Primary outcome: how many individuals transition from acute to chronic pain? This incident rate then be compared to expected rates in general population (6.3%) as well as emergency department settings (12-27%).

Based on prior SBIRT studies, this ideally can occur within a 10-15 minute brief intervention. We will then follow up remotely for assessments at 1, 3, and 6 months.

This will require a two pronged approach: one pathway provides clinician training and the other is patient facing materials. Ideally, this will bring about a point of mutual collaboration and understanding about pain, meaning, and responses in an emergency department consultation.

Targeting cognitive restructuring for pain conceptualization, self management strategies, as well as follow through with referral for rehabilitative treatmemt.

Patients scoring in a high category will then receive a brief intervention of pain science education delivered in a patient centered manner and through motivational interviewing tenants.

Building on my PREVENT study, I look to validate a predictive model for screening related to pain beliefs, fear of movement, and catastrophic thinking.

Screening. Brief Intervention, & Referral for Treatment was established and validated for substance use issues and later for mental health.

On this health journey, what matters is enjoying the process so you stick with it. Then we can focus on nuance, like meeting physical activity recommendations.

Hope this helps! #newyear

4) find YOUR thing - just because it’s poplar to go to XFit doesn’t mean that’s what you just do too. Maybe you try it and don’t like it, that’s ok. Try something else. Maybe your thing is with others and maybe it isn’t, that’s ok too.

3) make it fit your life - new goals do not mean deprioritizing all other aspects of life. Yes, something may need to be reduced to create more time and maybe that’s a good thing (e.g., sitting for long periods for screen time)

2) make it fit your current abilities - if we’ve not been barbell back squatting, then starting with sit to stands to assess abilities makes a lot of sense

These are my usual recommendations:
1) start small - it’s even ok if it initially feels somewhat easy.

Perhaps there’s space between when the kids are picked up at the bus stop in the morning and you needing to leave for work.

Can we fit in a five minute walk? Maybe 2 sets of sit to stands in the kitchen?

There’s no need to commit to going to the gym 5 times per week when you’ve not been going at all for years. You may not even need to start with the gym. Making a realistic goal that fits with your life is key.

That’s a great basis for change.

Once value, or a why, has been established, then it’s accepting change is a process. Just like our habits took years to establish, breaking out of them is going to take time. However, and this is important, small changes add up over time.

We find comfort in stability even if those choices are not the best for us in the long run. Breaking the loop is hard and our affordances are variable.

When attempting change, establishing a why is quite helpful, “I want to be more active so I can be healthier and around longer for my family”.