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"department medicine" Discussed on KTLK 1130 AM
"Favorite artists. Welcome back to Minnesota Military radio. I'm your host. Timelines We've been talking to Dr Diana Bridges, who is with the university, Minnesota and the Minneapolis V, a health care, and she's working on a lamp study to test the effectiveness of non drug approaches to chronic pain management in military and veteran health. Here. Delivery systems and doctor, could you just, uh, tell us again? The lamp study stands for learning to apply mindfulness to pain. What is the study and in what are you trying to achieve? By studying chronic pain and our veterans in our in our military. Yes. Well, as you know, veterans are disproportionately affected by chronic pain up to 50% of male veterans and up to 78% of female veterans Report teen and we're trying to get away from solely drug approaches. We're testing three. We're testing two different interventions. Ah, mindfulness intervention that you couldn't do on an app over your phone supported by a trained facilitator. And an eight session group where you're learning mindfulness and you're discussing in, agreed your experiences with the trained facilitator and the mindfulness is delivered by an instructor via video. But the great part is it could be delivered by many different people. In BA, we can use people called whole health coaches. You don't have to be super trained on ninth illness, and they could teach these different skills to veterans to manage their pain and their conditions that can't go along with pain like Anxiety. Tucci against four Doctor. We discussed mindfulness in the first segment a little bit, but my understanding is that is about learning how to become more aware of your body thoughts and feelings and by learning that Is the premise that that can help you deal with chronic pain in a fashion that allows you to cut back on some of the opioids and drugs. Well, there's a lot of studies showing that mindfulness based interventions improved pain, A specially people functioning, their ability to function will attain because that teen interference And also a lot of those what we call it. Common disease existed. You know, conditions that go along with teen so it can really help and we're trying to figure out why it worked. There's not as much research about why we just know it works, and one thing we're looking at is this could help Candace help people engage and what we come or death behavior and less now that the behavior so instead of kind of catastrophe, izing and clenching and getting stressed And really tightening up and also maybe retreating and being more socially isolated. We want people to do what we call adaptive behavior, so exercising engaging with other people and having more positive self talk. We're trying to instill knowledge skills and also believed to make people feel like you can do things even with the pain. The doctor for purposes of this study. What type of entry veteran are you looking forward to enroll as a participant? Well, we're trying Tomo enroll veterans of the large scale. So what would you have me identify veterans from the left chronic health record based on whether they have a couple of crap, painful chronic pain conditions, I think, 18 months apart. And then, um, pretty and one of the sites and then we send people postcard in the mail, and then we let them know that we're going to be something of an email. So at this point, if you're especially if you're a woman at the Minneapolis seeing probably will get a postcard inviting you to go online and see if you qualify through some other questions, and if they're male veteran was sending it to a lot of people. Watch for the postcard. Right now. We're not recruiting people based on them coming to us, But we hope if this is successful, then we could roll it out to more people and anybody could participate. So, doctor. If if you're chosen to Tombo part of the survey, they start out by taking some surveys. How does this work? Yeah, you start out and you first do an online screener to make sure you have the phone. You'd be able to participate in eight months on this sessions and another session to help you get oriented toward zoom. And then if you call it then you take a baseline survey to measure your pain. And these other conditions that baseline Then we randomized you if you qualify, and then give you a call to see what we call you. We randomized you on the phone and You will be placed in one of three conditions either usual care, which means we'll get the interrogation into intervention in the end you your phone, but you'll just do care of usual. The mobile condition. Where do the whole intervention your phone and you have three calls with the facilitator and then the group condition where you participate in basically nine groups with other veterans. Yes, you were speaking with Diana Burgess, A Ph. D professor of department, Medicine University, Minnesota and With the Minneapolis V, a health care system on Minnesota military radio. The doctor wants their Children. They go through a study. You talked about those three groups and indicated they'd be placed in one of three groups. That first group once again was group mindfulness is that I understand that's a nine week nine weekly 90 minute interactive sessions. And is that online? What do you What do you talk about in those sessions? So this great was very structured. We have a facilitator to start that by welcoming somebody and welcoming everybody, and then they always start out with the loose. Um Discussion, and they do work The reflections. There's a lot of practice, so there's always a video about the topic of the week. It might be, um, I'm looking at our manual and it might be managing You go. Managing your pain through what? You save yourself. And then we have practice. We have group discussion and O s 01 week is the mind body connection, And then there's um Stinky back and also interaction. Sorry. I sorry, Dr Hwang. Thank you. And the second group is mobile Mindful Mission That's eight weekly 30 to 60 minute sessions. You tell us about that old man? Yes. So, So the mobile session, you do the same stuff, except you don't have to group experience. So you will watch educational videos on your phone. You will practice mindfulness using guided meditations, And then you will do something called mindful movement. This is the same stuff you do when you're in the group. Except you don't have that group and directed component. You also everybody gets a workbook where they do reflection exercises. And if you're in the act Group, the mobile group, you'll be talking to a trained facilitator in the beginning the middle of the end, just tow. Learn about the program and somebody answer your questions and kind of orient you When Dr the third group is normal activity of nine weeks, so they get some instructions on what to do and how to be aware of mindfulness. No, so that it's just usual. You got that your usual business and all brick. You fill out a survey in the beginning at 10 weeks, six months, 12 months And then after 12 months, the people in the usual care group can get access to the AP and the workbook so they will be able to have access to the program. After it's all over and that usual character This has died so we could systematically see whether the other programs our secure e er to doing nothing different than what you normally do. And doctor. What do you hope this project will lead to I would really like veterans to have an additional tool to manage your pain and another tool in their tool kit. And doctor. You told us earlier that that you're trying to connect with women Veterans men veterans. We should watch for a postcard in the mail. And if you're suffering from chronic pain Respond was put to the postcard and get into the study and let's see what we can learn. Yes, exactly. Doctor has been fascinating talking to today. I hope your opener study goes well and we'll look forward to a follow up to hear how the study is gone when you're on the other end of it and what you've learned on how to help our veterans and I'd like to thank you for joining us today. Thank you so much for inviting me. That was Diana Burgess, the doctor with the university, Minnesota in the Minneapolis V, a health care center on Minnesota. Military radio. Please stay with us. When we come back. We're going to meet one of our newest yellow ribbon networks..