BehavioralRx CARBS Science
Applied to Chronic Pain (and SUD)
Behavioral and Cognitive Effect
Influence Technology Activation through shared decision making
Participants set their goals, communicated their immediate symptoms, and got immediate affirmation and reciprocity when receiving custom program content to support their health journey.
Enabling patients to share in the formation and modification of their care plan produced a 3-5x increased level of activation; they felt more personally invested in program. Built participant resiliency through believability in their ability to self- manage; increases trust and credibility in the program and in themselves to carry out the steps necessary to stay on program; modified participants'
Environment of Need Technology Intervening at the right moment
Participants who indicated pain, stress levels, and feelings related to social isolation were immediately responded to with appropriate mental and physical activities in the moment and environment of need. Participants were able to interrupt the regimen 24/7 when they felt a specific need by texting in keywords (ex: breathe, calm, peer, mood) to request specific support, with resources immediately delivered back to them in response.
believability in their capacity to perform the tasks significantly increased activation.
Wander and Wonder Technology Activation by increasing memory persistence and recall via mental and physical activities that stimulate contextually relevant neuroreceptors
Participants received a variety of activities that utilized different senses; these activities were both pro-actively sent and delivered on-demand at participants' request.
Emotions can be a catalyst or an impediment to learning. It has been estimated that 95% of our reactions are unconsciously driven by the amygdala and only modestly impacted by the executive centers of the cerebral cortex. Although the brain is considered a rational entity, it is an emotional brain, where feelings receive first priority. Engaging the emotional regions of the brain vs. the rational cortex alone engenders higher degrees of activation and increased likelihood the desired network of neurons will fire in unison in future like circumstances. Outlook is a huge trigger or inhibitor of activation and resiliency. Participants, like all of us, live their day-to-day life in a series of mini events throughout the day. BehavioralRx methods simplify and contextualize complex information into digestible, snackable bites of information that enable a person to accomplish those activities and begin to change their outlook in their own ability to self-manage. Removing feelings of social isolation and helping the person to feel comfortable to express their feelings and receive helpful and supportive guidance when and where they want it is a powerful contributor to reducing stress and other mood disorders. This creates positive behavior modification that produces more sustainable habits, ultimately increasing a person’s resiliency.
Participants occasionally received a virtual “fortune cookie” that offered surprise and delight.
Reduction Technology Activation through simplifying
Participants received one thought, action, or question at various times throughout the day based on their preferred times of day and schedule. The cadence, tone, and content varied based on a number of personalization variables and their specific responses.
Nurturing Technology Guided motivation
Participants were guided based on their perspectives in the moment and provided with positive reinforcement for participation; when participants did not respond a BehavioralRx algorithm was able to ask again (based on a relevant time interval) and change the way the question was asked. This supportive technique is capable of acting on a null action. Participants received certain messages with different tones of voice; some messages were written as a healthcare professional providing guidance and others were written as a peer who was experiencing a similar issue.
WHY THE POSITIVE OUTCOMES? | ACHIEVING THE TRIPLE AIM WITH CHRONIC PAIN MEDICAID PATIENTS
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