Peer Health Coaching Using Web 2 0 3

Peer Health Coaching: Using Web 2. 0 & 3. 0 Technologies to Develop Personal Evidence Dr. R. J. Botelho, BMed. Sci. , BS. , BM. , MRCGP Professor of Family Medicine Assistant Dean of Faculty & Student Development Florida International University, Miami Rbotelho@fiu. edu

Peer Health Coaching: Changing Ourselves, Our Families, Organizations, Communities & Culture A Transformational Leadership Guide for Disseminating Behavior Change Programs http: //rickbotelho. wordpress. com/2009/09/28/book-orientation/ http: //rickbotelho. wordpress. com/2009/10/11/latest-version-of-mission-and-vision-statement-comments-welcomed / MHH Publications (2010)

Adapting High-touch Learning Programs to Web 2. 0/3. 0 Technologies

Web 2. 0/3. 0 Technologies: Enabling Virtual Learning Communities n n n n Facebook Linked. In My. Space Blogs—Wordpress Twitter—micro-blogs Ning Twine Moodle (LMS)

Create a Online Learning Community about Developing Personal Evidence n n Collect E-mail addresses of all willing participants and assign anonymous codes for the blog Review reflection notes and reflect about the workshop experience Make and post summary statements for each learning session Go to http: //rickbotelho. wordpress. com/

Learning Goals n n n Experience how you can overcome the limitations of scientific evidence and develop personal evidence about healthy behavior change Use collaborative self-reflective learning exercises that go surface change to make deep change Share your learning experiences of developing personal evidence with your colleagues during and after the workshop online

Go Beyond the Limitations of Scientific Evidence

Move Beyond the Limitations of Scientific Evidence What works for some of the people (the average person) some of the time. In other words, estimating the average or mean effects. Outside-in Approaches How can you make sense of scientific evidence that is relevant to your patients?

to Personal Evidence n What works for you. In other words, what does it mean for you to change. Inside-Out Approaches How can you make sense of your learning experience & generate your own personal evidence about change?

Personal Evidence Moves Beyond Superficial Change n n Increasing your knowledge Having good intentions Setting goals Developing skills

to Deep Change n n n Addressing resistance & motivation Changing perceptions Reflecting about motives Exploring value systems Developing healthy identities

Address the Complexity of Behavior Change

Develop Personal Evidence through transformational learning experiences

Transformational Learning Occurs when you change your worldviews and implicit assumptions about your unhealthy habits in ways that facilitate deep meaningful change (such as, n n n Changing perceptions about risks, benefits and harms Lowering emotional resistance Enhancing motivation Exploring motives Addressing discrepancies in your value systems Developing healthier identities

Transformational Learning can liberate you from the constraints of your current worldview and assumptions to make deep change. Such learning can enhance your ability to self-regulate your thoughts and feelings so that you can change our unhealthy habits.

Create Learning Communities about Health Coaching

A Learning Community Can help you: n Understand the limitations of evidencebased, individually focused interventions n Appreciate the complexity of health behavior change n Experience the power of transformational learning combined with the benefits of positive social support.

Peer Health Coaching Peer health coaches can motivate and inspire individuals and groups to learn how to develop healthier habits and optimize self-care of chronic diseases.

Peer Coaching Guidelines DO NOT n Work harder than the coachee n Become more invested in improving outcomes than the coachee n Impose your agenda n Ask leading questions n Interrogate with closed-ended questions n Define their issues/problems/dilemmas from your perspective n Give advice or suggestions* n Do not offer solutions* n Fix their problem n Self-disclose without a clear purpose *(unless the coachee invites you to do so)

Peer Coaching Guidelines 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Ask questions that clarify their issues and dilemmas Illicit and validate emotional responses Ask focused open-ended questions Invite self-reflection Gently challenge assumptions Generate new perspectives & possibilities Inquiry about and work through strengths Invite coaches to generate new ideas for change Ask problem-solving questions Ask solution-generating questions

Peer Coaching Guidelines 11. 12. 13. 14. 15. 16. Re-focus on elusive issues Notice real-time issues arising from the coaching process Comment on these real time issues Create tolerable intensity Reframe issues from negative to positive perspective Invite feedback about what was helpful (closure)

Experience Personal Evidence

Combining Self-reflective Learning & Collaborative Learning What added value did you learn from discussing the exercises with your colleague and with your small group? Make a note of what you found particularly helpful

Large Group De-briefing The facilitator will help the group address the questions about collaborative learning.

Self-reflective Learning Exercises n n n 1. 1–What are your ideal and small step goals? 1. 2–What do you think and feel about your ideal and small step goals? After completing the exercise on pages 2 -7, discuss your written responses to the questions in your small group?

Self-reflective Learning Exercises n 1. 3– What do you think and feel about your confidence, ability, commitment and passion levels toward your goals? After completing the exercise on page 8, find a partner to discuss your written responses to the questions.

Self-reflective Learning Exercises n n 1. 4–How will you maintain accountability to your commitment to change? 1. 5–How will you discipline yourself to sustain your accountability to change? After completing the exercise on page 8, find a partner to discuss your written responses to the questions.

Large Group De-briefing The facilitator will help the group address the questions about collaborative learning. The recorder will identify what added value that the group obtained from collaborative learning?

Self-reflective Learning Exercises: Use Your Values to Inspire Meaningful Change n 2. 2–Do what extent do you live up to your health values? After completing the exercise page 2, find a partner to discuss your written responses to the questions on your handout.

Participant in an Online Learning Community n n Make and post summary statements for each learning session What were your important take-home messages from each session? What did you learn from your peer coaching experiences? Go to http: //rickbotelho. wordpress. com/