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Dialogue Learning
Engaging Learners,
Changing Lives
• Settings
• Healthy Behavior
Change
• Dialogue Learning
Methods
• Putting Theory Into
Practice
Apply Dialogue Learning strategies in a variety of settings:
Clinical practice Hospital Outpatient Clinic Food Service Staff
Training Nutrition
Counseling
Community Settings Health Department Community Action
Agency Parent Group Office on Aging WIC Clinic Nursing Home
Settings
Adult Education Methodologies
Focus on Behavior Change
Learn by Doing
Make Connections
Encourage Interaction
Meet Participants Where They
Are
• Stage of change
• What is motivating
Behavior Change
Awareness of Need
Knowledge
WillingnessMotivationAccessResources
Time
Support
Fear
Behavior Change
Key Philosophy
The learner is the decision-maker.
Learners choose if they learn and if they will change their behavior.
The learning is in the doing and in the deciding.
Keys to Success
Observe each participant’s “stage of change”
Find out what “motivates” each person
Provide essential informationProvide information/skills necessary
to foster behavior changeEncourage information exchange
among participants
Dialogue Learning a conversation which engages learners to take an active role in learning.
Discussion Exchange of ideas Hands-on activities Reflection and application of new
information Behavior change
Central Principles of Dialogue Learning
Motivational Interviewing
Lesson Environment Setting the stage for learning
Planning and Preparation
Respect time Welcome Bright colors and visual
resource materials Nametags Arrange chairs in circle Pens and paper
Body Language
Eye contact Smile Posture, gestures,
and proximity to learners
Make the lesson accessible
Meet learners on the same physical level
Central Principles of Dialogue Learning
4 A’s of Dialogue Learning
Central Principles of Dialogue Learning
Central Principles of Dialogue Learning
Anchor – warm-up activityAdd – information you want to shareApply – engage in application of the lesson Away – consider ways to use information presented, set goals, consider behavior change.
Anchor Warm Up Activity
Central Principles of Dialogue Learning
Corresponds to the lessonTimed activityWork in pairs or small groups. Ask for a sampling of a few
responsesMake personal meaning out of
lesson topic right from the start. Set the stage for learning.
Add
Central Principles of Dialogue Learning
Teach so learners can apply information to their daily life.
Make information accessible to all learners, Written and oral instructions pictures tangible learning resources
Minimize concepts and handout materials.
Avoid information overload!
Apply – Push and Pull
Central Principles of Dialogue Learning
Balance “push” (delivering information) and “pull” (receiving information)
Voice by choice! Create a safe learning environment.Stay true to lesson structure. Ask “open-ended questions” relevant,
but not too personal.
Remember the 4 A’s: ANCHOR, ADD, APPLY, AWAY.
Away-Closing
Central Principles of Dialogue Learning
Ask, what are your questions?Wait 5 seconds for responses, maintain
eye contact.Be an active listener.Thank learners with affirmations. Weave comments and questions
together, summarize and review lesson.Reiterate and reinforce essential
messages.Empower learners to set goals,
incorporate healthy behaviors into their daily routine.
Open-ended Questions
Putting Theory Into Practice
Problem solve and apply information
Contribute thoughts and ideasReach beyond yes or noFoster trust Share without fear
Let’s Consider Some Examples
Open and closed questions, can you identify each type?
Putting Theory Into Practice
1. Which of these foods contains whole grains?2. What surprised you about the ingredients
listed on this box of cereal?
3. Do you eat meals together as a family?4. Can you share some ways in which everyone
can help to prepare and enjoy family meals together?
5. Is soy milk a dairy food?6. What are some creative ways to cook with soy
or almond milk that your family might like?
AffirmationsEveryone deserves to be heard!
Putting Theory Into Practice
Acknowledges learners are vital to the learning process
Helps establish rapport.Engages learnersProvides personal and diverse
perspectives
Great care must be taken on the part of the educator when responding to learners
with an appropriate affirmation.
Affirmations Continued Let’s take a closer look at questions or
responses you might receive from a participant:
Putting Theory Into Practice
1. A relevant question which applies to the whole group
2. Comment which contains inaccurate nutrition or medical information
3. Question or comment which does not relate to the lesson
4. Response which summarizes the concepts of the lesson
5. Concern about personal dietary restrictions6. Question about a child’s health, wellness, or
diet7. Comment about success with the latest diet
trend8. Inquiry for additional resource information on a
related topic
Identify Derailing Questions & Responses
Putting Theory Into Practice
Listen to the following questions and statements. Can you identify the ones which just might throw
the learning and the lesson off track?
Identify Derailing Questions & Responses
Putting Theory Into Practice
1.Are canned vegetables less healthy than fresh ones?
2.How can I make my EBT benefits go farther to buy healthy foods?
3. I don’t buy low-fat milk, it tastes awful!4. I am a diabetic, how much diet soda can I
drink each day?5.No one in my family likes vegetables.
They wouldn’t like this recipe.6.How can I make sure the bread I buy is
made with whole grains?
Affirmations ContinuedHow can we effectively respond to learners?
Putting Theory Into Practice
Engage participants Weave responses into lesson content Empower learners to apply information Avoid giving more praise for one response
over another
Affirmations generally fall into 3 categories: • Acknowledgement or Reinforcement • Contrary or Negative Point of View• Misinformation
3 Types of Affirmations
Putting Theory Into Practice
Acknowledgement or Reinforcement
Contrary or Negative Point of View
Misinformation
That is so interesting…(Acknowledgement)
That is something I had not thought of before…
I am not sure I understand your thinking. Our emphasis today is…
Your idea relates to our lesson topic…(Reinforcement)
Thanks you for sharing your different perspective…
I had been thinking about it differently, but I appreciate your input.
So you are saying…(Reinforcement)
I appreciate you sharing your idea because…
Let me check my understanding, did I hear you say…
This idea supports the lesson topic we are talking about today(Reinforcement)
I hear what you are saying, can you share how it relates to our topic?
I am not certain we are talking about the same thing. Let’s briefly review the concept again.
Thank you for your question, it is one best answered by your health care practitioner. (Acknowledgement)
Thank you for questioning this perspective…
That doesn’t fit my experience, but it is most interesting.
Let’s Consider…In what ways can you use Dialogue Learning in your work?
Share one take away from this training which encourages client/participant behavior change.
What are your questions?
Putting Theory Into Practice
Dialogue Learning
Engaging Learners,
Changing Lives
Thank you for your participation today!
Lynn Rubin
410.715.6903
If you have any questions about
today’s presentation, feel
free to contact me.
