dr ronaldo m toledo, md

Outline

1. Diabetes Conversations Program

a. Organizations

b. Philosophy/Principles

2. Components of the Diabetes Conversations

Experience

3. How you can be a part of the program?

Diabetes Conversations

• A program which aims to seek out and deliver innovative diabetes education resources

• It features the use of a highly visual and interactive diabetes educational resource- The Conversation Map Tools

• It was developed by Healthy Interactions Inc. in collaboration with the International Diabetes Federation and supported by Eli Lilly

Three Organizations

Healthy Interactions Inc.

Vision“To enable 100 million meaningful

conversations that lead to better health care decisions and outcomes.”

Healthy Interactions Inc.

Approach“ Based on a fundamental belief that sustainable

personal change requires a meaningful, fact-focused discussion of issues and a verbal

commitment to change”

Ronaldo M. Toledo, M.D. Diabetes Conversation Map: A New Diabetes Educational Tool

International Diabetes Federation(IDF)

Mission“ To promote diabetes care, prevention and

cure worldwide.”

Eli Lilly and Company

“ At Lilly, our goal is nothing short of arresting the progression and impact of diabetes for patients and across society. We recognized that therapy is an important component of effective diabetes management, but we also believe that we must go beyond therapy to ultimately achieve success. By providing a unique, interactive way to increase a patient’s knowledge of diabetes, we believe that we can provide patients with tools they need to successfully mange their diabetes for life.”

Dr Robert J. Heine, PhD, FRCP, Executive Medical Directorfor Diabetes and Endocrine

Joachim Becker, Director International Marketing, Diabetes

Philosophy and Guiding Principles

3 Basic Principles1.People want simple solutions to complex

problems.2.People will “tolerate” what health care

professionals have to say, but they ultimately will act on their own conclusions

3.There is a tremendous power in speaking with someone in the same situation as you.

Conversation Map Philosophy

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“We believe in facilitated small-group, discovery learning, combined with visual learning principles. We believe these principles, integrated with a stimulating Socratic approach (questions that illicit dialogue and conclusions) are a dramatically more effective technique to creating personal health engagement than traditional didactic learning.”

- Healthy Interactions

Conversation Map Tools

Socratic Group

Visual

12

Rete

ntio

n Ra

tes

30%

See(Graphically)

50%

See & Hear Discuss With Others

70%

Read

20%

Hear

10%

Conversations Are CriticalAct

ive

Enga

gem

ent

Passive

Engagement

Knowles MS. The Adult Learner: A Neglected Species. Houston: Gulf Publishing Company; 1990.


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Medical-centred model Patient-centred modelCompliance AutonomyAdherence Patient participationPlanning for patients Planning with patientsBehaviour change EmpowermentPassive patient Active patientDependence IndependenceProfessional determines needs Patient defines needs

Patient-Centred Model

Conversation Map™ tools are aligned with the patient-centred model

Skelton A. Evolution not revolution? The struggle for the recognition and development of patient education in the UK. Patient Educ Couns. 2001; 44:23-27.

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ImprovedHealth Status

ClinicalImprovement

Behaviour Change*

Learning*

KnowledgeSkills

ExerciseDietTaking medicationMonitoringProblem-solving Reducing riskHealthy coping

Clinical Indicators• HbA1c• BP• LipidsProcess Measures• Eye exam• Foot examOther Measures• Smoking cessation• Aspirin use• Pre-pregnancy

counselling

Overall Health StatusQuality of LifeDays Lost From Work or SchoolDiabetes ComplicationsHealthcare Costs

Healthcare Outcomes Continuum

Immediate Intermediate Post-Intermediate Long Term

Adopted from:Peeples M, Mulcahy K, Tomky D, Weaver T. The conceptual framework of the National Diabetes Education OutcomesSystem (NDEOS). Diabetes Educator. 2001;27:547-562.

Six (6) Components of the Diabetes Conversation Map Experience

1. Conversation Map Visuals

2. Conversation Questions

3. Conversation Fact/Information Cards

4. Group Participants and Interactions

5. The Facilitator

6. Action Plan (Goal Setting)

1. Conversation Map Visuals

• The map is a 1.0 m x 1.5 m or about 3 ft. x 5ft. colorful picture

• A “common mental model”

• Depicts several issues and the relationships between these issues

• Shows day to day life among people with diabetes according to culture

• Images are metaphorical

Conversation Questions

• Serve as focus for discussion by the group

• Prompt the participants to discuss a variety of topics at various points throughout the session

• Determine the pace and direction of the group’s discussion

• Allow for situational problem solving

Examples of Conversation Questions

1. How would you define diabetes?

2. What did you feel when you were diagnosed to have diabetes?

3. Do you know about the specific benefits of healthy eating when it comes to managing your diabetes?

4. Does anyone know what are some of the complications of diabetes?


3.Conversation Fact/Information Cards

• Used to focus the group’s discussion on the realities of the issues being explored

• Spark conversation among the members of the group

• Bring additional information and engagement to the sessions

• Have game-like feel and help engage participants in the learning process

4. Group Participants and Interactions

• The diabetes conversation map tool is designed to be used in groups of 3-10 people

• An open and trusting environment for dialogue is present during the session

• Thru the process of discussing facts with peers ( co-equal), people are able to change what they believe to be true.

5. The Facilitator

• Role is not like the typical lecturer or teacher• He uses the materials (conversation

questions) to guide the group conversation• Engages the participants in the process of

exploration and learning• He must create a non-threatening

environment • He must make the session full of fun,

interactive, engaging, and full of learning

6. Action Plan/Goal Setting

• This provides the participants with a process by which they can plan changes in their decision-making and behaviors.

• Output of the participant

• Verbal commitment of the participant to change


BE A PART OF THIS PROGRAM!

Join the Facilitators Training• 6 Hours Training• Basic Requirements

1. Health Care Professional 2. Knowledgeable about Diabetes3. Direct Contact with people with diabetes4. Can start implementing the program within a

month after training

This Diabetes Conversation Map is an add-on to your existing programs or

a new stand-alone curriculum to educate people with diabetes!

Join us! Let us UTILIZE, ADVOCATE AND

ADVANCE the Diabetes Conversations Map

Program!


dr ronaldo m toledo, md

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