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Improving Online Therapy Through Research on Posttraumatic Pain

Improving Online Therapy Through Research on Posttraumatic Pain
Chronic or persistent pain and disability following noncatastrophic musculoskeletal (MSK) trauma present a significant public health challenge. The recent research article, "Research Priorities in the Field of Posttraumatic Pain and Disability: Results of a Transdisciplinary Consensus-Generating Workshop," highlights critical areas for improving outcomes in this field. Here, we explore how practitioners can leverage these findings to enhance their online therapy services, particularly in school settings.

One of the central themes of the research is the complex nature of acute and chronic pain. Reducing pain to purely anatomical or biomechanical causes is overly simplistic. Pain is a multifactorial experience influenced by biological, psychological, and socioenvironmental factors. To address this complexity, the research recommends integrating psychological and biomarker quantification within biomechanics research. For online therapy practitioners, this means adopting a holistic approach that considers these diverse factors when designing treatment plans.

Another key takeaway is the importance of cause-and-effect and longitudinal modeling rather than correlation. Many existing studies rely on correlational analyses, which do not necessarily indicate causation. Understanding the precise mechanisms responsible for identified associations can lead to more meaningful, modifiable causes of chronic problems. Practitioners should stay updated with the latest research that identifies these mechanisms to refine their therapeutic approaches continually.

Immediate post-injury recovery is crucial. The research emphasizes that reactions to trauma, including stress and inflammatory responses, are immediate and should be included in acute posttrauma evaluation. For online therapists, this means providing timely interventions and educating clients about the importance of immediate care to set the stage for better recovery outcomes.

Leveraging new technologies is another priority highlighted in the research. Advanced imaging techniques and biochemical assays offer the potential for rigorous data collection with better resolution and minimal patient burden. Online therapy platforms can integrate these technological advancements to offer more personalized and effective treatment plans.

Judicious dissemination of new research findings is also crucial. Misinterpreted or poorly communicated research can add stigma to a patient population already struggling for validation. Involving consumer groups in research from the early stages can ensure that findings are translated and disseminated prudently. Online therapists should advocate for and participate in such inclusive research practices.

Broad, population-based longitudinal cohort research starting from the premorbid period is essential for establishing changes in key biological or psychological markers. While full population-based studies may not be feasible for all online therapy providers, focusing on at-risk subpopulations can be a practical approach. This can include students involved in high-risk activities or those with a history of trauma.

Respecting context is another critical priority. Injury does not occur in a vacuum; social influences interact with biological and psychological effects to create the overall response to trauma. Online therapists should consider these contextual factors when developing treatment plans, ensuring that interventions are tailored to the individual's unique circumstances.

The need for integration and convergence of knowledge across disciplines is also emphasized. Transdisciplinary research teams can conduct both basic and clinical research simultaneously, linking biological parameters with clinical signs and symptoms. Online therapy providers should collaborate with researchers from various disciplines to stay at the forefront of innovative treatment approaches.

Meaningful outcomes are essential for both research and clinical practice. Current outcomes need to be refined or new ones developed that are meaningful and translatable between the lab and clinic. Online therapists should adopt these refined outcomes to evaluate the effectiveness of their interventions accurately.

Struggles with patient recruitment and engagement are common challenges. Effective strategies for retaining subjects include appropriate compensation and frequent contact. Online therapists can apply these strategies to ensure consistent client engagement and better long-term outcomes.

Public awareness and shifting paradigms are also vital. Well-orchestrated public education campaigns can facilitate engagement and shift cultural beliefs about injury outcomes. Online therapy platforms can use social media and other digital tools to promote public awareness and advocate for better pain management practices.

Finally, securing funding for research in posttrauma pain and disability is crucial. Collaborating with industry and leveraging public funds can provide the necessary financial resources for meaningful research. Online therapy providers should actively seek partnerships to support and participate in such research initiatives.

By implementing these research priorities, online therapy practitioners can significantly enhance their services and improve outcomes for individuals experiencing posttraumatic pain and disability. To read the original research paper, please follow this Research Priorities in the Field of Posttraumatic Pain and Disability: Results of a Transdisciplinary Consensus-Generating Workshop.


Citation: Walton, D. M., Elliott, J. M., Lee, J., Loh, E., MacDermid, J. C., Schabrun, S., ... & Wideman, T. H. (2016). Research priorities in the field of posttraumatic pain and disability: Results of a transdisciplinary consensus-generating workshop. Pain Research & Management, 2016, 1859434. https://doi.org/10.1155/2016/1859434
Marnee Brick, President, TinyEYE Therapy Services

Author's Note: Marnee Brick, TinyEYE President, and her team collaborate to create our blogs. They share their insights and expertise in the field of Speech-Language Pathology, Online Therapy Services and Academic Research.

Connect with Marnee on LinkedIn to stay updated on the latest in Speech-Language Pathology and Online Therapy Services.

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Apply Today

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in online therapy apply today!

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