{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T05:44:00Z","timestamp":1780465440000,"version":"3.54.1"},"reference-count":58,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,6,10]],"date-time":"2024-06-10T00:00:00Z","timestamp":1717977600000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100012041","name":"Versus Arthritis","doi-asserted-by":"publisher","award":["NIHR201612"],"award-info":[{"award-number":["NIHR201612"]}],"id":[{"id":"10.13039\/501100012041","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>People living with a painful distal upper limb musculoskeletal disorder (DUL\u2010MSD) often experience pain, difficulty in doing everyday tasks and a reduced quality of life. Currently, there are challenges in the treatment of DUL\u2010MSDs, highlighting the need to develop innovative approaches to rehabilitation. A potential solution is to develop and implement a digital self\u2010management rehabilitation programme focussing on optimising recovery, improving function and reducing pain. Before developing this programme, we aimed to identify the barriers and facilitators to using a digital health intervention (DHI) for self\u2010management of DUL\u2010MSDs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aimed to investigate the potential barriers and facilitators to using a DHI with people living with DUL\u2010MSDs and healthcare professionals (HCPs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A qualitative exploratory study was carried out with purposely selected participants consisting of 15 participants with DUL\u2010MSDs and 13 HCPs. Three focus groups (FGs) and four semistructured interviews with DUL\u2010MSD participants and semistructured interviews with 13 HCPs were conducted. FGs and interviews were digitally recorded, transcribed and analysed using reflexive thematic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>To address challenges in the care and management of DUL\u2010MSDs, both HCPs and people living with a DUL\u2010MSD welcomed the development of a DHI. This study identified several barriers and facilitators that would influence engagement with a digital intervention. Findings suggest that in developing a DHI, attention needs to be paid to digital design features, usability, tailoring, personalisation and consideration of how well usual care could be replicated digitally without direct HCP involvement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The identified digital design features of importance to participants will inform the design of a digital self\u2010management rehabilitation programme for people living with DUL\u2010MSDs. Addressing the barriers and facilitators to engagement with a DHI is essential in ensuring its relevance and acceptability to those who will use it.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient or Public Contribution<\/jats:title><jats:p>Patient and Public Involvement and Engagement (PPIE) was integral throughout the study. PPIE members contributed to the development and planning of this study, checked and confirmed the relevance of the findings and are involved in the dissemination plans.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.14056","type":"journal-article","created":{"date-parts":[[2024,6,11]],"date-time":"2024-06-11T00:40:46Z","timestamp":1718066446000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Barriers and facilitators to engaging with a digital self\u2010management programme for painful distal upper limb musculoskeletal disorders: A qualitative exploratory study"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0306-8353","authenticated-orcid":false,"given":"Samantha J.","family":"Mason","sequence":"first","affiliation":[{"name":"Leeds Institute of Rheumatic and Musculoskeletal Medicine University of Leeds  Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucy M.","family":"Brading","sequence":"additional","affiliation":[{"name":"Leeds Institute of Rheumatic and Musculoskeletal Medicine University of Leeds  Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Kane","sequence":"additional","affiliation":[{"name":"Leeds Institute of Rheumatic and Musculoskeletal Medicine University of Leeds  Leeds UK"},{"name":"Bone Cancer Research Trust  Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip G.","family":"Conaghan","sequence":"additional","affiliation":[{"name":"Leeds Institute of Rheumatic and Musculoskeletal Medicine University of Leeds  Leeds UK"},{"name":"NIHR Leeds Biomedical Research Centre  Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah R.","family":"Kingsbury","sequence":"additional","affiliation":[{"name":"Leeds Institute of Rheumatic and Musculoskeletal Medicine University of Leeds  Leeds UK"},{"name":"NIHR Leeds Biomedical Research Centre  Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gretl A.","family":"McHugh","sequence":"additional","affiliation":[{"name":"School of Healthcare University of Leeds  Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,10]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/2049463715590885"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1179\/1743288X11Y.0000000028"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2010.03.001"},{"key":"e_1_2_13_5_1","unstructured":"The Royal College of Surgeons of England and the British Orthopaedic Association. 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