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Heutagogy, Healthcare & Meaning Making

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World Heutagogy Day Curated Conversation on how we can get better healthcare information. We think it is about People, Context, Meaning making and Process. But how do we get there?

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Heutagogy, Healthcare & Meaning Making

  1. 1. Heutagogy, Healthcare & Meaning Making World Heutagogy Day 2017 #wHday17 The Monastery Manchester
  2. 2. Heutagogy, Healthcare & Meaning Making A Curated Conversation on Healthcare Information
  3. 3. People – understanding, wellbeing, trust & mistrust, hearts & minds; Gareth Presch, Nigel Ecclesfield, Ray Hanks, Philippe Grainger, Amir Hannan Context – Coherence & Shaping; David Dickinson, Fred Garnett Meaning-Making – Relevance & Literacy; Simon Grant, Ruth E. Perry, Razvan Necula Process – change, access, need; Stewart Hase, Linda Vernon, Lucia Filmon Curated Conversation – All Participants
  4. 4. Discussion Wordle #wHday17
  5. 5. Our Wordle Reveals; It’s all about using healthcare information to improve peoples health. Key factors; People – understanding, wellbeing, trust & mistrust, hearts & minds; Gareth Presch Context – Coherence & Shaping; David Dickinson Meaning-Making – Relevance & Literacy; Fred Garnett Process – change, access, need; Linda Vernon Live Discussion 26th September 2017 11.00 BST #Tweetup 26th September 2017 15.00 BST Curated Conversation – Live Discussion
  6. 6. World Heutagogy Day 2017
  7. 7. Curated Conversation 2017 Question We wish people to be more actively engaged in their own healthcare. In what ways can we help people make greater meaning from healthcare information for their own wellbeing? Our Question (by David Dickinson)
  8. 8. People & Community
  9. 9. To help people we must understand their need information flows in our modern society. People's Health information must be easily accessible to ensure people get quality of life outcomes for their health. ​ Health education and understanding at an early age will support people making an informed choice about their health. Gareth Presch – #WHIS
  10. 10. Well-Being and Meaning… Enabling individuals and groups to make sense of their current situations, to recognise barriers to health and well-being. To identify personal and collaborative actions helping to create communities where health and well-being emerge from mutuality as the result of the intertwining of the crafts of learning and teaching. Nigel Ecclesfield – LGC
  11. 11. If 'information' drives conversations about health, we misrepresent possibilities for change, health, or healing. Let's structure a greater humanity and specificity into how we think about help, being helpful, and helpfulness. Not just information distribution, or a service-repair-replace-recycle industry. More meaningful communities, spaces, stories - caring meaningfully for ourselves and others. Anthony McCann – Garoicht
  12. 12. I used to learn from information that someone else thought would be useful to me. Now I have learned to mistrust it. Nearly all of it. My instincts tell me what I think I need to know. But how and where to find it? Ray Hanks – CIBS
  13. 13. #Empowerlution. People want to live fulfilling and meaningful lives that help to exceed their potential and improve their quality of life too. Living longer is no longer enough. Responsible sharing of electronic health records with patients, carers and staff in the community enables new conversations with greater understanding and Trust. Amir Hannan GP – Haughton
  14. 14. What is 'healthcare' - physical and mental health? Given we are in a context that includes people's views and attitudes, what they say and do, should healthcare include how we treat each other? What comes out of our hearts and minds impacts on everything and everybody Philippe Granger Rushey Green TimeBank
  15. 15. Contexts
  16. 16. Healthcare guidance is frequently isolated from other factors influencing Sense of Coherence and the meaning-making necessary for wellbeing. If we are serious about people taking ownership of their healthcare journeys, we should recognise the necessity to integrate relevant healthcare information into the whole-life contexts they manage David Dickinson – Unlike Minds
  17. 17. The meanings we make from the information around us shapes how we engage with the world. How we interpret healthcare information aligns with how we've been educated. Do we accept, interpret, negotiate, ignore or utilise usefully such information? First we shape our contexts then our contexts shape us Fred Garnett - LKL
  18. 18. Meaning Making
  19. 19. *Existing healthcare information is but a fraction of what is relevant to meaning and wellbeing in people's lives * Belonging and relationships are central to people's wellbeing * What information relates to meaning, and to bringing us together? * How can technology focus on that? Simon Grant - WHIS
  20. 20. Health literacy is a continuum, impacted by many factors such as; educational level, language skills, access, and outdated school health curricula. These factors present formidable challenges to health information utilization. To help people derive greater meaning from health information we must meet people where they are along this continuum. Ruth E. Perry M.D. USA
  21. 21. A medical professional offering help, acts as a translator or interpreter of the healthcare information the patient needs. Reformulating specialised language and knowledge into the patient's own context of meaning, allowing for a co-creation process from which she can choose, responsibly, her own way to a better health Razvan Necula - Bucharest
  22. 22. One of the extraordinary opportunities of living in the world is the easy availability of vast amounts of information. The question is how to navigate within this wilderness — how to detect the relevant and beneficial signal within the noise? We cannot answer this question solely by using our brains and minds. The signal becomes manifest when the powers of the heart as a perceptual, creative, emotional and spiritual capacity are simultaneously engaged… Julian Gresser – Big Heart Intel
  23. 23. Process
  24. 24. Changing health care behaviour is complex. Just telling people to change doesn’t counter habituation, dopamine rewards, cognitive bias, secondary gain and myriad other internal psychological forces. Many methods used in health education are didactic, a simple solution that is limited. We need heutagogical methods to effectively change behaviour to enable learning. Stewart Hase – Australia
  25. 25. In an age where information is plentiful and knowledge is attainable our role in healthcare is to empower individuals to use their innate wisdom to; Access, process and utilise healthcare resources that reflect their individual needs and motivations, and have meaning within the context of their view of the world Linda Vernon – Blackpool
  26. 26. In an epoch dominated by information overload, commercial content presented as scientific-information and health knowledge a preserve of trained professionals People must be encouraged to use search and selection of information, critical thinking and problem solving to get the knowledge needed to ensure their good health and wellbeing Lucia Filmon – Romania
  27. 27. Recommendations
  28. 28. People – need to “Trust in myself” they also need trusted intermediaries health navigators Context; Community hubs as health participation centres We need to surface and share existing ‘best practice’ but then lets act locally (e.g. with City Mayors) Meaning-Making patients “frame relevance for their lives” & make sense of health information Process – we need a co-creation process for health information, management & action Perhaps in “learning communities for health” Curated Conversation – Conclusions
  29. 29. Community Development Model of Learning Attractor Stage; Open, welcoming Locations, Learners follow interests Self-supporting “learning community” Engagement Stage; Timely Interventions, Goal Articulation, Discussion Counselling and Courses Needs “Trusted Intermediaries” trust through empathy not from status e.g. Learning Communities for Health
  30. 30. Resources
  31. 31. World Heutagogy Day 2017 Resources What is Heutagogy? From Andragogy to Heutagogy Heutagogy Community of Practice Blog Heutagogy & Lifelong Learning PAH Continuum Bibblio Heutagogical Practices (academic paper) Creativity in Learning (workshop resource) World Heutagogy Day 2017 #myheutagogy Facebook Group World Heutagogy Day 2017 blog World Heutagogy Day 2017 Twitter #wHday17
  32. 32. Heutagogy, Healthcare & Meaning Making Work in Progress update Contributions from; Ruth Perry, Simon Grant, Gareth Presh, Linda Vernon, Amir Hanna; World Health Innovation Summit David Dickinson, Fred Garnett; Unlike Minds Ray Hanks; CBIS Manchester Philippe Granger; Rushey Green TimeBank Nigel Ecclesfield; LGC Stewart Hase Australia Lucia Filmon, Razvan Necula; Romania
  33. 33. Heutagogy, Healthcare & Meaning Making Work in Progress until September 26th More on; Heutagogy World Health Innovation Summit What is World Heutagogy Day? Facebook Group Blog