technology-enhanced recovery and advances in public health

Technology-Enhanced Recoveryand advances in Public Health

RECOVERY IS ALL ABOUT CHANGE

Behaviour Changes

• Stopping Smoking

• Eating too much bad stuff (sugar addiction?) - obesity & type 2 diabetes

• Drinking too much alcohol (how much is ‘too much’?)

• Socially Isolating

• Taking exercise

• “Addiction” to alcohol and drugs

CHANGE = CHANGE!

4

Identifying and changing social networks

In the real human world this means:

Positive Pro-

Recovery people IN

NegativeAnti-

Recovery people OUT

5 Ways to Well Being:

1. Connect2. Keep Learning3. Take Notice4. Give5. Be Active

Social relationships: Overall findings from this meta-analysis

0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8

Social relationships have big impact:

comparative odds of decreased mortality

Social relationships: High vs. low social support contrasted

Social relationships: Complex measures of social integration

Smoking <15 cigarettes daily

Smoking cessation: Cease vs. continue in patients with CHD

Alcohol consumption: Abstinence vs. excessive drinking

Flu vaccine: Pneumococcal vaccination in adults

Cardiac rehabilitation (exercise) for patients with CHD

Physical activity (controlling for adiposty)

BMI: Lean vs. obese

Drug treatment for hypertension in populations > 59 years

Air pollution: low vs. high

Holt-Lunstad J et al. PLoS Med. 2010;7:e1000316

Social relationships have as great an impact on health outcomes as smoking

cessation, and more than physical activity and issues to address obesity

CONNECT- On Line Meetings- 12 step- SMART- In The Rooms- Facebook Groups- Chat Rooms

-Twitter

ON LINE MEETINGS

DISCUSSION GROUPS & CHAT ROOMS

FACEBOOK GROUPS

KEEP LEARNING

GIVE (ON LINE VOLUNTEERING)

TAKING NOTICE (ON LINE MINDFULNESS)

BE ACTIVE

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Get Started An Online Map…TOPIC ACTION SCORE 5=High 1=Low

5 4 3 2 1

Connect •SMART RECOVERY•AA, NA, CA, OA...•Facebook•Twitter•Discussion Groups•Chat Rooms

Keep Learning

Give •Volunteering•On Line Community Involvement•Facebook Facilitator•Moderator

Taking Notice • Mindfulness Online• Spiritual groups

Be Active ????????????????

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