Older Adult Use and Outcomes in a Digital Musculoskeletal (MSK) Program, by Generation

Objective: We investigated use and clinical outcomes in a digital musculoskeletal (MSK) program, by generation.Method: This longitudinal study uses retrospective data collected online or by app. The study included adults with 12 or more weeks of pain who took part in a digital MSK program. We compar...

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Autores principales:	Grace Wang, Jeannie F. Bailey, Manshu Yang, Jeffrey Krauss
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	telemedicine aged engagement musculoskeletal pain depression anxiety Medicine R Public aspects of medicine RA1-1270 Electronic computers. Computer science QA75.5-76.95
Acceso en línea:	https://doaj.org/article/8096386ba4ff4f22ab3af0a4c28ec02e
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spelling	oai:doaj.org-article:8096386ba4ff4f22ab3af0a4c28ec02e2021-12-02T00:58:34ZOlder Adult Use and Outcomes in a Digital Musculoskeletal (MSK) Program, by Generation2673-253X10.3389/fdgth.2021.693170https://doaj.org/article/8096386ba4ff4f22ab3af0a4c28ec02e2021-08-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fdgth.2021.693170/fullhttps://doaj.org/toc/2673-253XObjective: We investigated use and clinical outcomes in a digital musculoskeletal (MSK) program, by generation.Method: This longitudinal study uses retrospective data collected online or by app. The study included adults with 12 or more weeks of pain who took part in a digital MSK program. We compared Gen Z and Millennials, Gen X, working age Baby Boomers, and retiree age Baby Boomer and Silent Generation. Program use outcomes were program start, program completion, and number of exercises, educational articles, and messages to coaches. Clinical outcomes were changes in pain, depression, and anxiety from baseline to 12 weeks. We calculated descriptive statistics and conducted adjusted regression models.Results: Odds of starting the program were significantly higher for Gen Xers (OR: 1.12) and working age Baby Boomers (OR: 1.37) vs. Gen Zers and Millennials. Compared to Gen Zers and Millennials, we observed significantly higher odds of program completion among Gen Xers (OR: 1.62), working age Baby Boomers (OR: 2.24), and retirees (OR: 2.36). Compared to Gen Zers and Millennials, retirees had 19 more exercise sessions (IRR: 1.69), accessed 11 more articles (IRR: 1.84), and sent 4 more messages to coaches (IRR: 1.26). Compared to Gen Z and Millennials, we observed no significant differences in change in pain for Gen Xers, working age Baby Boomers, or retirees.Conclusions: Adults from multiple generations took part in a digital MSK program. Findings suggest that older generations used a digital MSK program more than younger generations, but had similar pain outcomes.Grace WangJeannie F. BaileyManshu YangJeffrey KraussJeffrey KraussFrontiers Media S.A.articletelemedicineagedengagementmusculoskeletal paindepressionanxietyMedicineRPublic aspects of medicineRA1-1270Electronic computers. Computer scienceQA75.5-76.95ENFrontiers in Digital Health, Vol 3 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	telemedicine aged engagement musculoskeletal pain depression anxiety Medicine R Public aspects of medicine RA1-1270 Electronic computers. Computer science QA75.5-76.95
spellingShingle	telemedicine aged engagement musculoskeletal pain depression anxiety Medicine R Public aspects of medicine RA1-1270 Electronic computers. Computer science QA75.5-76.95 Grace Wang Jeannie F. Bailey Manshu Yang Jeffrey Krauss Jeffrey Krauss Older Adult Use and Outcomes in a Digital Musculoskeletal (MSK) Program, by Generation
description	Objective: We investigated use and clinical outcomes in a digital musculoskeletal (MSK) program, by generation.Method: This longitudinal study uses retrospective data collected online or by app. The study included adults with 12 or more weeks of pain who took part in a digital MSK program. We compared Gen Z and Millennials, Gen X, working age Baby Boomers, and retiree age Baby Boomer and Silent Generation. Program use outcomes were program start, program completion, and number of exercises, educational articles, and messages to coaches. Clinical outcomes were changes in pain, depression, and anxiety from baseline to 12 weeks. We calculated descriptive statistics and conducted adjusted regression models.Results: Odds of starting the program were significantly higher for Gen Xers (OR: 1.12) and working age Baby Boomers (OR: 1.37) vs. Gen Zers and Millennials. Compared to Gen Zers and Millennials, we observed significantly higher odds of program completion among Gen Xers (OR: 1.62), working age Baby Boomers (OR: 2.24), and retirees (OR: 2.36). Compared to Gen Zers and Millennials, retirees had 19 more exercise sessions (IRR: 1.69), accessed 11 more articles (IRR: 1.84), and sent 4 more messages to coaches (IRR: 1.26). Compared to Gen Z and Millennials, we observed no significant differences in change in pain for Gen Xers, working age Baby Boomers, or retirees.Conclusions: Adults from multiple generations took part in a digital MSK program. Findings suggest that older generations used a digital MSK program more than younger generations, but had similar pain outcomes.
format	article
author	Grace Wang Jeannie F. Bailey Manshu Yang Jeffrey Krauss Jeffrey Krauss
author_facet	Grace Wang Jeannie F. Bailey Manshu Yang Jeffrey Krauss Jeffrey Krauss
author_sort	Grace Wang
title	Older Adult Use and Outcomes in a Digital Musculoskeletal (MSK) Program, by Generation
title_short	Older Adult Use and Outcomes in a Digital Musculoskeletal (MSK) Program, by Generation
title_full	Older Adult Use and Outcomes in a Digital Musculoskeletal (MSK) Program, by Generation
title_fullStr	Older Adult Use and Outcomes in a Digital Musculoskeletal (MSK) Program, by Generation
title_full_unstemmed	Older Adult Use and Outcomes in a Digital Musculoskeletal (MSK) Program, by Generation
title_sort	older adult use and outcomes in a digital musculoskeletal (msk) program, by generation
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/8096386ba4ff4f22ab3af0a4c28ec02e
work_keys_str_mv	AT gracewang olderadultuseandoutcomesinadigitalmusculoskeletalmskprogrambygeneration AT jeanniefbailey olderadultuseandoutcomesinadigitalmusculoskeletalmskprogrambygeneration AT manshuyang olderadultuseandoutcomesinadigitalmusculoskeletalmskprogrambygeneration AT jeffreykrauss olderadultuseandoutcomesinadigitalmusculoskeletalmskprogrambygeneration AT jeffreykrauss olderadultuseandoutcomesinadigitalmusculoskeletalmskprogrambygeneration
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Older Adult Use and Outcomes in a Digital Musculoskeletal (MSK) Program, by Generation

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