Julie Fritz

[PURPOSE: the Pain Research Network @PainResearchers]

Join a dynamic cohort of postdocs leading the future of #PainResearch! For interdisciplinary training to postdoctoral scholars, the NIH HEAL PAIN Cohort Program empowers you with cutting-edge training. Learn more: [https://t.co/9FyhHURemZ] 🔬#PainScience #postdoclife

[Julie Fritz @jfritzPT]

@DrSethPT @Retlouping There is a critical distinction between delivering a standardized protocol vs real-world clinical decision-making. The latter is where we would expect expertise to emerge. As I recall we had this distinciton in mind at the time, but likely would reflect differently on it now.

[Julie Fritz @jfritzPT]

@MichaelTamePain @GregLehman @jasonsilvernail @nakedphysio @DerekGriffin86 @DrSethPT @CarolACourtney1 @chadcookpt @JoshClelandPT @PMintkenDPT @LonnemannElaine @echaconas @PTJournal @AAOMPT Not that I am aware of

[Julie Fritz @jfritzPT]

@GregLehman @jasonsilvernail @MichaelTamePain @nakedphysio @DerekGriffin86 @DrSethPT @CarolACourtney1 @chadcookpt @JoshClelandPT @PMintkenDPT @LonnemannElaine @echaconas @PTJournal @AAOMPT I would focus on the core components not a label. I will defer to my clinical colleagues but if Mulligan's framework has different components then that you could use it as a comparator to examine an OMPT framework

[Julie Fritz @jfritzPT]

@GregLehman @jasonsilvernail @MichaelTamePain @nakedphysio @DerekGriffin86 @DrSethPT @CarolACourtney1 @chadcookpt @JoshClelandPT @PMintkenDPT @LonnemannElaine @echaconas @PTJournal @AAOMPT That's true, but you could draw conclusions about the particular model you test, which can be quite valuable. But if the model is an ill-defined black box you learn little or nothing by trying to test it.

[Julie Fritz @jfritzPT]

@GregLehman @jasonsilvernail @MichaelTamePain @nakedphysio @DerekGriffin86 @DrSethPT @CarolACourtney1 @chadcookpt @JoshClelandPT @PMintkenDPT @LonnemannElaine @echaconas @PTJournal @AAOMPT That's the point, studies have to be designed to answer a discrete research question. A study investigating OMPT can't address individual components and v.v.

[Julie Fritz @jfritzPT]

@GregLehman @jasonsilvernail @MichaelTamePain @nakedphysio @DerekGriffin86 @DrSethPT @CarolACourtney1 @chadcookpt @JoshClelandPT @PMintkenDPT @LonnemannElaine @echaconas @PTJournal @AAOMPT As in all clinical studies the design has to match the question. A delivery model or framework can be evaluated relative to an alternative framework. This type of pragmatic effectiveness study benefits greatly from defining, then monitoring, the model's core components.

[Julie Fritz @jfritzPT]

@GregLehman @MichaelTamePain @jasonsilvernail @DrSethPT @CarolACourtney1 @chadcookpt @JoshClelandPT @PMintkenDPT @LonnemannElaine @echaconas @PTJournal @AAOMPT Precisely the rationale for defining OMPT from a research perspective. Defining its competencies, core components, etc. makes OMPT a testable delivery strategy and also allows for studies evaluating the model itself.

[Julie Fritz @jfritzPT]

@GregLehman @jasonsilvernail @DrSethPT @CarolACourtney1 @chadcookpt @JoshClelandPT @PMintkenDPT @LonnemannElaine @echaconas @PTJournal @AAOMPT As researchers we test multi-modal interventions like PT often. Typically they are poorly defined and like a conceptual frame. Defining core competencies and training domains will benefit this type of research.

[Richard L. Skolasky, Sc.D. @RSkolaskyScD]

Honored to have discussed barriers, opportunities, and future directions for telerehabilitation for chronic low back pain with @KevinMcLaughlin and @jfritzPT at @APTAcsm in Boston! @NASSspine @HopkinsOrtho

[Julie Fritz @jfritzPT]

@sunsopeningband @DrSethPT An important consideration that applies broadly to interpretation of observational studies, but not a unique concern to TR.

[Julie Fritz @jfritzPT]

@sunsopeningband @DrSethPT This differs somewhat from our experience. TR can be as frequent and intense as is clinically appropriate. In my mind the group that may be best served by TR are those with chronic pain lacking access to evidence-based care with traditional in-person delivery often due to SDOH.

[Julie Fritz @jfritzPT]

@USCArnoldSchool @Heyfritz @UofSCProvost Congratulations Dr. Fritz.

[Julie Fritz @jfritzPT]

@ChristineGoertz @Cyndy_Long_PCCR @DukeMSK What a great list to be on.

[Julie Fritz @jfritzPT]

@joshkj_dpt @Duke_DPT Congratulations Josh!

[Julie Fritz @jfritzPT]

@JRayFalvey @JasT_PhD @BBurkeMD @nbcoe1 Congrats Jason

[Julie Fritz @jfritzPT]

@danrhon If risk stratification "works" it likely requires a lot more PT training to change their practices.

[Julie Fritz @jfritzPT]

@danrhon Hard to say as the trials aren't telling us much about fidelity and if risk stratified care actually differs from "usual care". You used visits for fidelity but the PT behavior changes needed to provide risk-stratified care is much more.

[Julie Fritz @jfritzPT]

@DrSethPT @djclewpt @DukeCEMMT @AAOMPT Thanks Seth, I enjoyed the conversation

[NIH Pragmatic Trials Collaboratory @Collaboratory1]

📌 This Friday, June 16, in PCT Grand Rounds:

"BeatPain Utah Pragmatic Clinical Trial: Partnering With Community Health Centers Within a Socio-Technical Framework" with Julie Fritz @jfritzPT and Guilherme Del Fiol of @UofUMedicine

🔗 https://t.co/D74sJZZiIy #pctGR