MCH Curricula: Strategies for Developing Materials_Hanold_5.11.11

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