1. Innovative Approaches to Diabetes Education for Adolescents Marcia Frank RN, MHSc, CDE The Hospital for Sick Children Toronto, Canada

2. Session Objectives  Examine rational for using innovative approaches and specifically creative arts in diabetes education  Explore the impact of the use of arts in diabetes education  Provide examples of how innovative approaches and the arts are used in diabetes education  Examine the feasibility of using the arts more routinely in our practice  Learn more innovative approaches from session participants

5. Toronto SickKids Hospital

6. SickKids Diabetes Service  1100 children/teens  Culturally diverse  Well established team

7. Education Care support

8. Value of creative arts in diabetes education  Cuts across racial, cultural, social, educational, and economic barriers  Reduces the distance between teacher and learner  Bridges experience and understanding  Involves affective and cognitive domains of learning  Makes abstract concepts, concrete  Provides a means for everyone to learn

9. Evidence of the effectiveness of the arts in health interventions  Helps to manage pain and side effects  Reduces stress and anxiety  Helps coming to terms with distressing events  Increases well-being and self-esteem  Enhances patient /provider communication across social and ethnic groups Rosalia Staricoff 2004 www.artscouncil.org.uk

10. The quilt as the framework for my practice

11. The quilt as my framework of practice Each has a unique history, experiences, characteristics and relationships

12. The quilt as my framework of practice Diabetes: the patch that nobody asked for and nobody wants

13. The quilt as my framework of practice Diabetes in its place

14. The Power of the Story

15. “What could you possibly know? You don’t have diabetes!”

16. Conversation Maps TM Created by in collaboration with IDF and sponsored by Lilly

17. Conversation Map TM

19. Comic Relief and co-operation The nose &

20. Survivor

21. Diabetes: the meaning, the emotions, the work, the support…. What would you like to talk about today?

22. Hospital for Sick Children Annual Family Diabetes Day with Sherman and the Never Ready for Prime time Players The diabetes team

23. Art created by children in our clinic

25. High Ropes Learning Trust Building Self-Esteem

26. Bunny “therapy”… and hugs

27. Writing… Keeping a journal “The role of a writer is not to say what we all can say, but what we are unable to say”. ~Anaïs Nin

28. Music communication relaxation prevention

29. Key Messages  Diabetes care, education and support are inseparable  All diabetes health care professionals are diabetes educators  The relationship is critical to effective education  The use of creative arts and other novel approaches can make diabetes education more meaningful

30. More meaningful education can result in:  Better relationships  Improved communication  Better problem- solving  Improved self- efficacy  Improved QoL  Better coping with the stress and work of diabetes

31. More Meaningful Education Can Result in:  Better relationships  Improved communication  Better problem- solving  Improved self- efficacy  Improved QoL  Better coping with the stress and work of diabetes And hopefully, improved metabolic control