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1
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
4
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
5
6
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
7
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
9
Diabetes buddy
Peer Support Training Copenhagen 10
Course plan Peer-to-peer training
2018
Trainings
Handbook DevelopingTraining manual
Evaluation
End 2017 2019
Peer Support Training Copenhagen
Peer-to-peer training
11
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
Peer Support Training Copenhagen 12
- 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
Peer Support Training Copenhagen
Lessons learned:
13
- 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
Peer Support Training Copenhagen 14
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
17
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
18
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?
19
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
20
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
21
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
22
– 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.
23
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
24
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
25