2023-09-28 14:46:10 +00:00
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abstract: 'IntroductionMusculoskeletal (MSK) disorders such as low back pain and
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osteoarthritis are a leading cause of disability and the leading
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contributor to the need for rehabilitation services globally. This need
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has surpassed the availability of trained clinicians; even in urban
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areas where services and providers are thought to be more abundant,
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access can be challenged by transportation options and financial costs
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associated with travel, care and lost time from work. However,
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continuing standard of fully in-person rehabilitation care for
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MSK-associated pain and disability may no longer be necessary. With
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increased ownership or access to even a basic mobile phone device, and
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evidence for remote management by trained clinicians, some individuals
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with MSK disorders may be able to continue their rehabilitation regimen
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predominantly from home after initial evaluation in primary care or an
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outpatient clinic. MethodsThis manuscript describes application of a
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framework we used to culturally and contextually adapt an evidence-based
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approach for leveraging digital health technology using a mobile phone
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(mHealth) to expand access to rehabilitation services for MSK-associated
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pain and disability. We then conducted a multi-level analysis of
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policies related to the adapted approach for rehabilitation service
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delivery to identify opportunities to support sustainability. ResultsOur
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study was conducted in Tanzania, a lower-middle income country with
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their first National Rehabilitation Strategic Plan released in 2021.
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Lessons learned can be applied even to countries with greater
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infrastructure or fewer barriers. The seven-step adaptation framework
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used can be applied in other regions to improve the likelihood of local
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mHealth adoption and implementation. Our practice and policy assessment
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for Tanzania can be applied in other regions and used collaboratively
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with government officials in support of building or implementing a
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national rehabilitation strategic plan. ConclusionThe work described,
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lessons learned and components of the plan are generalizable globally
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and can improve access to rehabilitation services using mHealth to
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address the significant and increasing burden of disability.'
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affiliation: 'Bettger, JP (Corresponding Author), Duke Univ, Sch Med, Dept Orthopaed
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Surg, Durham, NC 27710 USA.
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Bettger, JP (Corresponding Author), Temple Univ, Coll Publ Hlth, Dept Hlth \& Rehabil
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Sci, Philadelphia, PA 19122 USA.
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Shayo, Mathew J.; Shayo, Pendo; Haukila, Kelvin F.; Mmbaga, Blandina T., Kilimanjaro
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Christian Med Univ Coll, Kilimanjaro Christian Med Ctr, Moshi, Tanzania.
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Norman, Katherine; Burke, Colleen, Duke Univ, Sch Med, Dept Populat Hlth Sci, Durham,
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NC USA.
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Burke, Colleen; Allen, Kelli D., Dept Vet Affairs Hlth Serv Res \& Dev Serv, Durham,
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NC USA.
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Ngowi, Kennedy; Mmbaga, Blandina T., Kilimanjaro Clin Res Inst, Moshi, Tanzania.
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Goode, Adam P.; Bettger, Janet Prvu, Duke Univ, Sch Med, Dept Orthopaed Surg, Durham,
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NC 27710 USA.
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Allen, Kelli D., Univ North Carolina Chapel Hill, Thurston Arthrit Res Ctr, Chapel
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Hill, NC USA.
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Wonanji, Vivian Timothy, Minist Hlth Community Dev Gender Elderly \& Childr, Dodoma,
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Tanzania.
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Bettger, Janet Prvu, Temple Univ, Coll Publ Hlth, Dept Hlth \& Rehabil Sci, Philadelphia,
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PA 19122 USA.'
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article-number: '982175'
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author: Shayo, Mathew J. and Shayo, Pendo and Haukila, Kelvin F. and Norman, Katherine
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and Burke, Colleen and Ngowi, Kennedy and Goode, Adam P. and Allen, Kelli D. and
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Wonanji, Vivian Timothy and Mmbaga, Blandina T. and Bettger, Janet Prvu
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author-email: janet.bettger@temple.edu
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author_list:
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- family: Shayo
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given: Mathew J.
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- family: Shayo
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given: Pendo
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- family: Haukila
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given: Kelvin F.
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- family: Norman
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given: Katherine
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- family: Burke
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given: Colleen
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- family: Ngowi
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given: Kennedy
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- family: Goode
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given: Adam P.
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- family: Allen
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given: Kelli D.
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- family: Wonanji
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given: Vivian Timothy
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- family: Mmbaga
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given: Blandina T.
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- family: Bettger
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given: Janet Prvu
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da: '2023-09-28'
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doi: 10.3389/fresc.2022.982175
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eissn: 2673-6861
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files: []
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journal: FRONTIERS IN REHABILITATION SCIENCES
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keywords: 'rehabilitation; access; mobile health; musculoskeletal disease;
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disability'
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keywords-plus: HOME EXERCISE PROGRAMS; ADHERENCE; PEOPLE
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language: English
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month: JAN 6
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number-of-cited-references: '39'
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orcid-numbers: Haukila, Kelvin/0000-0002-6140-8566
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papis_id: 957246f415b9f75b959cca30e5b75861
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ref: Shayo2023expandingaccess
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times-cited: '0'
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title: Expanding access to rehabilitation using mobile health to address musculoskeletal
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pain and disability
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:001008692700001
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usage-count-last-180-days: '1'
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usage-count-since-2013: '1'
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volume: '3'
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web-of-science-categories: Rehabilitation
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year: '2023'
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