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Using social media to challenge unwarranted clinical variation in the treatment of chronic noncancer pain: the “ Brainman ” story

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ABSTRACT

There is a substantial clinical variation in the contemporary treatment of chronic noncancer pain reflecting different explanatory models and treatment emphasis. Hunter Integrated Pain Service and collaborators developed three key messaging videos outlining the foundations of chronic pain treatment, thus challenging unwarranted clinical variation and calling for greater therapeutic consistency. The videos were released on YouTube as a low-cost public health intervention. Each video used an evidenced informed script appropriate for low literacy and a cartoonist to provide matching images. The whole-person approach emphasized the role of the nervous system and active self-management approaches over passively received medical treatments. The first video was launched on YouTube in August 2011 and made freely available through a Creative Commons license. Multisource feedback led to refinement of key messages using a broader advisory group. Two further videos were launched on a dedicated YouTube channel in October 2014 and circulated through varied professional and consumer networks. All videos were widely viewed on YouTube, utilized by diverse health care organizations, and independently translated into multiple languages. They were embedded in multiple health-related websites. The first video “Understanding pain in less than 5 minutes” is known to have been translated into 15 languages by other health care organizations. The subsequent two videos (Brainman stops his opioids, and Brainman chooses) were translated into German and subtitled in French and Japanese. When the organization hosting the first video ceased operation in 2015 due to changes in primary health care funding, the video had received >700,000 views. Each of the three videos continues to receive ~1,500 views per month on YouTube. Release of evidence-informed key messages via YouTube is a simple method of challenging clinical variation and providing education about chronic pain across the health care system and community.

No MeSH data available.


Whole-person approach Version 2.
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f3-jpr-9-701: Whole-person approach Version 2.

Mentions: In “Brainman chooses”, the updated “whole-person” approach used a realigned five fingers, this time representing biomedical, mindbody, connection, activity, and nutrition (Figure 3). From a literacy perspective, one word was chosen for each finger. “Biomedical” was used to cover medical treatments. “Mindbody” was used to represent both the “thoughts and emotions” and “personal story” aspects of Version 1. This allowed for a “connection” finger to emphasize the social and environmental aspects lacking in the early version. “Activity” retained a place. “Nutrition” was selected as a simplification of “diet and lifestyle”, recognizing that all the fingers incorporated aspects of lifestyle. In addition, sleep was chosen as an important area that had not been highlighted in the first video.11 It was addressed under the “activity” finger.


Using social media to challenge unwarranted clinical variation in the treatment of chronic noncancer pain: the “ Brainman ” story
Whole-person approach Version 2.
© Copyright Policy
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC5036613&req=5

f3-jpr-9-701: Whole-person approach Version 2.
Mentions: In “Brainman chooses”, the updated “whole-person” approach used a realigned five fingers, this time representing biomedical, mindbody, connection, activity, and nutrition (Figure 3). From a literacy perspective, one word was chosen for each finger. “Biomedical” was used to cover medical treatments. “Mindbody” was used to represent both the “thoughts and emotions” and “personal story” aspects of Version 1. This allowed for a “connection” finger to emphasize the social and environmental aspects lacking in the early version. “Activity” retained a place. “Nutrition” was selected as a simplification of “diet and lifestyle”, recognizing that all the fingers incorporated aspects of lifestyle. In addition, sleep was chosen as an important area that had not been highlighted in the first video.11 It was addressed under the “activity” finger.

View Article: PubMed Central - PubMed

ABSTRACT

There is a substantial clinical variation in the contemporary treatment of chronic noncancer pain reflecting different explanatory models and treatment emphasis. Hunter Integrated Pain Service and collaborators developed three key messaging videos outlining the foundations of chronic pain treatment, thus challenging unwarranted clinical variation and calling for greater therapeutic consistency. The videos were released on YouTube as a low-cost public health intervention. Each video used an evidenced informed script appropriate for low literacy and a cartoonist to provide matching images. The whole-person approach emphasized the role of the nervous system and active self-management approaches over passively received medical treatments. The first video was launched on YouTube in August 2011 and made freely available through a Creative Commons license. Multisource feedback led to refinement of key messages using a broader advisory group. Two further videos were launched on a dedicated YouTube channel in October 2014 and circulated through varied professional and consumer networks. All videos were widely viewed on YouTube, utilized by diverse health care organizations, and independently translated into multiple languages. They were embedded in multiple health-related websites. The first video “Understanding pain in less than 5 minutes” is known to have been translated into 15 languages by other health care organizations. The subsequent two videos (Brainman stops his opioids, and Brainman chooses) were translated into German and subtitled in French and Japanese. When the organization hosting the first video ceased operation in 2015 due to changes in primary health care funding, the video had received >700,000 views. Each of the three videos continues to receive ~1,500 views per month on YouTube. Release of evidence-informed key messages via YouTube is a simple method of challenging clinical variation and providing education about chronic pain across the health care system and community.

No MeSH data available.