SlideShare a Scribd company logo
1 of 40
Return on Education™—Leveraging Patient Education to Improve Treatment Outcomes Susan LaRue, RD,CDE, Clinical Education Specialist, Medical Relations and Information, Amylin Pharmaceuticals, Inc Susan Eno Collins, RD, CHES, SVP, Health Education, HealthEd; Community Leader, SurroundHealth.net
Give us the next 30 minutes and we will… Give you an introduction to Return on Education™—a framework you can use to develop effective programs   Show you a case study where we incorporated the framework Share the positive results we got Hopefully, answer your questions 6/21/2011 2
Return on EducationTM: Starts with a behavior-based approach for developing programs 3 Program Development and  Refinement Post (After Program Launch) Pre (In Planning) During (In Development) Uncover Insights Choose Behavior Model Develop Objectives Capture and Analyze Results  Launch
Education Impact Desired Action  And includes a Return on EducationTMframeworkfor evaluating the outcomes of the program  6/21/2011 4 Program/Business Impact Customized based on program objectives Examples include Screening/diagnosis Talking with HCP Fill initial Rx Take Rx as prescribed Conversion Use of device Persuasion  (“This is important to me”) + Clarity (“I understand and can apply what I am learning”) + Insight-driven content (“This relates to me and my life”) + Reaction to tactic/program (“This has been worth it.  I have learned something new.”) Program Engagement Reach Frequency Business Length on therapy Increased sales Rep access Health Outcomes Symptom alleviation HEDIS measurement Function Clinical measures
Case study: Effects of Patient Education Support Program on Pramlintide Adherence
Acknowledgement 6/21/2011 6 ,[object Object]
Lorenzi GM, LaRue SM, Collins SE. Effects of a patient support program on pramlintide adherence. Clin Diabetes. 2011;29(1):17-24.
We wish to thank the lead author, Gayle Lorenzi, RN, CDE, University of California at San Diego, for her expertise and contributions,[object Object]
The numbers shed light on the product’s challenges 3 Patients taking pramlintide at meal times may already be taking 4 shots of insulin a day Pramlintide becomes 3 additional shots to integrate into a daily routine 50%1 Adherence to medicines across multiple chronic conditions, including diabetes 50% in 2 months2 About 50% of patients starting pramlintide discontinued therapy within 2 months 6/21/2011 8 Sources:  1. World Health Organization: Adherence to long-term therapies: evidence for action. Geneva, World Health Organization, 2003.  2. Data on file. San Diego, CA., Amylin Pharmaceuticals, Inc.
Why did patients stop treatment?  Their answers revealed a need 6/21/2011 9 Lack of effectiveness (volunteered) Dosing regimen too complicated Did not lose weight Too expensive Side effects (volunteered) Additional injections required Potentially 57% of reasons for discontinuation can be addressed with additional education/realistic expectations Source:  Adapted from Lorenzi GM, LaRue SM, Collins SE. Effects of a patient support program on pramlintide adherence. Clin Diabetes. 2011;29(1):17-24.
To develop our program, we started with the Return on EducationTMapproach 10 Program Development and  Refinement Post (After Program Launch) Pre (In Planning) During (In Development) Uncover Insights Choose Behavior Model Develop Objectives Capture and Analyze Results  Launch
Program objectives were based on behavior-change principles Set realistic expectations at the beginning of treatment Build problem-solving and communication skills Increase sense of self-efficacy (“I can do this”) 6/21/2011 11
Trying to take a walk in patients’ shoes (uncovering insights) 6/21/2011 12 Starting Pramlintide Therapy Maintaining Pramlintide Therapy ,[object Object]
Realistic expectations
Hope for improvement
Adjustment period/need for flexibility
Insulin/appetite changes
Weight loss
Improved glucose levels, fewer fluctuations
Improved AIC
Perceived benefits of therapy
Increased sense of control of diabetes
Weight loss
Less insulinMotivators Motivators ,[object Object]
Side effects
Therapy disappointment
Impact of changes on family dynamics
Suboptimal dosing; fewer benefits realized
Life demands
Lack of healthcare provider support and education
Frustration: different routine and considerations
Unanticipated hyperglycemia
Injection burden and treatment complexity
Unexpected side effectsBarriers Barriers
Behavior models provide a blueprint for program design  6/21/2011 13 Program designed using Social Cognitive Theory
Designed for clarity by integrating health literacy principles  6/21/2011 14 “I have challenges accessing, understanding, and using health information “ “One out of 3 Americans have basic or below basic                           health literacy skills” Source:  National Center for Education Statistics.  The Health Literacy of America’s Adults: Results from the 2003 National Assessment of Adult Literacy. (NCES 2006-483). http://nces.ed.gov/pubsearch/pubsinfo.asp?pubid=2006483.
Applying the Return on EducationTMapproach to develop the program 15 Program Development and  Refinement Post (After Program Launch) Pre (In Planning) During (In Development) Uncover Insights Choose Behavior Model Develop Objectives Capture and Analyze Results  Launch
Starting Pramlintide Therapy Maintaining Pramlintide Therapy Starting Pramlintide Therapy Maintaining Pramlintide Therapy ,[object Object]
Realistic expectations
Hope for improvement

More Related Content

What's hot

Cl 1 anderson lamer
Cl 1 anderson lamerCl 1 anderson lamer
Cl 1 anderson lamerOPUNITE
 
Community providers presentation__june_16,_2010 non profit
Community providers presentation__june_16,_2010 non profitCommunity providers presentation__june_16,_2010 non profit
Community providers presentation__june_16,_2010 non profitDirect Healthcare Access II
 
Motivational Interviewing Australia
Motivational Interviewing AustraliaMotivational Interviewing Australia
Motivational Interviewing AustraliaTad Gorske, Ph.D.
 
Bia Conference Ppt 2007 Version 4 3 07
Bia Conference Ppt 2007 Version 4 3 07Bia Conference Ppt 2007 Version 4 3 07
Bia Conference Ppt 2007 Version 4 3 07annebarnwell5525
 
Three Approaches to Workplace Alcohol, Drug, and Rx Prevention: 20 Years of R...
Three Approaches to Workplace Alcohol, Drug, and Rx Prevention: 20 Years of R...Three Approaches to Workplace Alcohol, Drug, and Rx Prevention: 20 Years of R...
Three Approaches to Workplace Alcohol, Drug, and Rx Prevention: 20 Years of R...Joel Bennett
 
Liz Mullinar & Tanya Fox presentation
Liz Mullinar & Tanya Fox presentationLiz Mullinar & Tanya Fox presentation
Liz Mullinar & Tanya Fox presentationmhcc
 
PSI Early Graduate Group 2017 CRT Presentation
PSI Early Graduate Group 2017 CRT PresentationPSI Early Graduate Group 2017 CRT Presentation
PSI Early Graduate Group 2017 CRT PresentationNiamh Daly Ryan
 
Supported self-management or left to get on with it? Current evidence and imp...
Supported self-management or left to get on with it? Current evidence and imp...Supported self-management or left to get on with it? Current evidence and imp...
Supported self-management or left to get on with it? Current evidence and imp...MS Trust
 
Engaging your patients & community in healthcare reform efforts
Engaging your patients & community in healthcare reform effortsEngaging your patients & community in healthcare reform efforts
Engaging your patients & community in healthcare reform effortsRenown Health
 
Impact of Patient-Centered Narrative Interviews on Primary Care Providers
Impact of Patient-Centered Narrative Interviews on Primary Care ProvidersImpact of Patient-Centered Narrative Interviews on Primary Care Providers
Impact of Patient-Centered Narrative Interviews on Primary Care ProvidersMichael Terry
 
Deterioration in Psychotherapy: A Summary of Research by Jorgen Flor
Deterioration in Psychotherapy: A Summary of Research by Jorgen FlorDeterioration in Psychotherapy: A Summary of Research by Jorgen Flor
Deterioration in Psychotherapy: A Summary of Research by Jorgen FlorScott Miller
 
The need for empirically supported psychology training standards (psychothera...
The need for empirically supported psychology training standards (psychothera...The need for empirically supported psychology training standards (psychothera...
The need for empirically supported psychology training standards (psychothera...Scott Miller
 
Standards and Interoperability - Connected Healthcare
Standards and Interoperability - Connected HealthcareStandards and Interoperability - Connected Healthcare
Standards and Interoperability - Connected HealthcarePankaj Vaish
 
Outcome measures used at the Bobath Centre
Outcome measures used at the Bobath CentreOutcome measures used at the Bobath Centre
Outcome measures used at the Bobath CentreThe Bobath Centre
 

What's hot (18)

Cl 1 anderson lamer
Cl 1 anderson lamerCl 1 anderson lamer
Cl 1 anderson lamer
 
Community providers presentation__june_16,_2010 non profit
Community providers presentation__june_16,_2010 non profitCommunity providers presentation__june_16,_2010 non profit
Community providers presentation__june_16,_2010 non profit
 
Models of treatment for co occurring disorders 3
Models of treatment for co occurring disorders 3Models of treatment for co occurring disorders 3
Models of treatment for co occurring disorders 3
 
Motivational Interviewing Australia
Motivational Interviewing AustraliaMotivational Interviewing Australia
Motivational Interviewing Australia
 
Bia Conference Ppt 2007 Version 4 3 07
Bia Conference Ppt 2007 Version 4 3 07Bia Conference Ppt 2007 Version 4 3 07
Bia Conference Ppt 2007 Version 4 3 07
 
Three Approaches to Workplace Alcohol, Drug, and Rx Prevention: 20 Years of R...
Three Approaches to Workplace Alcohol, Drug, and Rx Prevention: 20 Years of R...Three Approaches to Workplace Alcohol, Drug, and Rx Prevention: 20 Years of R...
Three Approaches to Workplace Alcohol, Drug, and Rx Prevention: 20 Years of R...
 
Liz Mullinar & Tanya Fox presentation
Liz Mullinar & Tanya Fox presentationLiz Mullinar & Tanya Fox presentation
Liz Mullinar & Tanya Fox presentation
 
Psychological Factors of Hand Hygiene revised 7
Psychological Factors of Hand Hygiene     revised 7Psychological Factors of Hand Hygiene     revised 7
Psychological Factors of Hand Hygiene revised 7
 
PSI Early Graduate Group 2017 CRT Presentation
PSI Early Graduate Group 2017 CRT PresentationPSI Early Graduate Group 2017 CRT Presentation
PSI Early Graduate Group 2017 CRT Presentation
 
Collaborative Peer Recovery Coaching or CPRC Research for those with Substanc...
Collaborative Peer Recovery Coaching or CPRC Research for those with Substanc...Collaborative Peer Recovery Coaching or CPRC Research for those with Substanc...
Collaborative Peer Recovery Coaching or CPRC Research for those with Substanc...
 
Health education
Health educationHealth education
Health education
 
Supported self-management or left to get on with it? Current evidence and imp...
Supported self-management or left to get on with it? Current evidence and imp...Supported self-management or left to get on with it? Current evidence and imp...
Supported self-management or left to get on with it? Current evidence and imp...
 
Engaging your patients & community in healthcare reform efforts
Engaging your patients & community in healthcare reform effortsEngaging your patients & community in healthcare reform efforts
Engaging your patients & community in healthcare reform efforts
 
Impact of Patient-Centered Narrative Interviews on Primary Care Providers
Impact of Patient-Centered Narrative Interviews on Primary Care ProvidersImpact of Patient-Centered Narrative Interviews on Primary Care Providers
Impact of Patient-Centered Narrative Interviews on Primary Care Providers
 
Deterioration in Psychotherapy: A Summary of Research by Jorgen Flor
Deterioration in Psychotherapy: A Summary of Research by Jorgen FlorDeterioration in Psychotherapy: A Summary of Research by Jorgen Flor
Deterioration in Psychotherapy: A Summary of Research by Jorgen Flor
 
The need for empirically supported psychology training standards (psychothera...
The need for empirically supported psychology training standards (psychothera...The need for empirically supported psychology training standards (psychothera...
The need for empirically supported psychology training standards (psychothera...
 
Standards and Interoperability - Connected Healthcare
Standards and Interoperability - Connected HealthcareStandards and Interoperability - Connected Healthcare
Standards and Interoperability - Connected Healthcare
 
Outcome measures used at the Bobath Centre
Outcome measures used at the Bobath CentreOutcome measures used at the Bobath Centre
Outcome measures used at the Bobath Centre
 

Similar to HealthEd and Amylin EXL Digital Pharma West 2011

Alliance 2007 "Best of Conference" Presentation and Webinar: Beyond Theory: P...
Alliance 2007 "Best of Conference" Presentation and Webinar: Beyond Theory: P...Alliance 2007 "Best of Conference" Presentation and Webinar: Beyond Theory: P...
Alliance 2007 "Best of Conference" Presentation and Webinar: Beyond Theory: P...Wendy999
 
Creating value through patient support programs
Creating value through patient support programsCreating value through patient support programs
Creating value through patient support programsSKIM
 
The National Diabetes Prevention Program (National DPP) Training Opportunity
	The National Diabetes Prevention Program (National DPP) Training Opportunity	The National Diabetes Prevention Program (National DPP) Training Opportunity
The National Diabetes Prevention Program (National DPP) Training OpportunityHPCareer.Net / State of Wellness Inc.
 
Team as Treatment: Driving Improvement in Diabetes
Team as Treatment: Driving Improvement in DiabetesTeam as Treatment: Driving Improvement in Diabetes
Team as Treatment: Driving Improvement in DiabetesCHC Connecticut
 
Prof. Judith H. Hibbard: The King's Fund Annual Conference
Prof. Judith H. Hibbard: The King's Fund Annual ConferenceProf. Judith H. Hibbard: The King's Fund Annual Conference
Prof. Judith H. Hibbard: The King's Fund Annual ConferenceThe King's Fund
 
Basis of Health Education
Basis of Health EducationBasis of Health Education
Basis of Health Education Mohamed BADR
 
Allergic Cough Breakthrough by Slidesgo.pptx
Allergic Cough Breakthrough by Slidesgo.pptxAllergic Cough Breakthrough by Slidesgo.pptx
Allergic Cough Breakthrough by Slidesgo.pptxRatnaTrisna
 
Safety Improvement in Primary Care
Safety Improvement in Primary CareSafety Improvement in Primary Care
Safety Improvement in Primary CareNHSScotlandEvent
 
Improving Chronic Care - a NZ experience using a breakthrough series collabor...
Improving Chronic Care - a NZ experience using a breakthrough series collabor...Improving Chronic Care - a NZ experience using a breakthrough series collabor...
Improving Chronic Care - a NZ experience using a breakthrough series collabor...Health Informatics New Zealand
 
Theories and-models-frequently-used-in-health-promotion
Theories and-models-frequently-used-in-health-promotionTheories and-models-frequently-used-in-health-promotion
Theories and-models-frequently-used-in-health-promotionDanzo Joseph
 
Patient Activation: Where Do I Start?
Patient Activation: Where Do I Start?   Patient Activation: Where Do I Start?
Patient Activation: Where Do I Start? EngagingPatients
 
Group 03 Phenytoin, Carbamezapine.pptx
Group 03 Phenytoin, Carbamezapine.pptxGroup 03 Phenytoin, Carbamezapine.pptx
Group 03 Phenytoin, Carbamezapine.pptxRehanRustam2
 
Assessing Adherence to Treatment: A Partnership
Assessing Adherence to Treatment: A PartnershipAssessing Adherence to Treatment: A Partnership
Assessing Adherence to Treatment: A Partnershipicapclinical
 
Assessing Adherence to Treatment: A Partnership
Assessing Adherence to Treatment: A PartnershipAssessing Adherence to Treatment: A Partnership
Assessing Adherence to Treatment: A Partnershipicapclinical
 
Patient activation: New insights into the role of patients in self-management
Patient activation: New insights into the role of patients in self-managementPatient activation: New insights into the role of patients in self-management
Patient activation: New insights into the role of patients in self-managementMS Trust
 
Alive pd protocol and descriptive paper
Alive pd protocol and descriptive paperAlive pd protocol and descriptive paper
Alive pd protocol and descriptive paperGladys Block
 

Similar to HealthEd and Amylin EXL Digital Pharma West 2011 (20)

Alliance 2007 "Best of Conference" Presentation and Webinar: Beyond Theory: P...
Alliance 2007 "Best of Conference" Presentation and Webinar: Beyond Theory: P...Alliance 2007 "Best of Conference" Presentation and Webinar: Beyond Theory: P...
Alliance 2007 "Best of Conference" Presentation and Webinar: Beyond Theory: P...
 
Evalu8 72009
Evalu8 72009Evalu8 72009
Evalu8 72009
 
Creating value through patient support programs
Creating value through patient support programsCreating value through patient support programs
Creating value through patient support programs
 
The National Diabetes Prevention Program (National DPP) Training Opportunity
	The National Diabetes Prevention Program (National DPP) Training Opportunity	The National Diabetes Prevention Program (National DPP) Training Opportunity
The National Diabetes Prevention Program (National DPP) Training Opportunity
 
Team as Treatment: Driving Improvement in Diabetes
Team as Treatment: Driving Improvement in DiabetesTeam as Treatment: Driving Improvement in Diabetes
Team as Treatment: Driving Improvement in Diabetes
 
Prof. Judith H. Hibbard: The King's Fund Annual Conference
Prof. Judith H. Hibbard: The King's Fund Annual ConferenceProf. Judith H. Hibbard: The King's Fund Annual Conference
Prof. Judith H. Hibbard: The King's Fund Annual Conference
 
Basis of Health Education
Basis of Health EducationBasis of Health Education
Basis of Health Education
 
Care Plan Concept Map Workshop.ppt
Care Plan Concept Map Workshop.pptCare Plan Concept Map Workshop.ppt
Care Plan Concept Map Workshop.ppt
 
Allergic Cough Breakthrough by Slidesgo.pptx
Allergic Cough Breakthrough by Slidesgo.pptxAllergic Cough Breakthrough by Slidesgo.pptx
Allergic Cough Breakthrough by Slidesgo.pptx
 
A Care Setting Experience with Shared Decision Making
A Care Setting Experience with Shared Decision MakingA Care Setting Experience with Shared Decision Making
A Care Setting Experience with Shared Decision Making
 
Safety Improvement in Primary Care
Safety Improvement in Primary CareSafety Improvement in Primary Care
Safety Improvement in Primary Care
 
Improving Chronic Care - a NZ experience using a breakthrough series collabor...
Improving Chronic Care - a NZ experience using a breakthrough series collabor...Improving Chronic Care - a NZ experience using a breakthrough series collabor...
Improving Chronic Care - a NZ experience using a breakthrough series collabor...
 
Theories and-models-frequently-used-in-health-promotion
Theories and-models-frequently-used-in-health-promotionTheories and-models-frequently-used-in-health-promotion
Theories and-models-frequently-used-in-health-promotion
 
Patient Activation: Where Do I Start?
Patient Activation: Where Do I Start?   Patient Activation: Where Do I Start?
Patient Activation: Where Do I Start?
 
Group 03 Phenytoin, Carbamezapine.pptx
Group 03 Phenytoin, Carbamezapine.pptxGroup 03 Phenytoin, Carbamezapine.pptx
Group 03 Phenytoin, Carbamezapine.pptx
 
Assessing Adherence to Treatment: A Partnership
Assessing Adherence to Treatment: A PartnershipAssessing Adherence to Treatment: A Partnership
Assessing Adherence to Treatment: A Partnership
 
Assessing Adherence to Treatment: A Partnership
Assessing Adherence to Treatment: A PartnershipAssessing Adherence to Treatment: A Partnership
Assessing Adherence to Treatment: A Partnership
 
Patient activation: New insights into the role of patients in self-management
Patient activation: New insights into the role of patients in self-managementPatient activation: New insights into the role of patients in self-management
Patient activation: New insights into the role of patients in self-management
 
Improving Access to Quality Diabetes Education by Carol Rasmussen, MSN, NP-C,...
Improving Access to Quality Diabetes Education by Carol Rasmussen, MSN, NP-C,...Improving Access to Quality Diabetes Education by Carol Rasmussen, MSN, NP-C,...
Improving Access to Quality Diabetes Education by Carol Rasmussen, MSN, NP-C,...
 
Alive pd protocol and descriptive paper
Alive pd protocol and descriptive paperAlive pd protocol and descriptive paper
Alive pd protocol and descriptive paper
 

Recently uploaded

ROSE CASE SPINAL SBRT BY DR KANHU CHARAN PATRO
ROSE  CASE SPINAL SBRT BY DR KANHU CHARAN PATROROSE  CASE SPINAL SBRT BY DR KANHU CHARAN PATRO
ROSE CASE SPINAL SBRT BY DR KANHU CHARAN PATROKanhu Charan
 
Unveiling Alcohol Withdrawal Syndrome: exploring it's hidden depths
Unveiling Alcohol Withdrawal Syndrome: exploring it's hidden depthsUnveiling Alcohol Withdrawal Syndrome: exploring it's hidden depths
Unveiling Alcohol Withdrawal Syndrome: exploring it's hidden depthsYash Garg
 
World Hypertension Day 17th may 2024 ppt
World Hypertension Day 17th may 2024 pptWorld Hypertension Day 17th may 2024 ppt
World Hypertension Day 17th may 2024 pptdesktoppc
 
VVIP Whitefield ℂall Girls 6350482085 Heat-flaring { Bangalore } Worthy Girl ...
VVIP Whitefield ℂall Girls 6350482085 Heat-flaring { Bangalore } Worthy Girl ...VVIP Whitefield ℂall Girls 6350482085 Heat-flaring { Bangalore } Worthy Girl ...
VVIP Whitefield ℂall Girls 6350482085 Heat-flaring { Bangalore } Worthy Girl ...janusa9823#S0007
 
Premium ℂall Girls In Mumbai Airport👉 Dail ℂALL ME: 📞9833325238 📲 ℂall Richa ...
Premium ℂall Girls In Mumbai Airport👉 Dail ℂALL ME: 📞9833325238 📲 ℂall Richa ...Premium ℂall Girls In Mumbai Airport👉 Dail ℂALL ME: 📞9833325238 📲 ℂall Richa ...
Premium ℂall Girls In Mumbai Airport👉 Dail ℂALL ME: 📞9833325238 📲 ℂall Richa ...Avani bhatt
 
Dermatome and myotome test & pathology.pdf
Dermatome and myotome test & pathology.pdfDermatome and myotome test & pathology.pdf
Dermatome and myotome test & pathology.pdfniloofarbarzegari76
 
ANAPHYLAXIS BY DR.SOHAN BISWAS,MBBS,DNB(INTERNAL MEDICINE) RESIDENT.pptx
ANAPHYLAXIS BY DR.SOHAN BISWAS,MBBS,DNB(INTERNAL MEDICINE) RESIDENT.pptxANAPHYLAXIS BY DR.SOHAN BISWAS,MBBS,DNB(INTERNAL MEDICINE) RESIDENT.pptx
ANAPHYLAXIS BY DR.SOHAN BISWAS,MBBS,DNB(INTERNAL MEDICINE) RESIDENT.pptxDr. Sohan Biswas
 
Gallbladder Double-Diverticular: A Case Report المرارة مزدوجة التج: تقرير حالة
Gallbladder Double-Diverticular: A Case Report  المرارة مزدوجة التج: تقرير حالةGallbladder Double-Diverticular: A Case Report  المرارة مزدوجة التج: تقرير حالة
Gallbladder Double-Diverticular: A Case Report المرارة مزدوجة التج: تقرير حالةMohamad محمد Al-Gailani الكيلاني
 
Results For Love Spell Is Guaranteed In 1 Day +27834335081 [BACK LOST LOVE SP...
Results For Love Spell Is Guaranteed In 1 Day +27834335081 [BACK LOST LOVE SP...Results For Love Spell Is Guaranteed In 1 Day +27834335081 [BACK LOST LOVE SP...
Results For Love Spell Is Guaranteed In 1 Day +27834335081 [BACK LOST LOVE SP...BabaJohn3
 
CONGENITAL HYPERTROPHIC PYLORIC STENOSIS by Dr M.KARTHIK EMMANUEL
CONGENITAL HYPERTROPHIC PYLORIC STENOSIS  by Dr M.KARTHIK EMMANUELCONGENITAL HYPERTROPHIC PYLORIC STENOSIS  by Dr M.KARTHIK EMMANUEL
CONGENITAL HYPERTROPHIC PYLORIC STENOSIS by Dr M.KARTHIK EMMANUELMKARTHIKEMMANUEL
 
5cladba raw material 5CL-ADB-A precursor raw
5cladba raw material 5CL-ADB-A precursor raw5cladba raw material 5CL-ADB-A precursor raw
5cladba raw material 5CL-ADB-A precursor rawSherrylee83
 
TEST BANK for The Nursing Assistant Acute, Subacute, and Long-Term Care, 6th ...
TEST BANK for The Nursing Assistant Acute, Subacute, and Long-Term Care, 6th ...TEST BANK for The Nursing Assistant Acute, Subacute, and Long-Term Care, 6th ...
TEST BANK for The Nursing Assistant Acute, Subacute, and Long-Term Care, 6th ...marcuskenyatta275
 
Overview on the Automatic pill identifier
Overview on the Automatic pill identifierOverview on the Automatic pill identifier
Overview on the Automatic pill identifierNidhi Joshi
 
Premium ℂall Girls In Mira Road👉 Dail ℂALL ME: 📞9004268417 📲 ℂall Richa VIP ℂ...
Premium ℂall Girls In Mira Road👉 Dail ℂALL ME: 📞9004268417 📲 ℂall Richa VIP ℂ...Premium ℂall Girls In Mira Road👉 Dail ℂALL ME: 📞9004268417 📲 ℂall Richa VIP ℂ...
Premium ℂall Girls In Mira Road👉 Dail ℂALL ME: 📞9004268417 📲 ℂall Richa VIP ℂ...Rabia Malik
 
Integrated Neuromuscular Inhibition Technique (INIT)
Integrated Neuromuscular Inhibition Technique (INIT)Integrated Neuromuscular Inhibition Technique (INIT)
Integrated Neuromuscular Inhibition Technique (INIT)Anjali Parmar
 
DR. Neha Mehta Best Psychologist.in India
DR. Neha Mehta Best Psychologist.in IndiaDR. Neha Mehta Best Psychologist.in India
DR. Neha Mehta Best Psychologist.in IndiaNehamehta128467
 
Evidence-based practiceEBP) in physiotherapy
Evidence-based practiceEBP) in physiotherapyEvidence-based practiceEBP) in physiotherapy
Evidence-based practiceEBP) in physiotherapyNehaa Dubey
 
CAS 110-63-4 BDO Liquid 1,4-Butanediol 1 4 BDO Warehouse Supply For Excellent...
CAS 110-63-4 BDO Liquid 1,4-Butanediol 1 4 BDO Warehouse Supply For Excellent...CAS 110-63-4 BDO Liquid 1,4-Butanediol 1 4 BDO Warehouse Supply For Excellent...
CAS 110-63-4 BDO Liquid 1,4-Butanediol 1 4 BDO Warehouse Supply For Excellent...ocean4396
 

Recently uploaded (20)

ROSE CASE SPINAL SBRT BY DR KANHU CHARAN PATRO
ROSE  CASE SPINAL SBRT BY DR KANHU CHARAN PATROROSE  CASE SPINAL SBRT BY DR KANHU CHARAN PATRO
ROSE CASE SPINAL SBRT BY DR KANHU CHARAN PATRO
 
Unveiling Alcohol Withdrawal Syndrome: exploring it's hidden depths
Unveiling Alcohol Withdrawal Syndrome: exploring it's hidden depthsUnveiling Alcohol Withdrawal Syndrome: exploring it's hidden depths
Unveiling Alcohol Withdrawal Syndrome: exploring it's hidden depths
 
World Hypertension Day 17th may 2024 ppt
World Hypertension Day 17th may 2024 pptWorld Hypertension Day 17th may 2024 ppt
World Hypertension Day 17th may 2024 ppt
 
VVIP Whitefield ℂall Girls 6350482085 Heat-flaring { Bangalore } Worthy Girl ...
VVIP Whitefield ℂall Girls 6350482085 Heat-flaring { Bangalore } Worthy Girl ...VVIP Whitefield ℂall Girls 6350482085 Heat-flaring { Bangalore } Worthy Girl ...
VVIP Whitefield ℂall Girls 6350482085 Heat-flaring { Bangalore } Worthy Girl ...
 
Premium ℂall Girls In Mumbai Airport👉 Dail ℂALL ME: 📞9833325238 📲 ℂall Richa ...
Premium ℂall Girls In Mumbai Airport👉 Dail ℂALL ME: 📞9833325238 📲 ℂall Richa ...Premium ℂall Girls In Mumbai Airport👉 Dail ℂALL ME: 📞9833325238 📲 ℂall Richa ...
Premium ℂall Girls In Mumbai Airport👉 Dail ℂALL ME: 📞9833325238 📲 ℂall Richa ...
 
Dermatome and myotome test & pathology.pdf
Dermatome and myotome test & pathology.pdfDermatome and myotome test & pathology.pdf
Dermatome and myotome test & pathology.pdf
 
ANAPHYLAXIS BY DR.SOHAN BISWAS,MBBS,DNB(INTERNAL MEDICINE) RESIDENT.pptx
ANAPHYLAXIS BY DR.SOHAN BISWAS,MBBS,DNB(INTERNAL MEDICINE) RESIDENT.pptxANAPHYLAXIS BY DR.SOHAN BISWAS,MBBS,DNB(INTERNAL MEDICINE) RESIDENT.pptx
ANAPHYLAXIS BY DR.SOHAN BISWAS,MBBS,DNB(INTERNAL MEDICINE) RESIDENT.pptx
 
Gallbladder Double-Diverticular: A Case Report المرارة مزدوجة التج: تقرير حالة
Gallbladder Double-Diverticular: A Case Report  المرارة مزدوجة التج: تقرير حالةGallbladder Double-Diverticular: A Case Report  المرارة مزدوجة التج: تقرير حالة
Gallbladder Double-Diverticular: A Case Report المرارة مزدوجة التج: تقرير حالة
 
Results For Love Spell Is Guaranteed In 1 Day +27834335081 [BACK LOST LOVE SP...
Results For Love Spell Is Guaranteed In 1 Day +27834335081 [BACK LOST LOVE SP...Results For Love Spell Is Guaranteed In 1 Day +27834335081 [BACK LOST LOVE SP...
Results For Love Spell Is Guaranteed In 1 Day +27834335081 [BACK LOST LOVE SP...
 
Making Patient-Centric Immunotherapy a Reality in Lung Cancer: Best Practices...
Making Patient-Centric Immunotherapy a Reality in Lung Cancer: Best Practices...Making Patient-Centric Immunotherapy a Reality in Lung Cancer: Best Practices...
Making Patient-Centric Immunotherapy a Reality in Lung Cancer: Best Practices...
 
In Kuwait Abortion pills (+918133066128)@Safe abortion pills in Kuwait City
In Kuwait Abortion pills (+918133066128)@Safe abortion pills in Kuwait CityIn Kuwait Abortion pills (+918133066128)@Safe abortion pills in Kuwait City
In Kuwait Abortion pills (+918133066128)@Safe abortion pills in Kuwait City
 
CONGENITAL HYPERTROPHIC PYLORIC STENOSIS by Dr M.KARTHIK EMMANUEL
CONGENITAL HYPERTROPHIC PYLORIC STENOSIS  by Dr M.KARTHIK EMMANUELCONGENITAL HYPERTROPHIC PYLORIC STENOSIS  by Dr M.KARTHIK EMMANUEL
CONGENITAL HYPERTROPHIC PYLORIC STENOSIS by Dr M.KARTHIK EMMANUEL
 
5cladba raw material 5CL-ADB-A precursor raw
5cladba raw material 5CL-ADB-A precursor raw5cladba raw material 5CL-ADB-A precursor raw
5cladba raw material 5CL-ADB-A precursor raw
 
TEST BANK for The Nursing Assistant Acute, Subacute, and Long-Term Care, 6th ...
TEST BANK for The Nursing Assistant Acute, Subacute, and Long-Term Care, 6th ...TEST BANK for The Nursing Assistant Acute, Subacute, and Long-Term Care, 6th ...
TEST BANK for The Nursing Assistant Acute, Subacute, and Long-Term Care, 6th ...
 
Overview on the Automatic pill identifier
Overview on the Automatic pill identifierOverview on the Automatic pill identifier
Overview on the Automatic pill identifier
 
Premium ℂall Girls In Mira Road👉 Dail ℂALL ME: 📞9004268417 📲 ℂall Richa VIP ℂ...
Premium ℂall Girls In Mira Road👉 Dail ℂALL ME: 📞9004268417 📲 ℂall Richa VIP ℂ...Premium ℂall Girls In Mira Road👉 Dail ℂALL ME: 📞9004268417 📲 ℂall Richa VIP ℂ...
Premium ℂall Girls In Mira Road👉 Dail ℂALL ME: 📞9004268417 📲 ℂall Richa VIP ℂ...
 
Integrated Neuromuscular Inhibition Technique (INIT)
Integrated Neuromuscular Inhibition Technique (INIT)Integrated Neuromuscular Inhibition Technique (INIT)
Integrated Neuromuscular Inhibition Technique (INIT)
 
DR. Neha Mehta Best Psychologist.in India
DR. Neha Mehta Best Psychologist.in IndiaDR. Neha Mehta Best Psychologist.in India
DR. Neha Mehta Best Psychologist.in India
 
Evidence-based practiceEBP) in physiotherapy
Evidence-based practiceEBP) in physiotherapyEvidence-based practiceEBP) in physiotherapy
Evidence-based practiceEBP) in physiotherapy
 
CAS 110-63-4 BDO Liquid 1,4-Butanediol 1 4 BDO Warehouse Supply For Excellent...
CAS 110-63-4 BDO Liquid 1,4-Butanediol 1 4 BDO Warehouse Supply For Excellent...CAS 110-63-4 BDO Liquid 1,4-Butanediol 1 4 BDO Warehouse Supply For Excellent...
CAS 110-63-4 BDO Liquid 1,4-Butanediol 1 4 BDO Warehouse Supply For Excellent...
 

HealthEd and Amylin EXL Digital Pharma West 2011

  • 1. Return on Education™—Leveraging Patient Education to Improve Treatment Outcomes Susan LaRue, RD,CDE, Clinical Education Specialist, Medical Relations and Information, Amylin Pharmaceuticals, Inc Susan Eno Collins, RD, CHES, SVP, Health Education, HealthEd; Community Leader, SurroundHealth.net
  • 2. Give us the next 30 minutes and we will… Give you an introduction to Return on Education™—a framework you can use to develop effective programs Show you a case study where we incorporated the framework Share the positive results we got Hopefully, answer your questions 6/21/2011 2
  • 3. Return on EducationTM: Starts with a behavior-based approach for developing programs 3 Program Development and Refinement Post (After Program Launch) Pre (In Planning) During (In Development) Uncover Insights Choose Behavior Model Develop Objectives Capture and Analyze Results Launch
  • 4. Education Impact Desired Action And includes a Return on EducationTMframeworkfor evaluating the outcomes of the program 6/21/2011 4 Program/Business Impact Customized based on program objectives Examples include Screening/diagnosis Talking with HCP Fill initial Rx Take Rx as prescribed Conversion Use of device Persuasion (“This is important to me”) + Clarity (“I understand and can apply what I am learning”) + Insight-driven content (“This relates to me and my life”) + Reaction to tactic/program (“This has been worth it. I have learned something new.”) Program Engagement Reach Frequency Business Length on therapy Increased sales Rep access Health Outcomes Symptom alleviation HEDIS measurement Function Clinical measures
  • 5. Case study: Effects of Patient Education Support Program on Pramlintide Adherence
  • 6.
  • 7. Lorenzi GM, LaRue SM, Collins SE. Effects of a patient support program on pramlintide adherence. Clin Diabetes. 2011;29(1):17-24.
  • 8.
  • 9. The numbers shed light on the product’s challenges 3 Patients taking pramlintide at meal times may already be taking 4 shots of insulin a day Pramlintide becomes 3 additional shots to integrate into a daily routine 50%1 Adherence to medicines across multiple chronic conditions, including diabetes 50% in 2 months2 About 50% of patients starting pramlintide discontinued therapy within 2 months 6/21/2011 8 Sources: 1. World Health Organization: Adherence to long-term therapies: evidence for action. Geneva, World Health Organization, 2003. 2. Data on file. San Diego, CA., Amylin Pharmaceuticals, Inc.
  • 10. Why did patients stop treatment? Their answers revealed a need 6/21/2011 9 Lack of effectiveness (volunteered) Dosing regimen too complicated Did not lose weight Too expensive Side effects (volunteered) Additional injections required Potentially 57% of reasons for discontinuation can be addressed with additional education/realistic expectations Source: Adapted from Lorenzi GM, LaRue SM, Collins SE. Effects of a patient support program on pramlintide adherence. Clin Diabetes. 2011;29(1):17-24.
  • 11. To develop our program, we started with the Return on EducationTMapproach 10 Program Development and Refinement Post (After Program Launch) Pre (In Planning) During (In Development) Uncover Insights Choose Behavior Model Develop Objectives Capture and Analyze Results Launch
  • 12. Program objectives were based on behavior-change principles Set realistic expectations at the beginning of treatment Build problem-solving and communication skills Increase sense of self-efficacy (“I can do this”) 6/21/2011 11
  • 13.
  • 19. Improved glucose levels, fewer fluctuations
  • 22. Increased sense of control of diabetes
  • 24.
  • 27. Impact of changes on family dynamics
  • 28. Suboptimal dosing; fewer benefits realized
  • 30. Lack of healthcare provider support and education
  • 31. Frustration: different routine and considerations
  • 33. Injection burden and treatment complexity
  • 35. Behavior models provide a blueprint for program design 6/21/2011 13 Program designed using Social Cognitive Theory
  • 36. Designed for clarity by integrating health literacy principles 6/21/2011 14 “I have challenges accessing, understanding, and using health information “ “One out of 3 Americans have basic or below basic health literacy skills” Source: National Center for Education Statistics.  The Health Literacy of America’s Adults: Results from the 2003 National Assessment of Adult Literacy. (NCES 2006-483). http://nces.ed.gov/pubsearch/pubsinfo.asp?pubid=2006483.
  • 37. Applying the Return on EducationTMapproach to develop the program 15 Program Development and Refinement Post (After Program Launch) Pre (In Planning) During (In Development) Uncover Insights Choose Behavior Model Develop Objectives Capture and Analyze Results Launch
  • 38.
  • 44. Improved glucose levels, fewer fluctuations
  • 47. Increased sense of control of diabetes
  • 49.
  • 52. Impact of changes on family dynamics
  • 53. Suboptimal dosing; fewer benefits realized
  • 55. Lack of health care provider support and education
  • 56. Frustration: different routine and considerations
  • 58. Injection burden and treatment complexity
  • 60. To create a holistic, integrated experience 6/21/2011 17 Starting Pramlintide Therapy Maintaining Pramlintide Therapy In-officestarter kit with demo video Welcome kit with goal setting and wellness map Newsletter with expert and patient interviews Share Your Story Newsletters Feedback survey Co-pay card Co-pay card Outbound/inbound calls with nurses 24/7 Information and education Outbound/Inbound calls with nurses 24/7 Information and education
  • 61. Outcomes of a Behaviorally Based Program
  • 62. Did the Return on EducationTMapproach work? 19 Program Development and Refinement Post (After Program Launch) Pre (In Planning) During (In Development) Uncover Insights Choose Behavior Model Develop Objectives Capture and Analyze Results Launch
  • 63. Education Impact Return on EducationTMframework guided the evaluation plan 6/21/2011 20 Desired Action Program/Business Impact Persuasion Behavior Change Model Metrics Change in Knowledge Change in Attitudes Change in Skills + Clarity Clear by Design + Insight-driven content Tone Relevance Accuracy of Information + Reaction to tactic/program Satisfaction Appeal Usefulness Needs Met Impact Intended/Actual use of materials Customized based on program objectives Examples include Screening/diagnosis Talking with HCP Fill initial Rx Take Rx as prescribed Conversion Use of device Program Engagement Reach Frequency Enrollment Channel preference Site visits Business Length on therapy Increased sales Rep access Market expansion Health Outcomes Symptom alleviation HEDIS measurement Function Clinical measures
  • 64. Program was relevant 75%: same or more vs. 11% less Q: Would you like to have more, less or about the same: Information about organizing my medicines 6/21/2011 21 75% of respondents want the same or more level of information about organizing their medicines Source: Data on file. San Diego, CA., Amylin Pharmaceuticals, Inc.
  • 65. Program had high appeal 71% of respondents want the same or more tools for talking with their HCP 71%: same or more vs. 13% less Q: Would you like to have more, less or about the same: Tools for talking with my HCP Source: Data on file. San Diego, CA, Amylin Pharmaceuticals, Inc.
  • 66. Program was useful 6/21/2011 23 Percentage of Patients The same/longer duration of calls The same/more frequent diabetes information The same/more frequent contact The same/more frequentnewsletters Patients Wanted: Source: Adapted from Lorenzi GM, LaRue SM, Collins SE. Effects of a patient support program on pramlintide adherence. Clin Diabetes. 2011;29(1):17-24.
  • 67. Prompted patients to talk with their HCPs Most respondents agree that the program helps them talk with their HCPs Q: The Support Program has helped me talk with my HCP about my pramlintide treatment Source: Data on file. San Diego, CA, Amylin Pharmaceuticals, Inc. 24
  • 68. 6/21/2011 25 Percentage of Patients Patients Reported: High self-reported compliance and persistency On and continuing therapy the first 3 months Administration of maintenance dose Dosing 2 or 3 times daily Source: Adapted from Lorenzi GM, LaRue SM, Collins SE. Effects of a patient support program on pramlintide adherence. Clin Diabetes. 2011;29(1):17-24.
  • 69. Improvements were demonstrated 6/21/2011 26 Patients in program were on pramlintide 50% longer relative to those not in program Source: Adapted from Lorenzi GM, LaRue SM, Collins SE. Effects of a patient support program on pramlintide adherence. Clin Diabetes. 2011;29(1):17-24.
  • 71. Using the Return on EducationTMapproach to refine ©2011 HealthEd Group, Inc. 28 Program Development and Refinement Post (After Program Launch) Pre (In Planning) During (In Development) Uncover Insights Choose Behavior Model Develop Objectives Capture and Analyze Results Launch
  • 72. Teachable moments shouldn’t be missed Web enrollments make up 50% of enrollees and often occur outside of business hours of call center. 6/21/2011 29 Video-based FAQs feature call center nurse Video on BRAND.com creates continuity and familiarity
  • 73. Educational game developed to address confusion about Major Meals 6/21/2011 30 Brand Brand Brand.
  • 74.
  • 79.
  • 80. Frustration: different routine and considerations
  • 82. Injection burden and treatment complexity
  • 84. A challenge and opportunity for you
  • 85. You can use the Return on EducationTMapproach to createa solution that promotes action and change 33 Program Development and Refinement Post (After Program Launch) Pre (In Planning) During (In Development) Uncover Insights Choose Behavior Model Develop Objectives Capture and Analyze Results Launch
  • 86. Education Impact Desired Action And evaluate your Return on EducationTM 6/21/2011 34 Program/Business Impact Customized based on program objectives Examples include Screening/diagnosis Talking with HCP Fill initial Rx Take Rx as prescribed Conversion Use of device Persuasion + Clarity + Insight-driven content + Reaction to tactic/program Program Engagement Reach Frequency Business Length on therapy Increased sales Rep access Health Outcomes Symptom alleviation HEDIS measurement Function Clinical measures
  • 87. This is a complicated recipe 6/21/2011 35
  • 88. What patients have to manage day to day can also be complicated 6/21/2011 36 “My Day”
  • 89. Retention ratesof different learning styles1 Hands On 90% Within just a few minutes of leaving the doctor’s office, patients may remember less than 50% of the critical information the doctor shared.2 Discussion 60%-70% Audiovisual 40%-50% Seeing HearRead Digital solutions can help make learning more effective 37 10%-20% 5%-15% HCP Office Visit 1. Adapted from Edgar Dale’s “Cone of Experience. 2. Davis TC, Williams MV, Marin E, Parker RM, Glass J. Health literacy and cancer communication. CA Cancer J Clin. 2002;52:134-149.
  • 90. Which can lead to positive health outcomes 6/21/2011 38 “My Health”
  • 91. Thank you! Time for your questions 6/21/2011
  • 92. To contact us Susan LaRue Susan.LaRue@amylin.com Susan Eno Collins s.collins@healthed.com To obtain a copy of this presentation, go to www.healthed.com 6/21/2011 40