peer support training design and...

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PEER SUPPORT TRAINING

DESIGN AND PRACTICE

Network teleconference

4 April 2018

Presenters:

Patrick McGowan, University of Victoria, Vancouver

Maiken Bejerholm, Center for Diabetes, Copenhagen

Rachelle Khalaf, Kelsey-Seybold Clinic, Houston

Sandra Rose, Community Health Choice, Houston

Facilitator: Ed Fisher, UNC Peers for Progress

1. Introduction to the network session

(Bo Wesley, Cities Changing Diabetes + Ed Fisher, UNC Peers for Progress)

2. Mutual introductions by participants (All)

3. Vancouver case (Patrick McGowan, University of Victoria)

4. Copenhagen case (Maiken Bejerholm, Center for Diabetes)

5. Houston case (Rachelle Khalaf, Kelsey-Seybold + Sandra Rose, Community

Health Choice)

6. Perspectives on today’s conversation (Ed Fisher)

7. Next steps, new topics for 2018 (All)

Agenda

2

Coach Recruitment

ProcessStrategies & Techniques

Ongoing Support

Diabetes Telephone Health Coach Program

3

1. About the Diabetes Coach Handbook

2. Coach role in helping participants manage diabetes

3. Contacting your participant

4. What factors influence people to make change?

5. Communication skills for coaches

6. Common coaching challenges

7. How coaches can suggest ways for participants to involve family members

8. Self-care for coaches

9. Role playing

10.Essential elements of self-management support

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Day One

Coach Role Description and ethics/guidelines

Introduction Essential Elements of

Self-Management Support

Role Play

Day Two

“On the Road to Diabetes Health: An Information Book” –Fraser HealthDelivered by Diabetes Educator

Day Three

Communication Skills Contacting your

Participant Common Coaching

Challenges Emergency Situation

& Personal Safety

TRAINING AGENDA

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Peer Support Training Design and PracticeCopenhagen

Maiken BejerholmProject Manager, Centre for Diabetes Copenhagen/Danish Diabetes Association

Stine Øien DandanellResearch Assistant, Copenhagen University

Peer Support Training Copenhagen

Municipality

Hospitals

General practitioner

Local activities

Relatives

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Diabetes buddy

Peer Support Training Copenhagen 10

Course plan Peer-to-peer training

2018

Trainings

Handbook DevelopingTraining manual

Evaluation

End 2017 2019


Peer-to-peer training

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Day 1 Day 2

Welcome and introduction Handling another persons diabetes

Understanding social inequility Support person: legal framework and preparation

Peer-support in general Ethics and managing expectations

Framework and humanity in practice Playing with dilemmas

Active listening Activities you can do together

A story from a diabetes-buddy Evaluation and Goodbye


- 3 two-day trainings, new buddies

- 22 persons- 1 Network meeting

Planned 2018: - 2 Peer-supervision- 5 network meetings- 2 new two-day

trainings, new buddies


Lessons learned:

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- Around 10 participants- Two days in a row- Balance between theory and practice- Show an example. Meet a diabetes buddy- Start out with a case and use it thoughout the course- The training as a treat (good food, surroundings, warm

welcome by director)- Important to create a network between the participants


Target Population

Activities OutputOutcome

short termOutcomelong term

Recruitment of

Mentors and

mentees

Peer-training

Matching

Mentoring (6

months period)

Peer-

supervision and

networking

1st group

Vulnerable

citizens with

T2DM

Mentees:

Support as

needed

Rehabilitation

Support and

guidance to

Achieve the

desired

treatment goals

Empowerment

Better control of

T2DM

Strengthened

health literacy

Increased self-

management

Increased well-

being and

quality of life

Strengthened

social relations

Reduction of

morbidity and

mortality

Reduction in

social inequality

in the

consequences

of T2DM

2nd group

Mentors with

T2DM

CCD Peer Support Network Teleconference April 4, 2018

Sandy Rose, Community Health Choice

Rachelle Khalaf, The Kelsey-Seybold Clinic

Person

with

Diabetes

Houston CCD – Linkages Among Resources

Collaborating

Organizations

Clinical

Resources

Diabetes

Education,

Support

Diverse Peer

Support:Facebook and Group-Based

Houston Diabetes Resource Center:

Website, Navigators, Diverse Resources16

Who: Multiple Stakeholders and Sectors Engaged

Insu

ran

ce

Ho

use

s o

f Fa

ith

an

d

No

np

rofi

ts

Emp

loye

rs

He

alth

care

Pro

vid

ersThe Kelsey-

Seybold Clinic

Houston Methodist

Memorial Hermann

McGovern Med School at UTH Dept of OB/GYN

Assurance Consolidated Pharmacy

Community Care Management Partners in Health, PLLC

City of Houston Diabetes Awareness and Wellness Network (DAWN)

The Fountain of Praise

Northwest Assistance Ministries

Core Initiative

Community Health Choice

United Health Care Chevron

City of Houston

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Houston Process • December 2016 – Summer

2017 PfP workshops to kick off Action Work Group(AWG) process

• August 2017 AWG comprised of the multiple stakeholders and sectors developed strategic plan for implementing Peer Support in Houston

• November 2017 Launch of Facebook Group

• January 2018 Launch of In-person Group

• March 2018 Training Workshop to train people beyond the AWG and get other organizations interested in PS

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Houston Peer Support Training

Facebook Support

Group

In-person Support

Group (Open sharing and 15+

Educational Modules to

supplement the educational

portion of the meeting)

Peer Support Programs

Being Developed from

stakeholders groups

Other: (Patient Education

Classes, Monthly Public

Information, Community

Activities)

General Peer

Support Training

Every 3-4 months

Peer Supporter

Networking &

Exchange

Approx every 6

months

• Peer supporter

exchange

• New information,

updates

• Q&A with experts

Ongoing Programs

Now with peer supporters

• Helping lead meetings

• Providing individual follow-up

• Leading activities, e.g.,

walking groups or community

resources like gardens,

walking paths

Peer Support Programs

Being Developed

Development facilitated by not

having to arrange training

Volunteers

to Training

Volunteers

from

Training

Collaborating

Organizations

Training

Hub

Houston Diabetes

Peer Support Network

Possible Schedule

March June September November

Training TrainingPeer Support Networking

and ExchangeTraining?

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The Process to Build

Houston Diabetes Peer Support Network

Houston PS Field Guide

•How to manual

• Suggested steps for implementation

• Suggested PS topics

Peer Supporter Training and

Technical Assistance

•Attracts new peer supporters as well as organizations

•Provides them knowledge to further customize how they implement in their community

Houston Diabetes PS Network

•Multi-sector rollout of PS

•Different settings, different formats

•But based on the same guiding principles

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Meeting Flow: 90 Minutes

MINS CONTENT

5 Sign in, welcome, Confidentiality document, review of ground rules

5 Recite the group mantra. Offer overview of the session

45 Organized open sharing

30 Educational topic including handouts

5 Evaluation; review of resources including Facebook virtual group and DAWN center. Dismissal

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Connecting with your provider

How is my body doing

Healthy eating Medications

Grocery shopping and meal planning

Emotions and stress

Complications of diabetes

Exercise and physical activity

Problem Solving

Eating out and holidays

Dining outVacations and other travel

Educational Modules

Presentation title Date 22

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– Members interacting more

with each other in addition

to multiple moderator

contributions instead of

only educational posts.

– Anecdotal humor

Why Consider Virtual Model via Facebook

Presentation title Date 23

• Provides support in an anonymous and non-judgmental way

• Low-cost and convenient

• Can include real-time discussion or reading and responding to

messages when it is convenient to the users.

• Peers or professionals can be involved in the communication.

• Complements face-to-face PS group

• Currently have 62 members and growing weekly.

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Format for

Virtual Group

Date 24

• Launch November 2017

• Open to all residents in Greater Houston

• Age requirement 18 and older with a diagnosis of prediabetes or diabetes

• Closed group makes it easier to monitor and increases accountability among participants.

• Closed groups also allow safe place for participants to share their experiences.

• Action Work Group members comprise and moderate the administration team on Facebook

• Moderators also include healthcare providers with diabetes expertise

• Currently there is plenty of daily activity with an excellent mix of member and moderator contributions

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Vanguard Training (22-23 March)

Day 1

Welcome and Introductions

Diabetes Self-Management Basics(Taught by Certified Diabetes Educator/Nutritionist)

Overview of Peer Support

Program Examples & Guiding

Principles of Peer Support

Communication 101

Roles of Peer Supporter

Day 2

Assisting Self-Care Behaviors

Providing Emotional Support

Local ResourcesHouston Diabetes Resource Center, Houston Pilot

Program, Houston Facebook Group

Breakout Sessions:

For Managers: Developing a Peer Support Program;

Quality Improvement

For Peer Leaders: Role Playing Key Skills

Wrap-Up and Next Steps

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peer support training design and...

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