Variables and definitions for data charting.

Musculoskeletal conditions are a major source of disability worldwide, and its burden have been rising in the last decades. Rural areas, in particular, are associated with higher prevalence of these conditions as well as higher levels of disability, which is likely related to other determinants that affect these communities. Although digital health has been identified as a potential solution to mitigate the impact of these determinants, it is also known that these populations may face barriers that limit the implementation of these interventions. Therefore, the aim of this scoping review is to comprehensively map the evidence regarding the implementation of digital health interventions in rural populations with chronic musculoskeletal conditions. We will include studies published from the year 2000; that report the use of digital interventions that promote prevention, treatment or monitoring of any chronic musculoskeletal condition or chronic pain from musculoskeletal origin, in patients that live in rural areas. This protocol follows the methodological framework for scoping reviews proposed by Arksey and O’Malley, as well as the Joana Briggs Institute (JBI) approach. We will conduct the search on Medline (PubMed), EMBASE, Web of Science and Scopus, as well as grey literature databases. Two independent reviewers will screen titles and abstracts followed by a full-text review to assess the eligibility of the articles. Data extracted will include the identification of the digital interventions used, barriers and enablers identified by the patients or healthcare providers, the patient-level outcomes measured, and the implementation strategies and outcomes reported. By mapping the evidence on the implementation of digital health interventions in rural communities with musculoskeletal conditions, this scoping review will enhance our understanding of their applicability in real-world settings.肌肉骨骼疾病（musculoskeletal conditions）是全球范围内致残的主要诱因之一，近数十年来其疾病负担持续加重。其中农村地区的这类疾病患病率与致残程度均更高，这大概率与影响该类社区的其他相关决定因素有关。尽管数字健康已被视作缓解此类决定因素负面影响的潜在解决方案，但学界亦认识到，这类农村人群往往面临诸多障碍，制约了这类干预措施的落地实施。有鉴于此，本范围综述（scoping review）旨在全面梳理针对慢性肌肉骨骼疾病农村人群实施数字健康干预措施的相关研究证据。本研究将纳入2000年以来发表的研究，此类研究需报告针对居住于农村地区的患者，采用数字干预手段预防、治疗或监测任意慢性肌肉骨骼疾病或肌源性慢性疼痛的相关内容。本研究方案遵循Arksey与O’Malley提出的范围综述方法论框架，以及乔安娜·布里格斯研究所（Joana Briggs Institute, JBI）的研究方法体系。我们将在Medline（PubMed）、EMBASE、Web of Science、Scopus以及灰色文献（grey literature）数据库中开展文献检索。将由两名独立评审人员分别筛选文献标题与摘要，随后开展全文审阅以评估文献的纳入资格。提取的数据将涵盖所使用的数字干预措施相关信息、患者或医疗服务提供者所识别的障碍与促进因素、所测量的患者层面结局指标（patient-level outcomes），以及所报告的实施策略与实施结局。通过系统梳理肌肉骨骼疾病农村社区数字健康干预实施的相关证据，本范围综述将增进我们对这类干预措施在真实世界场景中适用性的认知。