In 2012, the Ida Institute launched a new training program to expand the global reach and impact of our tools and methods. The Train the Trainer seminars prepare people to create and deliver their own training programs on the Ida Motivation Tools: the Line, the Box, and the Circle.
Alex Griffiths-Brown from Shrewsbury and Telford Hospital in Shropshire, United Kingdom, participated in our first Train the Trainer seminar. After attending, she went back to her clinic and developed a one-day training day on the Ida Motivation Tools for the audiology staff with colleague Marsha Addison. Alex and Marsha collaborated to create an exciting poster about their Rehabilitation Training Day. The poster was presented at the British Academy of Audiology (BAA) Conference in November, 2012.
We would like to present their poster below as inspiration on how you too can create an Ida workshop in your clinic and educate colleagues about how to use the Ida tools in their daily practice.
You can download the poster by clicking here. We would also like to thank Alex and Marsha for allowing us to share the content of their poster below.
Using a Rehabilitation Training Day to Teach and Implement the Use of the Ida Institute's Motivational Tools into Everyday Clinical Practice
Marsha Addison and Alex Griffiths-Brown
Introduction
In Spring 2012 Shrewsbury and Telford Hospital NHS Trust Audiology departments decided to implement the use of the Ida Institute’s Motivation Tools into everyday clinical practice with the hopes of increasing the emphasis on adult rehabilitation and patient centered practice. A training day was planned to introduce the motivational tools to staff.
The reasons for implementing ‘The Line’ tool specifically are outlined below:
- It can help to start a directed dialogue with patient
- Encourages patient self reflection
- Enables the audiologist to explore any ambiguity in patient responses
- Encourages shared ownership between audiologist and patient
- Helps to identify the need for change
- Establishes a goal (hearing better) and how motivated a patient is towards the solution (hearing aid/communication tactics etc)
- Promotes conversation between audiologist and patient
Methods
A rehabilitation training day was planned for all staff over two days. Staff were carefully organized into two groups, taking into account different perceived personality types. Staff who were historically resistant or worried about change were drip-fed information about the Ida motivation tools in the week leading up to the training. We used positive wording and language during the presentation and handouts to ensure that it gave a positive focus. Various learning styles were used throughout the day. Real life patients were booked at the end of the training day to be seen in pairs by staff.
Outline of the Training Day
- Purpose of Day - Icebreaker
- 'What does rehabilitation mean to you?' Discussions
- Theory - Introduce 'The Circle' with videos from the Ida Institute website
- The challenge of change - not always easy or natural
- Theory - Introduce 'The Line' with videos from the Ida Institute website
- Role play & Reflection - Observer/Audiologist/Patient
- Group discussion about role play
- Appointment with patient in pairs. Each audiologist sees one patient
- Personal reflection
- Discussion as a group
Feedback Questionnaire
At the end of each day, we used a feedback questionnaire. We included the Line at the end of the questionnaire to allow staff to mark how useful they felt the day had been.
The comments and the results from The Line were positive with a majority of staff scoring the day between 7 and 10.
Outcomes from Training Day Implemented
- We allowed ourselves a time during the day where staff could individually come and talk through their ideas about The Line and how we could change practice
- The GHABP (NHS Questionnaire) is now sent out as a postal questionnaire with the appointment letter – the aim is that clinicians will have more time within the appointment for other rehabilitation
- Inclusion of The Line within the patients individual management plan (IMP)
Results
The Line was being carried out and documented within the patients’ Individual Management Plan 60% of the time, one month after the training.
Conclusions
The training day was well received by all staff and excellent feedback was received. We feel the day was successful because:
- Staff who had demonstrated resistance to change in the past were perceived by others to be more receptive to the new ideas than on previous occasions. We feel this was because of the planning we put in place before the training day, giving brief information on discussion points so that they could reflect on the subject before the event.
- How we delivered the training - using a variety of teaching tools as mentioned above.
- Everyone was given notepads throughout the day to write comments which led onto a question and answer session as a whole group.
- The use of group role play and the paired appointments at the end of the day. Staff found that The Line gave the patient the opportunity to discuss in depth, often unmentioned concerns surrounding their management. It encouraged the audiologists to delve deeper into the patient's concerns and feelings instead of focusing on a pre-defined agenda.
- The training day resulted in procedural changes, which staff felt they had been involved with and influenced. As a team we decided to use 'The Line' as a basis for rehabilitation and counselling and the GHABP as our outcome measure. We also developed our Individual Management Plans to include a prompt for the patient's Line score and reason.
- The audit that was done a month after the training showed 60% of staff using The Line within the appointments. Suggested reasons for 60% low uptake were:
- Time constraints
- Resistance to change
- Lack of follow up or support
- Changes to procedure (GHABP being sent in the post prior to appointments) not had impact yet