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Michael Ray @michaelraydc.bsky.social · 16/03/2025

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%).

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Michael Ray @michaelraydc.bsky.social · 16/03/2025

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.

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Michael Ray @michaelraydc.bsky.social · 16/03/2025

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.

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Michael Ray @michaelraydc.bsky.social · 16/03/2025

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

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Michael Ray @michaelraydc.bsky.social · 16/03/2025

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.

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Michael Ray @michaelraydc.bsky.social · 16/03/2025

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

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Michael Ray @michaelraydc.bsky.social · 16/03/2025

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

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Michael Ray @michaelraydc.bsky.social · 16/03/2025

Latest R grant submitted to NIH. It’s questionable what happens now given the administrative changes. I’m hopeful there’s at least a review with feedback. I’m looking to adapt SBIRT for acute pain scenarios, intervening for those who screen high risk for chronic pain. Unfamiliar? A 🧵

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Reposted by Michael Ray

Sabrina Coninx @sconinxphil.bsky.social · 05/03/2025

It has been great writing this piece with @peterstilwell.bsky.social about the mind-body divide and why it is often misleading to speak of 'physical' vs. 'psychological' pain.

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Michael Ray @michaelraydc.bsky.social · 08/01/2025

My post-doc project has been IRB approved to begin enrollment: From Acute to Chronic: Investigating Emergency Department Care and Pain Outcomes in Neck and Back Pain: PREVENT (Pain Recognition & Evaluation to Validate Effective Neck & back Treatment). Read more here: osf.io/56wap/ ?s welcomed!

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Michael Ray @michaelraydc.bsky.social · 08/01/2025

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

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Michael Ray @michaelraydc.bsky.social · 08/01/2025

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.

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Michael Ray @michaelraydc.bsky.social · 08/01/2025

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)

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Michael Ray @michaelraydc.bsky.social · 08/01/2025

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

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Michael Ray @michaelraydc.bsky.social · 08/01/2025

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

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Michael Ray @michaelraydc.bsky.social · 08/01/2025

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?

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Michael Ray @michaelraydc.bsky.social · 08/01/2025

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.

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Michael Ray @michaelraydc.bsky.social · 08/01/2025

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.

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Michael Ray @michaelraydc.bsky.social · 08/01/2025

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”.

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Michael Ray @michaelraydc.bsky.social · 08/01/2025

The new year is here, and many people are contemplating change. Often, this involves doing something different in daily life; diet or physical activity. It’s much easier to think about change than implementing it. As humans, we get stuck in loops, our daily actions become automated and habitual.1/10

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Michael Ray @michaelraydc.bsky.social · 21/11/2024

Dr.Oz leading CMS seems like a way to not make #America healthy again. www.bmj.com/content/349/... “Approximately half of the recommendations have either no evidence or are contradicted by the best available evidence…The public should be skeptical about recommendations made on medical talk shows.”

bmj.com

Televised medical talk shows—what they recommend and the evidence to support their recommendations: a prospective observational study

Objective To determine the quality of health recommendations and claims made on popular medical talk shows. Design Prospective observational study. Setting Mainstream television media. Sources Inte...

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Michael Ray @michaelraydc.bsky.social · 20/11/2024

If you are a clinician, pain researcher, or patient advocate, can you comment below or send me a message? I’m working on validating a questionninare assessing patients’ attitudes and beliefs regarding neck pain. It would be great to get more insight on the questions prior to pilot testing. #pain

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Michael Ray @michaelraydc.bsky.social · 19/11/2024

Dr. Oz over CMS … did the @theonion.com take over our politics?! This can’t be reality.

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Michael Ray @michaelraydc.bsky.social · 19/11/2024

Sometimes I write. The City We are all someone and yet no one. Sharing space within the same place. Tethered together yet isolated forever. professormichaelray.substack.com/p/the-city

professormichaelray.substack.com

The City

We are all someone and yet no one.

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