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Ronaldo M. Toledo, M.D.

Diabetes Conversation Map: A New Diabetes Educational Tool

1. Diabetes Conversations Program
a. Organizations
b. Philosophy/Principles
2. Components of the Diabetes Conversations
3. How you can be a part of the program?

Diabetes Conversations Three Organizations

• A program which aims to seek out and
deliver innovative diabetes education
• It features the use of a highly visual and
interactive diabetes educational resource- The
Conversation Map Tools
• It was developed by Healthy Interactions Inc.
in collaboration with the International
Diabetes Federation and supported by Eli Lilly

Healthy Interactions Inc. Healthy Interactions Inc.

Vision Approach
“To enable 100 million meaningful “ Based on a fundamental belief that sustainable
conversations that lead to better health care personal change requires a meaningful, fact-
decisions and outcomes.” focused discussion of issues and a verbal
commitment to change”
Ronaldo M. Toledo, M.D.
Diabetes Conversation Map: A New Diabetes Educational Tool

International Diabetes Federation(IDF)

“ To promote diabetes care, prevention and
cure worldwide.”

Eli Lilly and Company Philosophy and Guiding Principles

“ At Lilly, our goal is nothing short of arresting the progression and
impact of diabetes for patients and across society. We recognized 3 Basic Principles
that therapy is an important component of effective diabetes
management, but we also believe that we must go beyond therapy
1. People want simple solutions to complex
to ultimately achieve success. By providing a unique, interactive way problems.
to increase a patient’s knowledge of diabetes, we believe that we 2. People will “tolerate” what health care
can provide patients with tools they need to successfully mange
their diabetes for life.” professionals have to say, but they ultimately
will act on their own conclusions
Dr Robert J. Heine, PhD, FRCP, Executive Medical Director 3. There is a tremendous power in speaking with
for Diabetes and Endocrine someone in the same situation as you.
Joachim Becker, Director International Marketing, Diabetes

Conversation Map Philosophy Conversations Are Critical


Conversation Map Passive

Tools 50%

Socratic Group

“We believe in facilitated small-group, discovery learning, combined with visual
learning principles. We believe these principles, integrated with a stimulating 10%
Socratic approach (questions that illicit dialogue and conclusions) are a
Read Hear See See & Hear Discuss
dramatically more effective technique to creating personal health engagement
(Graphically) With Others
than traditional didactic learning.”
- Healthy Interactions Knowles MS. The Adult Learner: A Neglected Species. Houston:
Gulf Publishing Company; 1990.

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Ronaldo M. Toledo, M.D.
Diabetes Conversation Map: A New Diabetes Educational Tool

Patient-Centred Model Healthcare Outcomes Continuum

Conversation Map™ tools are aligned with the patient-centred model

Medical-centred model Patient-centred model Immediate Intermediate Post-Intermediate Long Term

Compliance Autonomy Behaviour Clinical Improved

Adherence Patient participation Change* Improvement Health Status

Planning for patients Planning with patients

Knowledge Exercise Clinical Indicators Overall Health Status
• HbA1c Quality of Life
Behaviour change Empowerment Skills Diet
Taking medication • BP Days Lost From Work or
Monitoring • Lipids School
Passive patient Active patient Problem-solving Process Measures Diabetes Complications
• Eye exam Healthcare Costs
Reducing risk
Dependence Independence Healthy coping
• Foot exam
Other Measures
• Smoking cessation
Professional determines needs Patient defines needs • Aspirin use
• Pre-pregnancy
Skelton A. Evolution not revolution? The struggle for the recognition and Adopted from:Peeples M, Mulcahy K, Tomky D, Weav er T. The
development of patient education in the UK. Patient Educ Couns. 2001; conceptua l framework of the Na tiona l Diabetes Education Outcomes
44:23-27. System (NDEOS). Diabetes Educator. 2001;27:547-562.

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Six (6) Components of the Diabetes

1. Conversation Map Visuals
Conversation Map Experience
1. Conversation Map Visuals • The map is a 1.0 m x 1.5 m or about 3 ft. x 5ft.
2. Conversation Questions colorful picture
3. Conversation Fact/Information Cards • A “common mental model”
4. Group Participants and Interactions • Depicts several issues and the relationships
5. The Facilitator between these issues
6. Action Plan (Goal Setting) • Shows day to day life among people with
diabetes according to culture
• Images are metaphorical

Conversation Questions Examples of Conversation Questions

• Serve as focus for discussion by the group 1. How would you define diabetes?
• Prompt the participants to discuss a variety of 2. What did you feel when you were diagnosed
topics at various points throughout the to have diabetes?
session 3. Do you know about the specific benefits of
• Determine the pace and direction of the healthy eating when it comes to managing
group’s discussion your diabetes?
• Allow for situational problem solving 4. Does anyone know what are some of the
complications of diabetes?
Ronaldo M. Toledo, M.D.
Diabetes Conversation Map: A New Diabetes Educational Tool

3.Conversation Fact/Information Cards 4. Group Participants and Interactions

• Used to focus the group’s discussion on the • The diabetes conversation map tool is
realities of the issues being explored designed to be used in groups of 3-10 people
• Spark conversation among the members of • An open and trusting environment for
the group dialogue is present during the session
• Bring additional information and engagement • Thru the process of discussing facts with
to the sessions peers ( co-equal), people are able to change
• Have game-like feel and help engage what they believe to be true.
participants in the learning process

5. The Facilitator 6. Action Plan/Goal Setting

• Role is not like the typical lecturer or teacher • This provides the participants with a process
• He uses the materials (conversation by which they can plan changes in their
questions) to guide the group conversation decision-making and behaviors.
• Engages the participants in the process of • Output of the participant
exploration and learning
• Verbal commitment of the participant to
• He must create a non-threatening change
• He must make the session full of fun,
interactive, engaging, and full of learning
Ronaldo M. Toledo, M.D.
Diabetes Conversation Map: A New Diabetes Educational Tool


Join the Facilitators Training This Diabetes Conversation Map is an
• 6 Hours Training add-on to your existing programs or
• Basic Requirements
a new stand-alone curriculum to
1. Health Care Professional
2. Knowledgeable about Diabetes educate people with diabetes!
3. Direct Contact with people with diabetes
4. Can start implementing the program within a
month after training

Join us!
ADVANCE the Diabetes
Conversations Map