{"id":1910,"date":"2020-04-22T06:28:20","date_gmt":"2020-04-22T06:28:20","guid":{"rendered":"https:\/\/blogs.bmj.com\/ebn\/?p=1910"},"modified":"2020-04-22T06:28:20","modified_gmt":"2020-04-22T06:28:20","slug":"self-care-as-a-moral-responsibility-an-update-following-the-twitter-chat-8-4-2020","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/ebn\/2020\/04\/22\/self-care-as-a-moral-responsibility-an-update-following-the-twitter-chat-8-4-2020\/","title":{"rendered":"Self-care as a moral responsibility: an update following the twitter chat 8\/4\/2020"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/ebn\/files\/2020\/04\/Chat-Participants.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone  wp-image-1912\" src=\"https:\/\/blogs.bmj.com\/ebn\/files\/2020\/04\/Chat-Participants-300x71.png\" alt=\"\" width=\"249\" height=\"59\" srcset=\"https:\/\/blogs.bmj.com\/ebn\/files\/2020\/04\/Chat-Participants-300x71.png 300w, https:\/\/blogs.bmj.com\/ebn\/files\/2020\/04\/Chat-Participants-1024x244.png 1024w, https:\/\/blogs.bmj.com\/ebn\/files\/2020\/04\/Chat-Participants-768x183.png 768w, https:\/\/blogs.bmj.com\/ebn\/files\/2020\/04\/Chat-Participants-640x152.png 640w, https:\/\/blogs.bmj.com\/ebn\/files\/2020\/04\/Chat-Participants.png 1311w\" sizes=\"auto, (max-width: 249px) 100vw, 249px\" \/><\/a><\/p>\n<p>Noirin O&#8217;Neill wrote a <a href=\"https:\/\/blogs.bmj.com\/ebn\/2020\/03\/29\/self-care-public-health-messaging-and-moral-responsibilities-during-a-global-health-emergency-a-patient-perspective\/\">blog<\/a> for us, published on March 29th, titled &#8220;Self care, public health messaging and moral responsibilities during a global health emergency \u2013 a patient perspective&#8221;.\u00a0 This was followed by a twitter chat on 8 April 2020.\u00a0 The following is a summary of the main discussions that took place during the chat.\u00a0 Thank you to all who participated. Due to the coronavirus pandemic our twitter chats are suspended until October 2020.<\/p>\n<h2>Self-care as a moral responsibility?<\/h2>\n<p>Participants in the Twitter Chat suggested that self-care is a moral responsibility. It means<br \/>\ndifferent things to different people. Self-care can relate to physical, mental, spiritual and<br \/>\nemotional health. It was suggested that in a world where people can\u2019t control many things,<br \/>\nthey can still control how they look after themselves. Yet, there are many complex issues<br \/>\nthat affect the ability of patients to self-care such as education, poverty, health literacy issues,<br \/>\ncomplex or rare conditions and lack of motivation.<\/p>\n<p>It was acknowledged that a vicious circle exists which means that inequalities lead to an<br \/>\nincreased chance of poor living conditions and lifestyle choices which can lead to ill health<br \/>\nand further inequalities. One participant suggested that self-care is a luxury and the<br \/>\nchallenge for public health is to make self-care a community-wide concept which is<br \/>\naccessible, affordable, doable and uncomplicated.<\/p>\n<h2>Self-care during a global health emergency<\/h2>\n<p>Participants suggested that self-care is always a moral responsibility but during a<br \/>\nglobal health emergency, people think a little more about this and why it is important. When<br \/>\nresources are scare, self-care will help prevent illness or injury. We have seen a choice of<br \/>\nways to engage online with healthy habits which makes self-care more accessible than ever<br \/>\nduring COVID19 e.g. Joe Wicks\u2019 daily PE classes for children on YouTube. For many,<br \/>\nstaying at home is the legally \u201cright\u201d thing to do, is morally right but also medically correct and safe to do so.<\/p>\n<h2>Individual Health Messaging<\/h2>\n<p>Health messages do not always work when they are directed at the person directly in relation to their own health. Interestingly, one participant opined that addiction to drugs, gambling and smoking is related to the brain\u2019s reward centre. It was suggested that the health belief model tells us a lot about individual health messaging. It depends how realistic a threat is perceived to be and we can easily position ourselves outside the target group. Participants agreed about the power of storytelling and suggested that we need more stories rather than facts.<\/p>\n<h2>Moral responsibility v personal responsibility<\/h2>\n<p>One view was that it is morally right to take care of yourself and that it is a moral obligation. and that public health messages should focus on moral responsibility e.g. self-protection from harmful UV rays. Yet, it was agreed that overall, the moral argument may not be persuasive for all.<\/p>\n<p>A number of suggestions were made for alternative solutions such as (i) self-care should be pitched as a &#8220;personal responsibility&#8221; rather than a moral one and (ii) calling it something other than \u201cmoral\u201d would help as \u201cmoral\u201d is a loaded term and has a judgemental tone (iii) personal &amp; public good\u2019 might be better than \u2018moral duty\u2019 which may encourage rebellious behaviour.<\/p>\n<p>It was noted that there are lots of people out there resisting current public health messages because of resistance to orders. This was evidenced in terms of people disregarding travel restrictions over the Easter weekend. It was suggested by one participant that unfortunately because of the actions of a small but notable section of society, legislative processes had to be put in place.<\/p>\n<p>However, it was acknowledged that the message may not be getting through to some individuals who are living for the moment, partying, sunbathing and going out and about. Ultimately, whatever language is used, it depends on the health literacy of individuals as not everyone may understand the messages.<\/p>\n<h2>Messaging Strategies<\/h2>\n<p>Some tips for healthcare messaging included (i) simplicity matters (ii) consistent clear messages (iii) reduce cognitive load (iv) avoid an infodemic (v) give people tools to self-educate (vi) stamp out fake news.<\/p>\n<p>It was agreed that multi-level messages that resonate on moral, ethical, societal, health and civic duties are needed.<\/p>\n<h2>Closing Thoughts<\/h2>\n<p>Self- care strategies and health message for the future may change. People now realise that self- care is not secondary to our busy lives. Self -care means self -education, self- empowerment, self- encouragement and self- reliance. We need to break down behavioural barriers.<br \/>\nParticipants reflected on the difference between self-care as an individual and self-care as a community. We should all have the intent of a healthy society. One participant highlighted that there have been some incredible examples of compassionate communities and grassroots neighbourhood activism during COVID19. If we focus on how we can help each other as a family, as a community, as a village, as a town, as a city, as a country we are stronger together. We are all trying to protect each other. That is the message. We are seeing those bonds now during COVID19.<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Noirin O&#8217;Neill wrote a blog for us, published on March 29th, titled &#8220;Self care, public health messaging and moral responsibilities during a global health emergency \u2013 a patient perspective&#8221;.\u00a0 This was followed by a twitter chat on 8 April 2020.\u00a0 The following is a summary of the main discussions that took place during the [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/ebn\/2020\/04\/22\/self-care-as-a-moral-responsibility-an-update-following-the-twitter-chat-8-4-2020\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":388,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3726],"tags":[3732,2367,3731],"class_list":["post-1910","post","type-post","status-publish","format-standard","hentry","category-spotlight-on-mental-health","tag-coronavirus","tag-health-promotion","tag-self-care"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - 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