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Related Experiment Video

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Protocol for Repetitive Transcranial Magnetic Stimulation with Symptom Provocation to Treat Obsessive-compulsive Disorder
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Configuring symptoms: experiences from an internet-based self-help programme for persistent physical symptoms in

Michal Frumer1, Mette Trøllund Rask2, Lisbeth Frostholm2

  • 1Department for Functional Disorders, Aarhus University Hospital, Aarhus, Denmark; Department of Research, Horsens Regional Hospital, Horsens, Denmark; Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.

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Summary
This summary is machine-generated.

This study examines the "My Symptoms" digital health program in Danish general practice, revealing how it reshapes patient-practitioner relationships and responsibilities in managing persistent physical symptoms (PPS). It highlights the complex integration of technology into everyday healthcare.

Keywords:
DenmarkDigital healthEthnographic researchGeneral practiceSelf-careSymptoms

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Area of Science:

  • Digital Health
  • Sociology of Health and Illness
  • General Practice Research

Background:

  • Persistent physical symptoms (PPS) affect many individuals but often lack clear pathophysiological explanations.
  • Managing PPS presents challenges in primary care settings, impacting patients and general practitioners (GPs).
  • The integration of digital health tools into healthcare is a growing area of interest.

Purpose of the Study:

  • To explore the introduction and impact of the internet-based self-help program "My Symptoms" in Danish general practice.
  • To analyze how the digital program co-constitutes symptoms, clinical practices, and patient-GP relationships.
  • To investigate the themes of primary care, everyday life, and responsibility redistribution in the context of PPS management through digital health.

Main Methods:

  • Ethnographic fieldwork conducted in four general practice clinics.
  • Semi-structured interviews with 31 general practitioners (GPs) and patients using the program.
  • Analysis inspired by technologies-in-practice, focusing on multidirectional interactions.

Main Results:

  • The "My Symptoms" program subtly reshapes symptoms, clinical practices, and patient-GP relationships.
  • Engagement with the digital program involves sensemaking and reconfiguring practices across home and clinic settings.
  • The study identified key themes in PPS management: primary care, everyday life, and the redistribution of responsibilities.

Conclusions:

  • Digital health programs require complex sensemaking and reconfiguration to become meaningful care practices.
  • The introduction of digital health technologies complicates promises of digital transformation by defining and constraining care practices.
  • The study raises critical questions about shifting responsibilities and the distributed work of self-help technologies in contemporary healthcare.