mch curricula: strategies for developing materials_hanold_5.11.11
TRANSCRIPT
Facilitation Cues for Effective BCC
Mitzi Hanold, MPHFood for the HungryTraining and Curriculum Specialist
The Need Health / Ag Program Review
O Technical Messages are repeated and known but have not led to change.
O Root causes not addressed (beliefs, attitudes and current behaviors).
O No verification / understanding of messages
O Too many messages are given at once
O Not presenting information in logical manner
Action StepsOHiring staff to devote to materials.ODevelopment of standard guides
for all trainers including the following:O Integration of behavior change theoryO Integration of formative researchO Integration of non-formal participatory
methods:
Beginnings ~ Facilitation Cues
O FH begins using APSIRE (2008)O Ask about current practices O Show / introduce the new skills and
practicesO Probe about barriers to the new practicesO Inform participants of ways to overcome
these barriers O Request a verbal commitment in front of
othersO Examine previous commitments.
O Small icons are used to remind low literate trainers of each step.
Research behind ASPIRE
OAsk about Current BehaviorsO Baseline / Needs Assessment (LRNA)O Building on Knowledge and Experience of
the participants (Adult Learning Theory)
OSharing Key MessagesO Including verbal as well as activities O 20/40/80 Rule Adult Learning Theory
Research behind ASPIREO Probing for barriers and helping them to
overcome these barriersO Helping them at the current stage of change
(Prochaske and DiClemente’s)O Motivational Interviewing techniques of
rolling with resistance – reframing
O Requesting small, doable actions (commitments) and following up on previous commitmentsO Principles of Persuasion: Commitment and
ConsistencyO Small success lead to increased self efficacyO Builds accountability
Cues for Action (1)
Ask about current behaviors Share the meaning of each picture
Cues for Action (2)
Discuss Barriers Request a Commitment
Cues for Action (Flipchart)
Cues for Action (Lesson Plan)
Adaptation of Cues
OKey words to short phrases
ORemove “ASPIRE” from all materials.
OCombine similar steps to simplify
OPlan for regular refresher trainings
1. Ask about Current Behaviors
2. Explain Meaning of Each Picture
3. Discuss Barriers
4. Request Commitments
QIVC – Checks and Balances
OAdding facilitation cues to the supervision tool.O Did the facilitator ask about
current behaviors?O Did the facilitator explain the
meaning of each picture correctly?O Did the facilitator ask the women
about barriers to the new behaviors?
Take Away Message
ODon’t assume visual aids are “enough”
OProvide guidance documents to help facilitators facilitate change
OAdd a system of checks and balances
Resources:
OVisit the care group website for more information:O care groupsO FH materialsO to access QIVC s
Ohttp://www.caregroupinfo.orgO http
://www.caregroupinfo.org/docs/QIVC_Files.zip