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512 Patient and physical therapist experiences with integrating an eHealth pain self-management program into clinical care

Published online by Cambridge University Press:  19 April 2022

Rogelio Coronado ,
Shannon Block ,
Katelyn Gonzalez ,
Bethany Rhoten ,
Carrie Brintz ,
Lindsey McKernan ,
Tricia Kirkhart ,
Stephen Wegener  and
Kristin Archer
Rogelio Coronado
Affiliation:
Vanderbilt University Medical Center
Shannon Block
Affiliation:
Vanderbilt University Medical Center
Katelyn Gonzalez
Affiliation:
Vanderbilt University Medical Center
Bethany Rhoten
Affiliation:
Vanderbilt University Medical Center
Carrie Brintz
Affiliation:
Vanderbilt University Medical Center
Lindsey McKernan
Affiliation:
Vanderbilt University Medical Center
Tricia Kirkhart
Affiliation:
Johns Hopkins University
Stephen Wegener
Affiliation:
Johns Hopkins University
Kristin Archer
Affiliation:
Vanderbilt University Medical Center
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Abstract

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OBJECTIVES/GOALS: eHealth programs centered on cognitive behavior therapy (CBT) can be supported by physical therapists to feasibly deliver psychologically-informed physical therapy (PIPT). This study assessed patient and physical therapist (PT) perspectives of adding a CBT-based eHealth program to physical therapy. METHODS/STUDY POPULATION: In our uncontrolled pilot study, PTs were trained in motivational interviewing (MI) to support patient engagement with a 7-module eHealth CBT-based pain self-management program that accompanied a course of PT. Interviews were conducted with a convenience sample of 13 patients with chronic back and/or neck pain and 9 PTs to evaluate experiences with the eHealth program, perceived benefits, barriers and facilitators to integration, and future recommendations for implementation from both perspectives. Interview data were recorded, transcribed, and analyzed using qualitative content analysis for core themes. RESULTS/ANTICIPATED RESULTS: Patients benefited from the eHealth program, especially relaxation (69% of respondents) and meditation/mindfulness (62%). Time and technology were barriers for eHealth engagement (23% and 15%). Most (92%) patients reported their therapist reviewed eHealth progress, although one-third of patients wanted more discussion and feedback on eHealth content. PTs felt the eHealth program was valuable (67%), user-friendly (56%), and took minimal effort to support (78%). Some (44%) therapists felt more confident after MI training to support patient engagement. PTs recommended offering patients tablets (i.e., iPads) for clinic or home use and additional therapist training in MI. DISCUSSION/SIGNIFICANCE: PTs and patients valued a clinician-supported eHealth program, suggesting an acceptable option for PIPT. Future implementation work aims to identify optimal therapist training in MI and additional strategies to overcome time or technology barriers.

Type
Workforce Development
Information
Journal of Clinical and Translational Science , Volume 6 , Issue s1 , April 2022 , pp. 104 - 105
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
© The Author(s), 2022. The Association for Clinical and Translational Science