Using Telehealth to Improve Musculoskeletal Care Through Expanded Physical Therapy Access: The TELE-MC Trial
Brooke Army Medical Center
Summary
The purpose of this study is to explore and compare the effectiveness of in-person versus remote physical therapy (PT) for the treatment of musculoskeletal (MSK) pain within the Military Health System (MHS).
Description
This study will explore the effect of remote two-way video conference telehealth physical therapy sessions compared to standard of care in-person physical therapy. Eligible participants will be randomized into one of the 2 treatment arms. Specific aims will compare the effectiveness of physical therapy delivery strategies on the primary outcome of Pain, Enjoyment, and General Activity (PEG-3) Scale, which measures pain interference, and secondary outcomes of PROMIS short forms (mood, physical function, fatigue, sleep disturbance, and prescription medication misuse), patient global impression o…
Eligibility
- Age range
- 18–64 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Ages 18-64 * TRICARE Beneficiary (active duty, retiree, dependent) * Health care visit for their MSK condition in the past 6 weeks * Diagnosed with an MSK condition that has persisted for at least 2 weeks * Has a computer (either smartphone, tablet or laptop), with video and audio capabilities for telehealth, including access to internet * Able to speak and read English well enough to provide informed consent, follow study instructions and independently answer the questionnaires * Available to attend treatment sessions over the next 2 months Exclusion Criteria: * Surge…
Interventions
- OtherIn-person physical therapy (PT)
Participants assigned to in-person PT will receive individual treatment sessions provided by a licensed, on-site PT. Participants will receive 1-on-1 sessions based on the preference and clinical expertise of the clinician. Participants assigned to in-person physical therapy will receive individual treatment sessions provided by a licensed, on-site physical therapist at the participating military treatment facility. Physical therapists delivering in-person physical therapy will have the option to provide participants a digital home exercise program, however this will not be required. If you choose to download and use either app, you will have to accept the app's terms of service.
- OtherTelehealth physical therapy (TH-PT)
Participants assigned to telehealth physical therapy will use two-way video conferencing with a licensed physical therapist via a secure platform approved for patient care. Video conferencing will be accessible via a mobile app or web browser on your home computer. Participants assigned to telehealth physical therapy will be provided a digital home exercise program. The home exercise program is accessible via a mobile app or web browser on your home computer. This is an app that some military clinics already use as standard of care for providing home exercise programs to their patients, so there is a chance you would be receiving your exercises by this method even if you didn't participate in this study.
Locations (4)
- Tripler Army Medical CenterTripler AMC, Hawaii
- Carl R. Darnall Army Medical CenterFort Hood, Texas
- Brooke Army Medical CenterFort Sam Houston, Texas
- Madigan Army Medical CenterJoint Base Lewis McChord, Washington