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DiabetesTogether Entry - Shelley Robbins

DiabetesTogether Entry - Shelley Robbins

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Published by Amy Tenderich

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Published by: Amy Tenderich on Jun 17, 2008
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The 2
Annual DiabetesMine™ Design Challenge
© 2008 Shelley R. Robbins, PhD June 2008 1
Coaching, learning, and support for success in daily living for People With Diabetes
The Problem:
People with Diabetes (PWD) are challenged to follow prescribed medical care and live well everyday of every year, for a lifetime (and long ones we hope). Services provided by doctors andCDE’s attend to the medical aspects of diabetes, which is fundamental, yet the rubber hits theroad when we are required to stay motivated, reduce stress, eat well, exercise, and engage inhealthful living. The shortage of Diabetes Educators, and hospital and health system diabetesservices which are limited to those with access and are mostly place-based, do not and cannotfulfill all our needs. Research has continually shown that structured support from others (peer coaching, group classes, individual coaching, etc) really works to improve health and happinessof PWD, but experiments have been on small scale and limited time basis, or focused onspecialized populations. The internet and online communities for PWD have been tremendous for sharing information and empowering patients. However, Web 2.0 is a public forum, and not allPWD’s want to go “public” with personal and private health needs and concerns.
The BOTTOM LINE: PWD need a private, scalable technology solution to providecoaching and support for successful daily living with Diabetes.
The Solution:
The solution to the problem is to provide coaching and peer support in a private web-basedsetting using e-leaning and e-coaching technology.
will provide PWD’swith services that support healthful daily living and are shown to be effective for supporting thebehavior changes required for success.
will:1. Provide private and individual motivational coaching via web and phone2. Build services based on philosophies of Positive Psychology (Seligman, 2002),Transtheoretical Model of Behavior Change (Prochaska, DiClemente,& Norcross (1992),and Strengths-based coaching, Self-efficacy and advocacy, that really work3. Enable facilitated eLearning and discussion to motivate PWD’s for success in daily living4. Provide education and training to enable PWD’s to become group leaders and peer coaches5. Provide the technology and support for PWD’s to build sustainable DiabetesSuccess™support groups.
helps PWD’s find options for daily living and answers to questions suchas:
What do other people in my situation do?
What are solutions that work?
What type of diet and healthy eating do others follow that have been successful?
How do I rearrange my life to develop the exercise program I need?
How do I keep going at this for the rest of my life?
What help do I need when I can’t do it alone?
How can I motivate myself to do this on an ongoing basis, for life?
How can I set achievable goals to change behaviors and create action plans to achievethose goals?
What do I need to do personally to motivate myself to change what I’m doing now?
The 2
Annual DiabetesMine™ Design Challenge Entry
© 2008 Shelley R. Robbins, PhD June 2008
The mission of 
is1) To use technology in a new way that enables and supports a healthy and successful lifefor diabetics by making diabetes PERSONAL. By combining synchronous andasynchronous e-learning technologies, DT enables advanced e-learning, individual andgroup coaching, peer coaching, peer-led success groups, and facilitator/coach training.2) To provide coaching and other services which are based on theories of PositivePsychology (Seligman, 2002), and Transtheoretical Model of Behavior Change(Prochaska, DiClemente,& Norcross (1992), Self-efficacy and advocacy, which can leadto the behavior changes we want and build resilience and strength.3) To make services available anytime/anywhere to help us through whatever situationslife throws at us, and to give us the skills to embrace diabetes using our strengths anddeveloping resilience.4) Think WeightWatchers® and PeerTrainer and Meetup.com for the diabetes community.PWD’s can attend groups in their communities that are led by trained facilitators. Theylearn skills to help them live successfully with diabetes in a supportive setting. Meetingsinclude the most up to date science-based information, nutrition, exercise, goal-setting,motivation tips, and other success-strategies. In between meetings, members can signup to work individually with coaches, or can link with peers to provide continued supportthrough social networks.
provides what the health system can’t do-- focus on a support-based,wellness model that supports PWD to achieve a healthy and happy life.NOTE: This program is not a substitute for medical care or basic diabetes education provided byhealth care systems and Certified Diabetes Educators. It is intended to enhance and support thesuccess of diabetics in daily life. It is a community-based model (real time and e-community) thatis not affiliated with a single health care system, and intended to support diabetics as an adjunctto the care of medical professionals.
How DiabetesTogether
solves everyday problems and improves life for PWD’sSusan, an adult T2,
has been to diabetes educators and nutritionists. She visits her Dr. regularlyand her A1c has been going up. She knows just what she is supposed to do, what she shouldeat, that she should test regularly, but she just doesn’t. She knows it time to do something, butwhere to start? She logs on to
and decides to sign up and register online for individual coaching. Prior to her session, she reviews the material in the resourcecenter, takes some surveys to help her determine what her strengths are, and considers whatgoals she wants to set with her coach. At the prearranged time, she and her coach talk on thephone, work together to set goals for healthy behaviors, and look at what’s getting in the way.She uses her strengths to help her be successful at daily living, gains more understanding of what trips her up, and feels confident she can do what she needs to. At subsequent sessions,Susan modifies her goals as she makes progress on existing ones. The coach is there to be her cheerleader and thinking partner.
Mike, a teen T1,
has just gotten a pump. His Dr. and CDE think he might want to connect withother teens with pumps. He logs in and signs up for a peer coach, who has received training incoaching via an online and telephone-based class. His peer-coach, Tony, is also a teen T1pumper, and he and Mike meet together in a private chat room, both real time andasynchronously. While Mike got the technical information on his pump from his CDE, Tony helpsMike learn what it’s really like to be pumping, and encourages Mike to ask lots of questions, anddirects him to some good online resources. Being part of the peer coaching process gives Mikethe confidence he needs, and he decides he wants to take part in peer coach training next year.
knows how to use email and surf the net, and has tried some online forums, but when itcomes to helping her manage her challenges in daily living, she likes the support of meeting with

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