How to Ensure Counseling is NOT a Mini-Lecture_Janine Schooley_5.6.14

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How to Ensure Counseling is NOT a Mini-Lecture_Janine Schooley_5.6.14

  1. 1. The Role of Negotiation in Counseling: Borrowing from TIPS (Trials of Improved Practices) CORE Spring Meeting May 2014 Janine Schooley, MPH
  2. 2. TIPS  A participatory, asset- based approach  Based on concept of “test marketting”  Negotiation and experimentation leading to practical, feasible recommendations for behavior change  Motivators and barriers are key to those recommendations working
  3. 3.  Program participants try out a new practice during a trial period to assess its feasibility within the culture/situation  Has been used in many countries, primarily for improving feeding of young children  Both research and implementation
  4. 4.  TIPS indicate both what behaviors should be included and not included in the program and how best to promote them  Certain behaviors that are impossible to predict precisely (such as childbirth) or which take a long time (child immunization series) are a challenge to test with TIPS
  5. 5. TIPS is:  Formative research  Empowering to the client/patient  Can provide field workers with much needed practice in counseling and negotiation skills  Really 2 kinds of TIPS: negotiation TIPS and learning TIPS
  6. 6. TIPS leads to a better understanding of:  Current practices -- Helpful? Harmful? Don’t know? Among what group?  Problem (s)  Beliefs, practices, and influences – Potential motivators – Constraints  Recommendations  This then becomes the foundation of counseling guidelines, behavior change strategies, etc.
  7. 7. TIPS helps us pinpoint and articulate:  Behaviors that are both feasible and efficacious  Behaviors that the project should NOT promote  Motivations and barriers  Level of change expected  Level of health and nutrition impact expected
  8. 8. TIPS Steps: Field Work over 2-3 visits (assessment, interviews, observation) Negotiation (feedback, solutions, suggestions, discussion, agreement, evaluation) Analysis (quantitative, qualitative, influencers, barriers, what was easy/hard, how did they overcome barriers, perceived benefits, intentions to continue? Etc.)
  9. 9. Negotiation Process  Introduce problem  Recommendations by the mother  Recommendations by the field staff  Motivators and encouragement  Mother’s response and compromise  Mother will try…  Result?  Reasons?  Will continue practice?  If not, why not?
  10. 10. So, what can we learn from TIPS and how can we apply that learning more broadly?

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