Enhancing Education Delivery An Evaluation of the Client Education Sessions and Print Materials at GF Strong Disclosure • No involvement with any commercial interests and unable to identify any potential conflict of interest What is the efficacy of in-patient education at GF Strong Rehab Centre in supporting selfmanagement skills for clients with Spinal Cord Injury? How do clients say they learn?? AIM • To evaluate the twice weekly client education sessions and supporting print materials that are provided to clients with Spinal Cord Injury at GF Strong Rehab Centre to determine effectiveness and identify area’s for improvement SESSION TITLE PRESENTER Understanding Spinal Cord Injury Physiatrist Understanding SCI complications Physiatrist Skin Care Occupational Therapist Bladder Management Nurse Bowel Management Nurse Pain Management Physiotherapist Driver’s Rehabilitation Driver Rehab Specialist Recreation Therapy/Peer experiences Recreation therapist/Peers Care options post discharge Social Worker Preparing for discharge Social Worker Complications of alcohol & drugs Drug and Alcohol counsellor Nutrition & Healthy Eating Dietician Posture & Positioning Occupational Therapist Shoulder Management Physiotherapist Stress Management Social Worker Maintaining Healthy Relationships Social Worker SCI-BC peer program SCI-BC peer Housing Social work assistant GFS Spinal Cord Program Client Education October Education 12:45 – 1:45 pm in Room 250 Mon 3 Tuesday 4 Wed 5 Thursday 6 Pain Management 10 13 18 19 Understanding SCI 24 25 20 21 Bowel Management 26 Bladder Management 14 Ask a Peer Healthy Eating 17 7 Housing 101 12 11 Fri 27 Preventing Shoulder Pain Clients and family members welcome! Any questions? Please ask Karen A. in room 239 28 What we did • Methodology involved a focus group with inpatients, a focus group with outpatients and telephone interviews with clients living outside the Lower Mainland What we found out • Eight themes emerged from our results: Peers Peers and more Peers!!! Pic of Walt & Brad 2. Group discussion is KEY • Learning occurs best when educational material is discussed in a group format • “Sessions are like group therapy” 3. Variety of Teaching Techniques • Sessions are more powerful when demonstrations, visual aids, problem solving and case examples are used • “The presenter shouldn’t just sit there and read the slides” 4. Optional attendance but Mandatory learning • The material that is presented in the education sessions is vital for learning how to manage living with a SCI • “I wish I had attended more sessions while I was at GF Strong” 5. Take Control • Participants reported that the sessions consistently gave the message that clients must take control of their own care • “You’re your own best advocate” 6. Laying the foundation for Self-management • Attending education sessions helps provide the knowledge, skills & confidence to begin to self-manage • “The sessions open your eyes, helps you get through, makes you aware of your new body and its demands” 7. Need for session summaries • Summary of key points discussed during each presentation should be given at the end of each session 8. Print vs. online information • The SCI manual that is given to each inpatient is a useful resource for clients, families, friends & future care providers. It is a reliable, easily accessed resource. Enhancing Education Lessons Learned • Less dependence on PowerPoint • Implement more problem-solving & group discussion • Expand peer support, including “virtual” peers e.g. SCI-U & facingdisability.com Enhancing Education Lessons Learned • Refine written information & provide guidance for accessing reliable on-line resources • Support clinicians to develop a deeper understanding of the self-management paradigm Overall impact • Importance of obtaining the patients’ voice • Quality Improvement versus Research – publication challenges • Future Plans: Knowledge Translation project on Self-management support Questions??