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Placebo, The Wonder Drug?

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In this http://interestingsouth.com co-presentation with Miles Campbell of tta.edu.au we propose that it's time consumers signed a consent form that gives their doctors permission to prescribe placebos when the doctor thinks it's the best course of treatment.

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Placebo, The Wonder Drug?

  1. 1. Placebos, wonder drugs? Miles Campbell and Alan Jones
  2. 2. Background: pub night
  3. 3. Imagine a wonder drug... • Placebo: a substance or procedure that has no known specific activity for the condition being treated. • Pills, creams, inhalants, injections, ultrasound, sham surgery, acupuncture... even the practitioner • Effectiveness as high as 90% of trial participants
  4. 4. Common household placebos
  5. 5. Why such a bad rep? • Drug testing assumes placebos are a baseline • But they do have an effect • 75% of the effect of anti-depression meds may be due to placebo effect* Kirsch, I. Sapirstein, G. (1998) Listening to Prozac but hearing placebo: A meta-analysis of antidepressant medication.
  6. 6. Nocebos
  7. 7. Designing the best placebos Low expectancy strength, discount price Low expectancy strength, full price High expectancy strength, discount price High expectancy strength, full price
  8. 8. Designing the best placebos 11 10.1 9 7.4 7 5.8 4.2 4 2 0 Low expectancy strength, discount price Low expectancy strength, full price High expectancy strength, discount price High expectancy strength, full price
  9. 9. New AMA* guidelines * American Medical Association
  10. 10. New AMA* guidelines * American Medical Association ell, ye s! H
  11. 11. Placebo consent form
  12. 12. Placebo consent form
  13. 13. More info • Draft placebo consent form: • http://tinyurl.com/placeboconsent • Research and articles we’ve used: • http://tinyurl.com/placeboresources • These slides: • http://www.slideshare.net/bigyahu • Photo credits: • Why such a bad rep? - Selva • Nocebo - Akácio S.

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