Senior Product Manager Omada Health, Inc, United States
Research Objectives: To examine the effect of asynchronous video exercise assessments delivered via mobile application (app) during an episode of virtual physical therapy (PT) on the likelihood patients with musculoskeletal conditions achieve the minimum clinically important difference (MCID) for reducing pain and improving function.
Design: A retrospective observational study using survey data collected pre- and post-virtual PT
Setting: Privately insured employees participating in app-based virtual PT as an employer healthcare benefit.
Participants: The study sample included 654 participants (N=654) 18 years or older whose episode of virtual PT program commenced in 2022 with final clinical outcomes reported by September 2022. Mean age of the sample at baseline was 42.1±11.6 years, and 55.7% of participants were female.
Interventions: Episodes of virtual PT with at least one completed asynchronous video assessment were compared to episodes without asynchronous assessments.
Main Outcome Measures: Pain was measured by the visual analog scale from 0 “no pain” to 10 “worst pain imaginable” and physical function by the Patient-Specific Functional Scale from 0 “completely unable to perform” to 10 “able to perform normally” with the MCID being defined as 1.5 points and 1.3 points, respectively.
Results: Participants who completed asynchronous assessments were significantly more likely to achieve MCID level improvements in pain, 78.1% vs 69.9%, (p=0.016) and function, 74.2% vs 64.8% (p < 0.01).
Conclusions: Asynchronous assessments were associated with a higher probability of participants achieving the MCID for pain and function. These early findings are an encouraging indicator that asynchronous video assessments may improve outcomes in virtual physical therapy for patients with musculoskeletal conditions.
Author(s) Disclosures: Todd Norwood and Brandon Piechowski are employees and shareholders of Omada Health, Inc.
Learning Objectives:
describe the association between asynchronous video assessments and pain outcomes in virtual physical therapy
describe the association between asynchronous video assessments and functional outcomes in virtual physical therapy
define asynchronous video assessments as they are used in the context of virtual physical therapy
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