Patients with MSK issues reaped rewards from using pioneering Ascenti Reach app, new study suggests
A study – focusing on a pioneering app called Ascenti Reach – has been hailed as ‘potentially the first in the world’ to look at how digital tools can promote self-management with physiotherapy support.
Physiotherapist Adam Jarvis is the chief operating officer with Ascenti, a company that runs 300 clinics in the UK and claims to be the country’s biggest private physiotherapy group.
Mr Jarvis, who was personally involved in the study, said: ‘The results of this study – potentially the first in the world to look at how digital tools can enable physio-supported self-management – show that this model has a big part to play in the future of MSK [musculoskeletal] treatment, particularly at a time when the impact of MSK conditions on health, the economy and the NHS is rapidly worsening.
‘People today want to be more involved in the management of their own health and they want to be able to access clinical advice at a time and place that is convenient for them.’
Mr Jarvis added: ‘The good news is that when they are supported in this more personalised way, they feel more engaged, more motivated and more committed to taking the steps that we know will help them to manage their rehabilitation effectively.’
Progress of more than one thousand patients charted
Mr Jarvis and colleagues charted the progress of more than one thousand (1,010) patients who were using the app. A report on the study’s findings – titled ‘Unlocking Physio-Supported Self-Management Through Digital Advancement’ looks at topics such as clinical outcomes, patient engagement, cost effectiveness and patient satisfaction levels.
The report suggests that, traditionally, up to 70 per cent of patients with MSK disorders do not engage in their prescribed home exercise programmes. By contrast, more than half (53.5 per cent) of patients in the study were still using the app after eight weeks. Patients using Ascenti Reach completed an average of 33 workouts during a 12-week period, while those who engaged for the full 12 weeks completed 69 workouts – an average of 5.75 workouts a week.
Ascenti Reach offers ‘physio-led self-management’ through digital triage, personalised video-led exercise plans and around the clock (24-7) clinician access via a ‘chat’ feature. The report suggests that the convenience of being able to send messages to clinicians outside normal office hours could be a key factor in the app’s success story (about four messages in 10 – or 39.7 per cent – were logged outside the 9am-5pm time frame).
People today want to be more involved in the management of their own health and they want to be able to access clinical advice at a time and place that is convenient for them [Adam Jarvis, Ascenti]
Pain levels fell
Patients charted their pain levels using a 10-point Global Rating Of Change (GROC) scale from -5 to +5. The average change was a ‘clinically meaningful’ 2.1 points, while patient satisfaction levels were generally high, the reports states.
It adds that key patient benefits included not having to leave home or book time off work for an appointment, the reassurance of being able to seek guidance from a clinician and the ‘empowerment’ that comes from equipping patients to take an active role in their treatment, rather than simply attending appointments with the intention of ‘being treated’.
Risk of 'digital exclusion'
The report acknowledges that the risk of ‘digital exclusion’ should not be under-estimated and that in-person treatment options should also be available to patients. But the model enabled physios to support far larger caseloads, which increased cost effectiveness.
Clinicians liked the idea of using their knowledge to help a greater number of people. The evidence suggests that people required less direct clinical contact the longer they engaged with the app – which further increased efficiency, the report adds.
To access the report, visit: https://www.ascenti.co.uk/news-article/ascenti-reach-whitepaper
To request a demo of Ascenti Reach, or for more information, email: firstname.lastname@example.org
To find out more about Ascenti, visit: www.ascenti.co.uk
In a release issued to coincide with the report's publication today (26 April), Ascenti states that the UK is in the ‘midst of an MSK crisis’, adding:
- 20.3 million people have a known MSK issue
- about 8.9 million working days were lost to MSK injuries in 2019-20 (up by a third on the previous year’s figures)
- one GP consultation in three is for an MSK condition
- 6.1 million patients are on an NHS waiting list, according to the latest figures (issued in January 2022)
- more people are waiting for MSK treatment than any other form of care