人口研究表明，肌肉骨骼疾病是造成健康生活损失总负担的主要原因，仅次于癌症，与心血管疾病的负担相似。有必要优先考虑提供有效的治疗，并且随着消费者智能设备的普及，数字健康干预措施的使用正在增加。消息传递很受欢迎且易于使用，并且已被研究用于一系列与健康相关的用途，包括健康促进、鼓励行为改变和监测疾病进展。它可能在肌肉骨骼疾病的管理和自我管理中发挥有用的作用。之前对肌肉骨骼疾病患者使用消息传递的评论主要集中于综合随机对照试验的有效性证据。在这篇综述中，我们的目标是更广泛地绘制肌肉骨骼信息传递文献，以确定可以为未来信息传递干预措施的设计提供信息的信息，并总结当前功效、有效性和经济学的证据。遵循使用乔安娜·布里格斯研究所开发的预先发布的协议在证据合成手册中，我们对与肌肉骨骼疾病患者短信和基于应用程序的消息相关的文献（2010-2022 年；来源：PubMed、CINAHL、Embase 和 PsycINFO）进行了全面的范围审查。我们使用表格、图和叙述性摘要描述了我们的发现。我们总共确定了 8328 篇论文进行筛选，其中 50 篇 (0.6%) 包含在本次综述中（3/50、6% 之前的综述和 47/50， 94% 的论文描述了 40 项初步研究）。风湿性疾病在纳入的主要研究中所占比例最大（19/40，48％），其次是多种肌肉骨骼疾病或疼痛部位的研究（10/40，25％），背痛（9/40，23％） 、颈部疼痛（1/40，3%）和“其他”（1/40，3%）。大多数研究（33/40，83%）描述了旨在促进积极行为改变的干预措施，通常是通过鼓励增加体力活动和锻炼。这些研究评估了一系列结果，包括疼痛、功能、生活质量和药物依从性。总体而言，结果要么支持消息传递干预，要么结果模棱两可。虽然干预措施的理论基础总体上得到了很好的描述，但只有 4% (2/47) 的论文提供了消息传递干预设计和开发过程的全面描述。我们没有发现相关的经济评估。消息传递已被用于一系列肌肉骨骼疾病的护理和自我管理，并报告了总体良好的结果。然而，除了少数例外，文献中对设计考虑因素的描述很少。需要进一步的工作来理解和传播有关消息内容和消息传递特征的信息，例如专门针对患有肌肉骨骼疾病的人的时间和频率。同样，需要进一步开展工作来了解信息传递的经济影响以及与实施和可持续性相关的实际考虑因素。RR2-10.1136/bmjopen-2021-048964。©Nigel Armfield、Rachel Elphinston、Jenna Liimatainen、Simone Scotti Requena、Chloe-Emily Eather 、西西拉·埃迪里普利格、凯丽·里奇、莎拉·罗宾斯、米歇尔·斯特林。最初发表于 JMIR mHealth 和 uHealth (https://mhealth.jmir.org)，2024 年 8 月 14 日。

Population studies show that musculoskeletal conditions are a leading contributor to the total burden of healthy life lost, second only to cancer and with a similar burden to cardiovascular disease. Prioritizing the delivery of effective treatments is necessary, and with the ubiquity of consumer smart devices, the use of digital health interventions is increasing. Messaging is popular and easy to use and has been studied for a range of health-related uses, including health promotion, encouragement of behavior change, and monitoring of disease progression. It may have a useful role to play in the management and self-management of musculoskeletal conditions.Previous reviews on the use of messaging for people with musculoskeletal conditions have focused on synthesizing evidence of effectiveness from randomized controlled trials. In this review, our objective was to map the musculoskeletal messaging literature more broadly to identify information that may inform the design of future messaging interventions and summarize the current evidence of efficacy, effectiveness, and economics.Following a prepublished protocol developed using the Joanna Briggs Institute Manual for Evidence Synthesis, we conducted a comprehensive scoping review of the literature (2010-2022; sources: PubMed, CINAHL, Embase, and PsycINFO) related to SMS text messaging and app-based messaging for people with musculoskeletal conditions. We described our findings using tables, plots, and a narrative summary.We identified a total of 8328 papers for screening, of which 50 (0.6%) were included in this review (3/50, 6% previous reviews and 47/50, 94% papers describing 40 primary studies). Rheumatic diseases accounted for the largest proportion of the included primary studies (19/40, 48%), followed by studies on multiple musculoskeletal conditions or pain sites (10/40, 25%), back pain (9/40, 23%), neck pain (1/40, 3%), and "other" (1/40, 3%). Most studies (33/40, 83%) described interventions intended to promote positive behavior change, typically by encouraging increased physical activity and exercise. The studies evaluated a range of outcomes, including pain, function, quality of life, and medication adherence. Overall, the results either favored messaging interventions or had equivocal outcomes. While the theoretical underpinnings of the interventions were generally well described, only 4% (2/47) of the papers provided comprehensive descriptions of the messaging intervention design and development process. We found no relevant economic evaluations.Messaging has been used for the care and self-management of a range of musculoskeletal conditions with generally favorable outcomes reported. However, with few exceptions, design considerations are poorly described in the literature. Further work is needed to understand and disseminate information about messaging content and message delivery characteristics, such as timing and frequency specifically for people with musculoskeletal conditions. Similarly, further work is needed to understand the economic effects of messaging and practical considerations related to implementation and sustainability.RR2-10.1136/bmjopen-2021-048964.©Nigel Armfield, Rachel Elphinston, Jenna Liimatainen, Simone Scotti Requena, Chloe-Emily Eather, Sisira Edirippulige, Carrie Ritchie, Sarah Robins, Michele Sterling. Originally published in JMIR mHealth and uHealth (https://mhealth.jmir.org), 14.08.2024.