title: Improving Primary Health Care in Chronic Musculoskeletal Conditions through Digital Media: The PEOPLE Meeting.
abstract: BACKGROUND
  Musculoskeletal (MSK) conditions are the most common cause of severe chronic pain and disability worldwide. Despite the impact of these conditions, disparity exists in accessing high quality basic care. As a result, effective treatments do not always reach people who need services. The situation is further hampered by the current models of care that target resources to a limited area of health services (eg, joint replacement surgery), rather than the entire continuum of MSK health, which includes services provided by primary care physicians and health professionals. The use of digital media offers promising solutions to improve access to services. However, our knowledge in this field is limited. To advance the use of digital media in improving MSK care, we held a research planning meeting entitled "PEOPLE: Partnership to Enable Optimal Primary Health Care by Leveraging Digital Media in Musculoskeletal Health". This paper reports the discussion during the meeting.
  
  
  OBJECTIVE
  The objective of this study was to: (1) identify research priorities relevant to using digital media in primary health care for enhancing MSK health, and (2) develop research collaboration among researchers, clinicians, and patient/consumer communities.
  
  
  METHODS
  The PEOPLE meeting included 26 participants from health research, computer science/digital media, clinical communities, and patient/consumer groups. Based on consultations with each participant prior to the meeting, we chose to focus on 3 topics: (1) gaps and issues in primary health care for MSK health, (2) current application of digital media in health care, and (3) challenges to using digital media to improve MSK health in underserviced populations.
  
  
  RESULTS
  The 2-day discussion led to emergence of 1 overarching question and 4 research priorities. A main research priority was to understand the characteristics of those who are not able to access preventive measures and treatment for early MSK diseases. Participants indicated that this information is necessary for tailoring digital media interventions. Other priorities included: (1) studying barriers and ethical issues associated with the use of digital media to optimize MSK health and self-management, (2) improving the design of digital media tools for providing "just-in-time" health information to patients and health professionals, and (3) advancing knowledge on the effectiveness of new and existing digital media interventions.
  
  
  CONCLUSIONS
  We anticipate that the results of this meeting will be a catalyst for future research projects and new cross-sector research partnerships. Our next step will be to seek feedback on the research priorities from our collaborators and other potential partners in primary health care.
authors.affiliation: Arthritis Research Centre of Canada, Richmond, BC, Canada. lli@arthritisresearch.ca.
authors.forename: Linda C
authors.initials: LC
authors.lastname: Li
authors.forename: Cheryl
authors.initials: C
authors.lastname: Cott
authors.forename: C Allyson
authors.initials: CA
authors.lastname: Jones
authors.forename: Elizabeth M
authors.initials: EM
authors.lastname: Badley
authors.forename: Aileen M
authors.initials: AM
authors.lastname: Davis
keywords: Internet; digital media; health service delivery; primary health care