The SelfSTarT intervention for low back pain patients presenting to first contact physiotherapists: A mixed methods service evaluation.

IF 1.5 Q3 RHEUMATOLOGY Musculoskeletal Care Pub Date : 2024-03-01 DOI:10.1002/msc.1876
K Stevenson, T Hadley-Barrows, N Evans, L Campbell, J Southam, A Chudyk, D Ellington, B Jeeves, C Jenson, S Kleberg, H Birkinshaw, F Mair, K Dziedzic, G Peat, K P Jordan, D Yu, J Bailey, A Braybooke, C D Mallen, Jonathan C Hill
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Abstract

Introduction: Globally, back pain is the leading cause of years of disability. In the United Kingdom, over 20 million people live with musculoskeletal (MSK) pain, with low back pain being one of the most common causes. National strategies promote self-management and the use of digital technologies to empower populations.

Aims: To evaluate the uptake and impact of providing the SelfSTart approach (STarT Back and SelfBACK App) when delivered by a First Contact Physiotherapist (FCP) to people presenting with low back pain in primary care.

Methods: Patients presenting with a new episode of low back pain underwent routine assessment and completion of a STarT Back questionnaire. Patients with low/medium scores were offered the SelfBACK App. A control population was provided by the MIDAS-GP study. Patient Experience, outcome measures, healthcare utilisation and retention were captured through the app and clinical systems (EMIS). Interviews with five FCPs explored the experiences of using the SelfSTart approach.

Results: SelfSTarT was taken up by almost half (48%) of those to whom it was offered. Compared to MIDAS-GP, users were more likely to be younger, male, in work, and with higher health literacy. SelfSTarT users reported significant improved experiences relating to receiving an agreed care plan and receiving sufficient information. There were no significant differences in treatments offered. FCPs were positive about the app and felt it had value but wanted feedback on patient progress. They recognised that a digital solution would not be suitable for all.

Conclusion: This approach offers an opportunity to empower and support self-management, using robustly evaluated digital technology.

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针对初次接触理疗师的腰痛患者的 SelfSTarT 干预疗法:混合方法服务评估。
导言:在全球范围内,背痛是导致多年残疾的主要原因。在英国,2000 多万人患有肌肉骨骼(MSK)疼痛,其中腰背痛是最常见的原因之一。国家战略提倡自我管理和使用数字技术来增强民众的能力。目的:评估由第一接触物理治疗师(FCP)向初级保健中出现腰背痛的患者提供 "自我开始 "方法(STarT Back 和 SelfBACK App)的吸收率和影响:新发腰痛患者接受常规评估并填写 STarT Back 问卷。得分低/中等的患者可使用 SelfBACK 应用程序。对照人群由 MIDAS-GP 研究提供。通过应用程序和临床系统(EMIS)采集患者体验、结果测量、医疗保健利用率和保留率。与五位家庭护理中心主任进行了访谈,探讨了使用 SelfSTart 方法的经验:结果:SelfSTarT 被近一半(48%)的用户所接受。与 MIDAS-GP 相比,使用者更可能是年轻人、男性、在职者和健康知识水平较高者。SelfSTarT用户报告称,他们在获得一致同意的护理计划和获得充足信息方面的体验明显改善。在提供的治疗方面没有明显差异。家庭医生对该应用程序持肯定态度,认为它很有价值,但希望能得到病人进展情况的反馈。他们认识到数字解决方案并不适合所有人:这种方法提供了一个机会,利用经过严格评估的数字技术,增强和支持自我管理。
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来源期刊
Musculoskeletal Care
Musculoskeletal Care RHEUMATOLOGY-
CiteScore
2.30
自引率
7.70%
发文量
88
期刊介绍: Musculoskeletal Care is a peer-reviewed journal for all health professionals committed to the clinical delivery of high quality care for people with musculoskeletal conditions and providing knowledge to support decision making by professionals, patients and policy makers. This journal publishes papers on original research, applied research, review articles and clinical guidelines. Regular topics include patient education, psychological and social impact, patient experiences of health care, clinical up dates and the effectiveness of therapy.
期刊最新文献
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