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Creative Coaching: Teaching Lifestyle
ChangeMaking It Last
348-44538-0309
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Chronic Care Model
• Instead of responding primarily as a method for managing a "sick" person, respond with a proactive strategy that is focused on keeping a person as healthy as possible for as long as possible.
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Think About Integrating This Valuable Information With Psychosocial Research
• Has a working therapeutic relationship been
established?• How ready is this pregnant mom to begin making the required changes ?
• Are PMAD or other stressors interfering with her learning?
• Is there anything making it hard for you to work with her?
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True or False…
All patients with diabetes respond to
the self-management messages you
deliver in exactly the same way.
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Learning Objective
To explain and begin to apply
adult-learning principles to support a more
patient-focused and results-oriented
educational experience
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• Just as all people have a DISC style, all have a preferred style of learning
• Most people will lean on 1-2 styles more heavily than others
• Observer
• Thinker
• Doer
• Feeler
Adult Learning StylesWhat are they?
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Adult Learning StylesWhat are they?Observer Preferences• Prefers to reflect on what can be watched• Likes to have their success measured with things
that can be seen• Prefers a teacher who is able to show as well as give
explanations
Thinker Preferences• Likes to take a logical approach to new ideas and
concepts• Does not learn well using group-work approaches• Prefers a teacher who uses readings or lectures
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Feeler Preferences• Prefers learning using specific examples, not theory • Likes opportunity to use the imagination• Prefers a teacher who is collaborative, not authoritative
Doer Preferences• Learns well doing projects• Likes learning in groups• Prefers a teacher who avoids lectures and focuses on
hands-on experience
Adult Learning StylesWhat are they?
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Adult Learning StylesWhat does this mean to me?
• Teach patients not as you would like to be taught, but as they would like to best learn!
• Your Quick Reference Guide provides tips on teaching blood glucose monitoring to each of the 4 learning styles
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Adult Learning StylesHow do I identify a patient’s style?• The “Define/Do”
tearpad can help you identify a patient’s learning style
• Feel free to make these questions your own!
• Think about when you would like to ask these questions
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Donald Trump Robin Williams Mr. Rogers Al Gore
DISC Behavioral Style PreferencesWhat are they?
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• DISC is a universal language of behavior patterns
• We have all 4 behavior styles in us, but most of us have a preferred style
• Our style can be defined by looking at a cluster of behaviors
DISC Behavioral Style PreferencesWhat are they?
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Donald Trump Robin Williams Mr. Rogers Al Gore
D I S C
DISC Behavioral Style PreferencesWhat are they?
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• How can I more effectively communicate with patients?
– Be aware of my own DISC style
– Define the patient’s DISC style
– If necessary, adapt styles to resonate more with the patient’s preference
DISC Behavioral Style PreferencesWhat does this mean to me?
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Adapt Your Style to the Patient’s Style
• If not, 75% of the time, you may not be relating to your patients in the best way!
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DISC Behavioral Style PreferencesHow do I identify a patient’s style?• The 2 indicators
of behavior style are
– Pace
– Orientation
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• The “Define/Do” tearpad can help you identify a patient’s learning style
• Feel free to make these questions your own!
• Think about when you would like to ask these questions
DISC Behavioral Style PreferencesHow do I identify a patient’s style?
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DISC Behavioral Style PreferencesPutting it all together
• Do you need to adapt your pace and orientation to better engage a patient?
• Your Quick Reference Guide provides tips on engaging patients from all 4 behavior styles
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• The Five Whys is a technique used to help uncover the core motivator for managing a patient’s diabetes
The Five WhysWhat is it?
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• The Five Whys can help you harness a patient’s motivation to drive behavior change
• Experiment with words beyond just “why”
• Think about how and when you might have this dialogue with a patient
The Five WhysWhat does this mean to me?
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• “Personal Goal Cards” can help keep patients’ motivators at the forefront of their mind
The Five WhysPutting it all together
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Special thanks to David Clark and Roche for their invaluable
help & support!
David Clark, and Roche for their invaluable help
& support!
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Contact Information
• Suzanne Sparks, RN, BSN, CDE909-558-3646
• Charlene Canger, LCSW, MFT650-723-5763
