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The potential of a multimodal digital care program in addressing healthcare inequities in musculoskeletal pain management

dc.contributor.authorAreias, Anabela C.
dc.contributor.authorMolinos, Maria
dc.contributor.authorMoulder, Robert G.
dc.contributor.authorJanela, Dora
dc.contributor.authorScheer, Justin K.
dc.contributor.authorBento, Virgílio
dc.contributor.authorYanamadala, Vijay
dc.contributor.authorCohen, Steven P.
dc.contributor.authorDias Correia, Fernando
dc.contributor.authorCosta, Fabíola
dc.date.accessioned2024-07-04T11:41:23Z
dc.date.available2024-07-04T11:41:23Z
dc.date.issued2023-10
dc.description.abstractDigital 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationAreias AC, Molinos M, Moulder RG, et al. The potential of a multimodal digital care program in addressing healthcare inequities in musculoskeletal pain management. NPJ Digit Med. 2023;6(1):188. doi:10.1038/s41746-023-00936-2pt_PT
dc.identifier.doi10.1038/s41746-023-00936-2pt_PT
dc.identifier.issn2398-6352
dc.identifier.urihttp://hdl.handle.net/10400.16/2999
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherNature Publishing Grouppt_PT
dc.relation.publisherversionhttps://doi.org/10.1038/s41746-023-00936-2pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.titleThe potential of a multimodal digital care program in addressing healthcare inequities in musculoskeletal pain managementpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceEnglandpt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage188pt_PT
oaire.citation.titlenpj Digital Medicinept_PT
oaire.citation.volume6pt_PT
person.familyNameDias Correia
person.givenNameFernando
person.identifier.orcid0000-0001-8028-926X
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication019a51ef-fb6c-4f1e-9c70-59f02bde8139
relation.isAuthorOfPublication.latestForDiscovery019a51ef-fb6c-4f1e-9c70-59f02bde8139

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