About this course: Chronic pain is at epidemic levels and has become the highest-cost condition in health care. This course uses evidence-based science with creative and experiential learning to better understand chronic pain conditions and how they can be prevented through self-management in our cognitive, behavioral, physical, emotional, spiritual, social, and environmental realms. The goal of this course is to blend creative, experiential, and evidence-based teaching strategies to help participants understand chronic pain conditions and how a human systems approach can be applied to self-management strategies to reduce risk factors, enhance protective factors, and prevent chronic pain. There are four major objectives to the course; 1. Describe the prevalence, personal impact, and health care dilemma associated with chronic pain. 2. Recognize the clinical characteristics and underlying etiology of several common pain conditions and the peripheral, central, and genetic mechanisms of chronic pain 3. Based on the literature associated with risk and protective factors in the seven realms of our lives, learn specific strategies in each realm that can be employed daily to prevent chronic pain and enhance wellness. 4. Appreciate the value of a human systems approach to health care and how it can provide a basis for integrative, interdisciplinary, and individualized care to preventing pain and enhancing wellness. CONTINUING EDUCATION CREDIT OPTION Accreditation Statement: University of Minnesota, Interprofessional Continuing Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. American Medical Association (AMA) The University of Minnesota, Interprofessional Continuing Education designates this enduring material for a maximum of 24.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. American Nurses Credentialing Center (ANCC) This activity is awarded up to 24.0 ANCC contact hours. Other Health Care Professionals Other health care professionals who participate in this CE activity may submit this certificate statement of participation to their appropriate accrediting organizations or state boards for consideration of credit. The participant is responsible for determining whether this activity meets the requirements for acceptable continuing education. Registration and disclosure information is available here at http://z.umn.edu/chronicpain and pay the additional fee. Then, email your Coursera certificate statement of completion to cme@umn.edu.
Created by: University of Minnesota
Taught by: Dr. James Fricton, DDS, MS, Professor and Pain Specialist
University of Minnesota, HealthPartners Institute, and Minnesota Head and Neck Pain Clinic
| Level | Beginner |
| Language | English |
| How To Pass | Pass all graded assignments to complete the course. |
| User Ratings |
Syllabus
WEEK 1
Introduction to the Course (Week 1)
In this first module, we will introduce you to the course and present an overview of the topics to be discussed and format of the course. We will also present information about receiving Continuing Education, joining the International Myopain Society, and supporting the Campaign for Preventing Chronic Pain
9 videos, 6 readings
- Reading: Weekly Overview
- Reading: Getting Started
- Reading: Syllabus
- Reading: Paper on Preventing Chronic Pain: The MOOC
- Reading: Meet the Faculty
- Video: Promo Video for the Course
- Video: Course Overview (v2)
- Video: Introduction to the Last Scroll (v2)
- Video: International Myopain Society Introduction
- Video: The Campaign for Preventing Pain and Addiction
- Discussion Prompt: Discussion: Introduce Yourself
- Video: 1 The Prevalence of Chronic Pain
- Video: 2 The Health Care Dilemma that Chronic Pain Poses
- Video: 3 A New Paradigm
- Video: Preface to The Last Scroll (v2)
- Discussion Prompt: Discussion: Barriers to dealing with chronic pain
- Reading: Outline of The Dilemma of Chronic Pain
Graded: Module Quiz: Health Care Dilemma
WEEK 2
The Problem of Chronic Pain (Week 2)
16 videos, 3 readings
- Reading: Weekly Overview
- Reading: Outline:The Personal Impact of Chronic Pain
- Video: 1 Assessment of Pain using a Transformative Care Model
- Video: 2 Characteristics of a Pain Evaluation
- Video: 3 Patient Interviews
- Video: 4 Assess Your Seven Realms
- Video: Last Scroll: The Nightmare from The Last Scroll
- Video: Patient Interview 1: Angie
- Video: Patient Interview 2: Bernie
- Video: Patient Interview 3: Lorrie
- Video: Patient Interview 4 : Chantelle
- Video: Patient Interview 5: Lydia
- Discussion Prompt: Discussion: Personal Impact
- Reading: Outline: The Balance between Health and Illness
- Video: 1 The Biomedical Model versus a Human Systems Approach
- Video: 2 Holistic complexity: "The whole is greater than the sum of its parts"
- Video: 3 Chaos Theory: Small changes, big impact
- Video: 4 How do you want to be?
- Video: Cybernetics: the cycles of our lives
- Video: Last Scroll: Balance in the Seven Realms v2
- Discussion Prompt: Discussion: Human Systems, cybernetics, and chaos theory
Graded: Module Quiz: Personal Impact of Chronic Pain
Graded: Module Quiz: The Balance Between Health and Illness
WEEK 3
Common Pain Conditions and their Mechanisms (Week 3)
14 videos, 3 readings
- Reading: Weekly Overview
- Reading: Outline: Myofascial Pain
- Video: 1 Myofascial Pain: Clinical characteristics
- Video: 2 Myofascial Pain: Causes
- Video: 3 Myofascial Pain: Perpetuating factors
- Video: 4 Myofascial Pain: Trigger point examination
- Video: 5 Myofascial Pain: Management strategies
- Video: Clinic Trigger Points Demo
- Video: Last Scroll: The Rule of Moderation v3
- Discussion Prompt: Discussion: Trigger Points
- Reading: Handout: TMD and Orofacial Pain
- Video: 1 The Impact
- Video: 2 Common Orofacial Disorders
- Video: 3 Temporomandibular Disorder
- Video: 4 Risk and Protective Factors
- Video: 5 Treatment of TMD
- Video: 6 Prevention of TMD
- Video: Last Scroll: Rule of Being: Virtues, Vices, and Energy v2l
- Discussion Prompt: Discussion: Temporomandibular and Orofacial Pain
Graded: Module Quiz: Myofascial Pain
Graded: Module Quiz: TMD and Orofacial Pain
WEEK 4
Common Pain Conditions and their Mechanisms (Week 4)
16 videos, 3 readings
- Reading: Weekly Overview
- Reading: Handouts for Headache
- Video: 1 What You Can Do to Prevent Headaches: An introduction
- Video: 2 Understanding Your Headache
- Video: 3 Headache Diagnosis
- Video: 4 Headache Triggers and Contributing Factors
- Video: 5 What About Muscle Dysfunction?
- Video: 6 Transformation of Episodic to Chronic Heachache
- Video: 7 Managing Headaches: An individualized treatment plan
- Video: 8 Treatment Planning: Simple to complex
- Video: Last Scroll: The Vacation v2
- Discussion Prompt: Discussion Question: Headache
- Reading: Handout: New Developments in the Management of Fibromyalgia Syndrome
- Video: 1 Presentation
- Video: 2 Diagnosis
- Video: 3 Severity
- Video: 4 Misconceptions
- Video: 5 Medication Management (1:02:57)
- Video: 6 Lifestyle Management
- Video: Last Scroll: The Rule of Gatherings
- Discussion Prompt: Discussion: Fibromyalgia
Graded: Module Quiz: Headache
Graded: Module Quiz: Fibromyalgia
WEEK 5
Common Pain Conditions and their Mechanisms (Week 5)
11 videos, 2 readings
- Reading: Weekly Overview
- Reading: Handout on Arthritis
- Video: 1 Arthritis: Understanding and expectations
- Video: 2 Arthritis: Risk and protective factors
- Video: 3 Strategies to Manage Arthritis Pain
- Video: 4 Screening for Functional Mobility
- Video: Last Scroll: The Attraction v2
- Discussion Prompt: Discussion: Barriers to recovery
- Video: 1 Chronic Pain Scope and Nature of the Problem
- Video: 2 Peripheral and Central Neural Mechanisms of Pain
- Video: 3 Molecular Pathways of Persistent Pain
- Video: 4 The Overlapping Features of Chronic Pain Conditions
- Video: 5 Personalized Care for Chronic Pain
- Video: Last Scroll: The Human Spirit v2
- Discussion Prompt: Discussion: Chronic pain mechanisms
Graded: Module Quiz: Arthritis
Graded: Module Quiz: Chronic Pain Mechanisms
WEEK 6
Risk and Protective Factors in the Seven Realms (Week 6)
13 videos, 3 readings
- Reading: Weekly Overview
- Reading: Handouts on the Body
- Video: 1 Musculoskeletal Pain Mechanisms
- Video: 2 Repetitive Strain
- Video: 3 Postural Strain
- Video: 4 Exercise
- Video: 5 Preventing Injury
- Video: Clinic Demo: Exercises
- Video: Clinic Demo: Stretching
- Video: Last Scroll: The Blessing of Health
- Discussion Prompt: Discussion: Exercise, posture, and reducing strain
- Reading: Outline for The Mind
- Video: 1 The Cognitive Dimension of The Pain Experience: Understanding and expectation
- Video: 2 Self-efficacy and Self-management
- Video: 3 Resilience and Adaptation to Change
- Video: 4 Embracing Change: Improving resilience
- Video: Last Scroll: Energy Thieves v2
- Discussion Prompt: Self-efficacy
Graded: Module Quiz: Body
Graded: Module Quiz: The Mind: The Cognitive Dimension
WEEK 7
Risk and Protective Factors in the Seven Realms (Week 7)
12 videos, 3 readings
- Reading: Weekly Overview
- Reading: Handouts for Society and Pain
- Video: 1 The Cycles of the Social Lives We Live
- Video: 2 Neuroplasticity: Mechanisms for Social Risk
- Video: 3 Abuse, Conflict, and Social Stressors: Inner Conflict and Pain
- Video: 4 Post-Traumatic Stress (PTSD) and Chronic Pain
- Video: 5 Occupational Stress, Secondary Gain, Disability and Chronic Pain
- Video: 6 Social Support and Positive Relationships: Protective Factors
- Video: Last Scroll: The Conflict
- Discussion Prompt: Discussion: Social support and pain
- Reading: Handouts for Emotions and Pain
- Video: 1 Negative Emotions are Risk Factors for Chronic Pain
- Video: 2 Protective Factors: Managing negative emotions and harnessing positive psychology for healing
- Video: 3 Self-management of Chronic and Daily Emotional Challenges for Physical Relief
- Video: 4 Experiential Exercises for Self Regulation
- Video: Last Scroll: Emotion and Fear v2
- Discussion Prompt: Positive Psychology: Applied
Graded: Module Quiz: Society
Graded: Module Quiz: Emotional Challenges
WEEK 8
Risk and Protective Factors in the Seven Realms (Week 8)
16 videos, 3 readings
- Reading: Weekly Overview
- Reading: Handout: Lifestyles and Pain
- Video: 1 The Lifestyle Treadmill
- Video: 2 Sleep and Chronic Pain
- Video: 3 Diet and Chronic Pain
- Video: 4 Obesity, Eating Disorders, and Chronic Pain
- Video: 5 Chemicals: Medication, Smoking, Alcohol and Recreational Drug Use
- Video: 6 Daily routines (Activity Level, Balance, Pacing, Timing, and Variation)
- Video: Video Exercise: Guided Relaxation
- Video: Last Scroll: Prosperity v2
- Discussion Prompt: Discussion: Lifestyle Improvements
- Reading: Handout: Environment and Pain
- Video: 1 Environmental Risks and their Impact on Chronic Pain
- Video: 2 Motor Vehicle Accidents and Chronic Pain
- Video: 3 Personal Accidents and Chronic Pain
- Video: 4 Medical and Dental Treatment Risks and Chronic Pain
- Video: 5 Infection Risk: Staying Clean, Infection Free, and Healthy
- Video: 6 Pollution: Air, Noise, Vibration, and Weather
- Video: 7 Protect Yourself: Environmental Changes to Prevent Chronic Pain
- Video: Last Scroll: The Festival v2
- Discussion Prompt: Discussion: Environmental Circumstances
Graded: Module Quiz: The Lifestyle Realm
Graded: Module Quiz: The Environment
WEEK 9
Risk and Protective Factors in the Seven Realms (Week 9)
13 videos, 3 readings
- Reading: Weekly Overview
- Reading: Handout: Spirit and Pain
- Video: 1 Restoring Wellbeing: The Roles of Hope and Purpose in Recovering from Chronic Pain
- Video: 2 The Perils of Perception: The Effects of Stress on Mind, Body, and Emotions
- Video: 3 Coming Back to Yourself: The Efficacy of Compassion and Mindfulness
- Video: 4 Exercises: Breathing, Relaxation, and Mindfulness Meditation
- Video: Last Scroll: The Blessing of Love v2 Last
- Discussion Prompt: Discussion: Effects of Stress
- Reading: Handout: The Patient's Story
- Video: 1 Outcome Present State Test (OPT) Model
- Video: 2 Knowledge Representation and Framing
- Video: 3 Clinical Reasoning Web
- Video: 4 Listening and Understanding People's Stories
- Video: 5 Creating and Activating Clinical Reasoning Dynamics
- Video: 6 The Complementary Nature of Problems and Outcomes
- Video: 7 The Four Cs of Clinical Judgment
- Video: Last Scroll: The Leaning Tower and Fear v2
- Discussion Prompt: Understanding the patient's story
Graded: Module Quiz: Spirit: Gaining insight, hope, and purpose
Graded: Module Quiz: The Patient's Story
WEEK 10
Implementing Transformative Care (Week 10)
20 videos, 4 readings
- Reading: Weekly Overview
- Reading: Handout: Implementing Transformative Care
- Video: 1 Addressing Issues the with our Current Health Care System
- Video: 2 Implementing Transformative Care: The Case of Mona Lisa
- Video: 3 What Interventions Work for Chronic Pain?
- Video: 4 What about Opioids to Prevent Chronic Pain?
- Video: 5 What about Surgery to Prevent Chronic Pain?
- Video: 6 Developing a Transformative Treatment Plan
- Video: 7 Take-home Messages about Chronic Pain
- Video: Last Scroll: Energy of the 7 Realms v2
- Video: Transformative Care: Patient Interview 1: Janet
- Video: Transformative Care: Patient Interview 2: Brianna
- Discussion Prompt: Discussion: Transformative Care
- Video: 1 Provider Interview: Dr. Karen Lawson
- Video: 2 Provider Interview: Dr. Miles Belgrade
- Video: 3 Provider Interview: Dr. Stefan Friedrichsdorf
- Video: 4 Provider Interview: Dr. Mary Jo Kreitzer
- Video: 5 Provider Interview: Dr. Matt Monsein
- Video: 6 Provider Interview: Dr. Bill Manahan
- Reading: Handout: Improving the health care system
- Video: 1 Why improve our health care system?
- Video: 2 Barriers to improving health care
- Video: 3 Transforming our health care system
- Video: 4 Who can improve the health care system?
- Discussion Prompt: Discussion: Changing Health Care
- Reading: Course Evaluation
Graded: Module Quiz: Transformative Health Care
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Ratings and Reviews
Great!!! Very Good!!! Fantastic!!!
Absolutely love this course. It is directly relevant to the students I see as a yoga teacher, student of PT and seeing my body age as well. I look forward to many many more courses like this. Thank you Coursera!!!!
The course was excellent - well organized, informative, and presented by a good number of experts in their respective areas. The only reason I did not give 5 stars was because some parts might be a little challenging for people without some knowledge of physiology and medical terminology. I learned a lot and feel much better equipped to discuss my own issues with healthcare providers. Thanks to everyone who contributed to this MOOC.
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EO
Excellent in terms of learning how to manage your own pain conditions and improve quality of life. Some of the sections were very technical and aimed at those with medical training. All modules (including the very technical ones) had a quiz at the end which had an 80% pass rate before you could move on to the next section. This was challenging but not impossible.
A lot of highly valuable information that I wish more patients and health professionals were aware of.