Factors Associated with Patient Willingness to Conduct a Remote Video Musculoskeletal Consultation

Document Type : RESEARCH PAPER


1 Dell Medical School Austin, The University of Texas at Austin, TX, USA

2 Leiden University Medical Center, The Netherlands


Background: Remote video consultations on musculoskeletal illness are relatively convenient and accessible,
and use fewer resources. However, there are concerns about technological and privacy issues, the possibility of
missing something important, and equal access to all patients. We measured patient characteristics associated with
willingness to conduct a remote video musculoskeletal upper extremity consultation.
Methods: One hundred and five patients seeking specialty musculoskeletal care completed questionnaires
addressing (1) demographics, (2) access to a device, internet, and space to conduct a remote video consultation,
(3) health literacy, (4) pain intensity, (5) magnitude of limitations of the upper extremity, (6) self-efficacy, and (7)
rated willingness to conduct a remote video musculoskeletal consultation (11-point ordinal scale). A multivariable
linear regression analysis sought factors independently associated with patient willingness to conduct remote video
musculoskeletal upper extremity consultations.
Results: Patient education level (4 years of college) and accessibility to a space suitable for remote video consultations
were independently associated with interest in remote video consultations. Sociodemographic factors, health literacy,
accessibility to a device or internet, and amount of perceived pain and disability were not.
Conclusion: We speculate that education level and suitable space might be surrogates for trust and privacy concerns.
Future research might measure the ability of interventions to gain trust and ensure privacy to increase willingness to
engage in remote video musculoskeletal consultations.
Level of evidence: II