract read
In one paragraph

Article in Frontiers in rehabilitation sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Austin G CrossTexas Tech University Health Sciences Center, Lubbock, TX, United States.
Usmaan Zunnu RainHenry Ford Health, Detroit, MI, United States.
Eric C MakhniHenry Ford Health, Detroit, MI, United States.
Emily N SchnettlerMichigan State University, East Lansing, MI, United States.
Prakash JayakumarMassachusetts Institute of Technology, Cambridge, MA, United States.
Sameer BerryUniversity of Michigan, Ann Arbor, MI, United States.
Jeff VandenboomHenry Ford Health, Detroit, MI, United States.
Courtland KeteyianHenry Ford Health, Detroit, MI, United States.
Russell DayHenry Ford Health, Detroit, MI, United States.
Daniel VerhagenEmplify Health, Green Bay, WI, United States.
Michael SchumacherEmplify Health, Green Bay, WI, United States.
Joseph KucksdorfEmplify Health, Green Bay, WI, United States.
Bruce MumaHenry Ford Health, Detroit, MI, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Integrated Practice Units are whole-person models of care designed to deliver a comprehensive range of treatment strategies centered around a patient's preferences, values, and needs. The purpose of this study was to assess the efficacy of a virtual IPU (V-IPU) for employees of two large health systems experiencing back, neck or joint pain. Specifically, we evaluated improvements in pain interference, physical health, and user satisfaction/experience. Methods: This was a prospective cohort study with a total of 167 employees from two health systems who were recruited through e-mail outreach and completed a brief health assessment, including patient reported outcome measures (PROMs) for physical, emotional, and pain health. Upon sign-up, employees began a 12-week multidisciplinary program consisting of musculoskeletal (MSK) physician telehealth treatment and oversight, supervised one-to-one physical therapy, registered dietitian counseling, health coaching, and platform to in-person specialty services when clinically appropriate. National Institutes of Health (NIH) Patient-Reported Outcomes Measurement Information System (PROMIS) scores for physical health, mental health, and pain interference were assessed at intake, 6-weeks, and 12-weeks after program initiation. Net promoter score (NPS) was measured to evaluate participant experience and satisfaction with the program. Results: The average age was 50.56 years, and a large majority of responders were female (89.2%). There were clinically meaningful improvements for PROMIS measures of physical health, mental health and pain interference (5.6, 4.4 and 6.9 points, respectively). The Net Promoter Score was 85 for engaged individuals. Additionally, the V-IPU was successful in connecting employees to additional surgical-avoiding services offered by the employer and which complemented the digital participation of the V-IPU. Conclusion: The V-IPU improves health outcomes and care coordination for health system employees. These findings support the use of virtual multidisciplinary models to enhance access and outcomes in employer-based health initiatives.

Indexed as

employee healthintegrated musculoskeletal disease managementintegrated practice unitpatient outcomesvirtual care

Identifiers

PMID41280296
PMCPMC12631547

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.