1. Volunteer Lay Leader Model Guidance to the Grantees
A Master of Balance:
Volunteer Lay Leader Model
Guidance to the Grantees
Peggy Haynes
A Matter of Balance
MaineHealth’s Partnership for Healthy Aging

2. A Matter of Balance (MOB) Lay Leader Model Master Trainer Sites by StateAK WA VT ME MT ND MN NH OR NY MA SD WI ID WY MI RI PA CT IA NJ NE NV OH DE
Hawaii IL IN UT MD CO WV VA CA KS MO KY NC TN OK SC AZ NM AR MS AL GA
Northern
Marianas TX LA FL
Guam
MOB Lay Leader Model Master Trainer Sites by State
500 Master Trainer Sites in 41 States and the District of Columbia

3. Dissemination of A Matter of Balance Volunteer Lay Leader Model
2016
41 States,
900 Master Trainers
>75,000 participants served
MOB Classes offered:
1X a week for 8 weeks or
2X a week for 4 weeks

4. Master Trainer(MT) Responsibilities
MTs - trained to oversee the program
Agency has signed a “license to use”
Coach training and fidelity monitoring are MT’s responsibility
Support of community classes
Surveys/Outcome Monitoring
MT participate in annual update
Quarterly conference calls/ s
MT train coaches
8 hours of training minimum(can be done by a single MT)
2-four hour days recommended
Coach training sessions vary in number (8-12 nice size)
Coaches always teach in pairs
MT set up community classes- Responsibilities may vary from MT to MT
Find locations, materials, register
Knowledge of all community classes offered by your coaches
MT arrange a Guest Healthcare Professional visit

5. Additional Master Trainer Duties
Coaches-They are MTs responsibility:
Coaches are recruited by MTs and their site
Only train as many coaches a MT can oversee-
Coaches are not freelance agents, Coaches need MT supervision/support
MT pair new coach with an experienced coach whenever possible
MT observation visit for all new coaches
This is a great opportunity to provide feedback and support new coaches
Coach Annual Update
2.5 hours to all coaches, prepared by Master Trainer
Develops coaches, reviews fidelity and answers curriculum questions

6. Coach Recruitment Finding the right coach and the right fit:
Look at your local volunteer orgs: RSVP, hospitals, AARP, faith based organizations, universities, senior housing, community groups, retired educators and professionals
Interview them, show them the materials and coach job description, share time commitment
Have potential new coach observe a class if possible
Let coaches know how you will support them
Finding substitutes if needed, supplies, mentoring
An MOU can help to address roles and expectations

7. Coach Observation Visit
Observe newly trained coaches at least once or until you are sure they are following the curriculum and facilitating well
Takes place during one of the first 4 sessions
Focus of visit:
Class dynamics
Following the curriculum
Leading the exercises/safety
Teamwork
Talk with your new Coach after class
Mentor them ongoing

8. Guest Healthcare Professional(GHP)
Find a PT / OT / Nurse to fill this role
Partner with local hospitals, long term care and rehab units
Home Health Agencies
Private Practices
Master Trainers orient the GHP to handbook and discuss their visit to the class (45-60 Minute visit)
GHP Visit:
Provides a link back to the healthcare community
Answers questions from participants
supports the coaches
provides demonstration of how to respond to a fall & get up from the floor
Session 4 or 7 are a great fit with the curriculum

9. Responsibilities during Exercises
No Music: hearing the instructions is important
Exercises should be demonstrated reading the instructions in the coach handbook
Coaching tips are there as a guide to exercises
Participants need to listen to their bodies and perform exercises in their comfort zone
Encourage more frail participants to sit if needed
If participant is in a wheelchair/walker encourage them to do some activity seated with their arms or using their legs if able during standing exercises
One coach can lead the exercises while the other checks in with participants
Providing encouragement and feedback and have fun!

10. Maintaining Fidelity
Master Trainers provide an 8 hour training for coaches
Master Trainers observe trained coaches
Should take place during first four sessions
Arrange observation visit with coach 
Two coaches lead the sessions
Follow curriculum-Choose options that work with class
Lead exercises- Do the exercises as described in the curriculum /Provide a safe environment
Do not change the exercises- adjust for the more frail- encourage participants to sit and do less repetitions
Guest HealthCare Professional Visit
Any session (4 or 7 is the best fit)
MOB Class = Eight 2-hour sessions
Class size = 8-12 participants
Are you still a Duck? Make sure your coaches / Classes are still quacking!

11. Translations :A Matter of Balance/VLL
Spanish- Coach/Participant workbook DVDs with Voiceover from Terra Nova Films
Chinese- Coach and Participant workbook DVDs Cantonese/ Mandarin Voiceover from Terra Nova Films 
Low Vision- Coach instruction materials; Participant workbook in 12 & 20 font; Audio Exercise CD; Audio Participant workbook  
Portuguese- Participant Workbook with DVDs scripts
Vietnamese- Participant Workbook with DVDs scripts
Russian- Participant Workbook with DVDs scripts

12. Contact Information
Peggy Haynes
Senior Director MaineHealth
Elder Care Services
Patti League RN
Program Manager
A Matter of Balance
Partnership for Healthy Aging