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Date: Wed, 19 Nov 2003 02:08:54 -0800
From: janet paterson <[log in to unmask]>
To: [log in to unmask]
Subject: Re: [NVNews]  i'm thinking of starting a new online pd support group ...

hi all

here is a re-post (from my journal)
of an article about a moderated email group: quote:
"One problem with many Internet groups is that people can be very nasty"

i venture a supposition that if
'pain management'
in the article were changed to
'parkinson's disease'
in a new similar group
the results would also be similar

i truly believe that the primary key * is
pro-active moderating of all communications
and no existing pd group online offers it
because it would be a ton of work

(peg - maybe some groups are
'starved for memberships' for this reason?

* the secondary key being verification of memberships

my idea is that
i would have the time and energy to devote to such a group
once my book is finally published

janet

-----------------------------------------------------------
2002/04/11 Reuters: E-mail discussion group helps patients

E-mail discussion group helps back pain patients

New York,  Apr 10 (Reuters Health) - People suffering from back pain may
get relief by
participating in an e-mail discussion group that is moderated by
healthcare professionals, study
findings suggest.

Chronic recurrent back pain is a very common medical condition and is
second only to respiratory
tract infections as a symptomatic condition for which people see a
doctor.

According to Dr. Kate R. Lorig of Stanford University in California and
colleagues, previous
research has found that educational interventions may reduce back pain
symptoms in some
patients.

Lorig's team investigated whether or not participating in a moderated
e-mail discussion group
would improve the quality of life in patients with back pain. The study
results are published in the
April 8th issue of the Archives of Internal Medicine.

In the study, 190 men and women with back pain participated in the
discussion group for one
year. Patients received e-mails from other members or the moderators: a
physician, a physical
therapist and a psychologist.

The experts answered general questions and commented on the discussion.
They did not give
specific medical advice. The patients also received an educational
videotape and a book about
back pain.

The e-mail group was compared with 231 men and women who also had back
pain but did not
participate in an e-mail discussion group. Instead, this group received
a subscription to a non-
health-related magazine of their choice.

After one year, those in the e-mail discussion group "demonstrated
significant improvements in all
of the primary health status variables" compared with patients in the
other group, the authors
report.

Specifically, patients in the e-mail discussion group had improvements
in pain and disability, their
back pain interfered less with their lives, and they spent less time
worrying or being frustrated
about their condition, the investigators found.

"People participating in an e-mail discussion group with other patients
and with health
professionals have less pain and disability than people who did not
participate in the group," Lorig
told Reuters Health in an interview.

"Thus, it may be that e-mail support groups, at least for some people,
can be beneficial," she
added.

Lorig noted that she and her team could not pinpoint exactly why
patients fared better in the e-mail
support group.

"The bottom line is that after looking at many, many different things,
we could not come up with
anything that predicted success," she said. "This does not mean that the
effects were random,
merely that different people took different things away from the
intervention."

What does seem apparent, according to Lorig, is that people with back
pain or any other chronic
condition can benefit from sharing experiences with each other and being
in contact with a well-
informed health professional.

However, Lorig cautions that such discussions must be moderated.

"We had very few rules for our group - the number one being that people
had to be nice to each
other," she said. "This was strongly enforced, especially at the
beginning.

"One problem with many Internet groups is that people can be very nasty.
We wanted to, and
achieved, a safe place where people hold discussions."

Archives of Internal Medicine 2002;162:792-796
By Keith Mulvihill
http://www.reutershealth.com/

--
janet paterson
a new voice http://www.janetpaterson.net/
pd: 56-41-37 cd: 56-44-43 tel: 613-256-8340
an akinetic rigid subtype, albeit primarily perky, parky




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