1. 1 Creative Coaching: Teaching Lifestyle Change Making It Last 348-44538-0309

2. 2 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.

3. 3 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?

4. 4 True or False… All patients with diabetes respond to the self-management messages you deliver in exactly the same way.

5. 5 Learning Objective To explain and begin to apply adult-learning principles to support a more patient-focused and results-oriented educational experience

6. 6 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 Styles What are they?

7. 7 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

8. 8 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 Styles What are they?

9. 9 Adult Learning Styles What 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

10. 10 Adult Learning Styles How 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

11. 11 Donald TrumpRobin WilliamsMr. RogersAl Gore DISC Behavioral Style Preferences What are they?

12. 12 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 Preferences What are they?

13. 13 Donald TrumpRobin WilliamsMr. RogersAl Gore DISC DISC Behavioral Style Preferences What are they?

14. 14 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 Preferences What does this mean to me?

15. 15 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!

16. 16 DISC Behavioral Style Preferences How do I identify a patient’s style? The 2 indicators of behavior style are –Pace –Orientation

17. 17 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 Preferences How do I identify a patient’s style?

18. 18 DISC Behavioral Style Preferences Putting 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

19. 19 The Five Whys is a technique used to help uncover the core motivator for managing a patient’s diabetes The Five Whys What is it?

20. 20 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 Whys What does this mean to me?

21. 21 “Personal Goal Cards” can help keep patients’ motivators at the forefront of their mind The Five Whys Putting it all together

22. 22 Special thanks to David Clark and Roche for their invaluable help & support! David Clark, and Roche for their invaluable help & support!

23. 23 Contact Information Suzanne Sparks, RN, BSN, CDE 909-558-3646 susparks@llu.edu Charlene Canger, LCSW, MFT 650-723-5763 ccanger@stanford.edu