Evaluation of the Acceptability and Feasibility of Stress Mitigation Education and Support Delivered via Telehealth for People After Road Traffic Musculoskeletal/Orthopedic Injury.

IF 2.1 3区 医学 Q1 REHABILITATION Journal of Occupational Rehabilitation Pub Date : 2024-11-29 DOI:10.1007/s10926-024-10258-z
Alison Sim, Amy G McNeilage, Trudy Rebbeck, Michele Sterling, Michael Nicholas, Sarah Donovan, Melita J Giummarra, Claire E Ashton-James
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Abstract

Purpose: To evaluate the acceptability and feasibility of a consumer co-designed telehealth intervention which aimed to reduce claimant distress by providing pain management strategies, informational and social support to people who had made a compensation claim following road traffic musculoskeletal injury.

Methods: Eleven claimant participants who were at risk of a poor outcome completed the intervention in a one-on-one setting with the same clinician delivering the program across all sessions.They were interviewed about their experience (acceptability and feasibility including the use of telehealth). Clinicians who delivered the intervention also completed an anonymous feedback survey exploring their experiences delivering the intervention. Interviews were transcribed verbatim and thematic analysis was conducted.

Results: There were four themes which broadly related to the acceptability and feasibility of the intervention as well as the perceived benefits: (1) knowledge is power, (2) healing with social connection, (3) further along than I would have been, and (4) telehealth was acceptable and feasible.

Conclusion: The delivery of a co-designed telehealth-delivered stress mitigation intervention to support people with a road traffic musculoskeletal injury was feasible to deliver and acceptable to people who were at risk of a poor outcome. Further research to evaluate the efficacy of the intervention on outcomes such as pain, self-efficacy, and claims costs are needed.

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对道路交通肌肉骨骼/骨科损伤后通过远程医疗提供的压力缓解教育和支持的可接受性和可行性进行评估。
目的:评估消费者共同设计的远程医疗干预的可接受性和可行性,该干预旨在通过向道路交通肌肉骨骼损伤后提出赔偿要求的人提供疼痛管理策略、信息和社会支持来减少索赔人的痛苦。方法:11名有不良结果风险的索赔参与者在一对一的环境中完成了干预,同一名临床医生在所有会议中提供该计划。对他们进行了关于其经验的访谈(可接受性和可行性,包括使用远程保健)。实施干预的临床医生还完成了一项匿名反馈调查,以探索他们实施干预的经验。采访内容逐字抄录,并进行专题分析。结果:有四个主题与干预的可接受性和可行性以及感知效益广泛相关:(1)知识就是力量,(2)社会联系愈合,(3)比我走得更远,(4)远程医疗是可接受和可行的。结论:提供共同设计的远程医疗提供的压力缓解干预措施,以支持遭受道路交通肌肉骨骼损伤的人,是可行的,并且对于有不良结果风险的人是可以接受的。需要进一步的研究来评估干预对诸如疼痛、自我效能和索赔成本等结果的有效性。
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来源期刊
CiteScore
5.80
自引率
12.10%
发文量
64
期刊介绍: The Journal of Occupational Rehabilitation is an international forum for the publication of peer-reviewed original papers on the rehabilitation, reintegration, and prevention of disability in workers. The journal offers investigations involving original data collection and research synthesis (i.e., scoping reviews, systematic reviews, and meta-analyses). Papers derive from a broad array of fields including rehabilitation medicine, physical and occupational therapy, health psychology and psychiatry, orthopedics, oncology, occupational and insurance medicine, neurology, social work, ergonomics, biomedical engineering, health economics, rehabilitation engineering, business administration and management, and law.  A single interdisciplinary source for information on work disability rehabilitation, the Journal of Occupational Rehabilitation helps to advance the scientific understanding, management, and prevention of work disability.
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