University of York, UK - STIMULATE-ICP - Online questionnaire based study about Integrated Care Pathways for chronic illnesses

Discussion in 'Recruitment into current ME/CFS research studies' started by rvallee, Apr 8, 2022.

  1. rvallee

    rvallee Senior Member (Voting Rights)

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    Copied from the Long Covid thread

    This BPS-focused questionnaire is open to everyone with a long-term chronic illness. Its explicit aim is to build support for a BPS approach to LC. You know what to do: answer honestly. It's short, about 5-10 minutes.

     
    Last edited by a moderator: Apr 8, 2022
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  2. Trish

    Trish Moderator Staff Member

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    https://york.qualtrics.com/jfe/form/SV_eaPn3BgzBTrtEk6

    STIMULATE-ICP (Symptoms, Trajectory, Inequalities and Management: Understanding Long-COVID to Address and Transform Existing Integrated Care Pathways) Delphi Project

     
  3. Andy

    Andy Committee Member

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  4. Trish

    Trish Moderator Staff Member

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    I have just done this survey. I think it's well worth adding our input.

    I emphasised that ME/CFS is a physical illness, and therefore psychological therapies are not necessary or appropriate unless the person has comorbid mental illness and is well enough to cope with therapy.

    I also emphasised that I think the team should consist of a medical consultant, not a psychiatrist, and the rest of the team should be specialist nurses, as they can help with all aspects including activity and symptom management and monitoring, symptomatic drug treatments, help with arranging for care needs, and give psychological support and do home visits. I emphasised that people with energy limiting conditions need one person who can cover all of this, and that needs to be a specialist nurse. I listed the limited role OT's, physios and counsellors could have for some patients.
     
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  5. Trish

    Trish Moderator Staff Member

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    Forgot to say - they asked what is your main symptom. I said Post exertional malaise.
     
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  6. Jonathan Edwards

    Jonathan Edwards Senior Member (Voting Rights)

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    Moved post

    Oh dear me, I answered that very honestly indeed and told them what a lot of bullshit it was.
    Quite enjoyed it.
    Presumably NIHR funded.

    I am wondering who this Lyth Hishmeh guy is - I guess a psychologist?
     
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  7. Jonathan Edwards

    Jonathan Edwards Senior Member (Voting Rights)

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    I emphasised that it is unethical to set up any integrated care pathway until they have some EVIDENCE that it is beneficial.
     
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  8. NelliePledge

    NelliePledge Moderator Staff Member

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    They also ask people if they would be prepared to do a follow up discussion. Will be interesting to see given my responses whether they take me up.


    “Interesting” that the only questions they ask about what your experience over the last 2 weeks has been are about mental health, the usual stuff about motivation.

    I also put PEM as most troubling symptom
     
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  9. Jonathan Edwards

    Jonathan Edwards Senior Member (Voting Rights)

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    So what on earth are they going to do with the fact that I said I was unhappy or depressed several days this week - which I was, because of having Covid, coming back from holiday and reading the news.

    It reminds me of those automatic telephone conversations when it says 'I didn't quite catch that, did you mean to say 'underwear department'?
     
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  10. Trish

    Trish Moderator Staff Member

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    They will interpret that as you needing psychotherapy. Which highlights the idiocy of such questions.
     
  11. rvallee

    rvallee Senior Member (Voting Rights)

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    How can they "have to take" an approach that is already the standard that failed Long Covid to begin with? It's literally because of a BPS approach that medicine has nothing but a BPS approach to offer to Long Covid. It's what's failed since the beginning.

    And the solution is to "take a BPS approach" since the BPS approach doesn't work simply because people pretend this isn't already the case? Even as they boast that it's already good because it's BPS? What incredible circular nonsense. It's like reality has no bearing on anything. It's not even fair to use the usual joke about the inmates running the asylum since this is the rare case where it's actually mostly true.
     
  12. DokaGirl

    DokaGirl Senior Member (Voting Rights)

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    First off, it appears they are dismissing biomedical care for people with more than one physical illness. Or, they are promoting adding psych care to bio care for people with more than one disease.

    Why would an integrated approach (ie. psych + bio) be needed for as an example, a person with asthma and hypothyroidism? Are we now to understand that if someone has more than one disease, there is something wrong with their thinking or beliefs?

    Back to reading their info...

    ETA: not dismissing biomedical care for more than one long term illness, but saying it's not effective as just one arm of care. Proof?

    I've had counseling re ME - no help. Biomedical care didn't hit the mark either except as an exclusion measure - what I don't have.

    Testing was not, (of course) geared to ME. Nor was it geared to neurological and cognitive problems I listed. For example no brain MRI, or memory testing etc.

    Post Canadian Consensus Criteria publication in 2003, I pursued proof listed in the CCC Overview. And, evidence did show up.
     
    Last edited: Apr 8, 2022
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