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Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
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Movement Retraining using Real-time Feedback of Performance
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Coaching strategies for enhancing practice transformation.

Sabrina M Chase1, Benjamin F Crabtree2, Elizabeth E Stewart3

  • 1Rutgers School of Nursing, Rutgers Biomedical and Health Sciences, Rutgers University, Newark, NJ, sabrina.m.chase@rutgers.edu.

Family Practice
|October 5, 2014
PubMed
Summary
This summary is machine-generated.

Successful practice facilitators use coaching strategies to help primary care teams adopt new care models. Coaching fosters new ways of thinking and behaving, leading to substantial practice change beyond just implementing new components.

Keywords:
Attitude of health personnelfamily practice/methodsmodelsorganizational innovationphysician practice patterns/organization and administrationprimary health care/organization and administrationqualitative research.

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Area of Science:

  • Primary Care Practice Redesign
  • Health Services Research
  • Organizational Change Management

Background:

  • Outside facilitation is crucial for significant advancements in primary care practice redesign.
  • Research highlights the need to understand effective facilitation strategies.

Purpose of the Study:

  • To analyze the specific strategies employed by a successful practice facilitator.
  • To understand the sequence of interventions during the American Academy of Family Physicians' National Demonstration Project.

Main Methods:

  • Secondary analysis of qualitative data from one facilitator and six practices.
  • Coding of facilitator field notes, site visit reports, interviews, and emails.

Main Results:

  • Facilitator utilized coaching, consulting, negotiating, and connecting strategies.
  • Coaching encouraged better communication, collaborative problem-solving, leadership modeling, and an expanded vision of care.
  • Consistent coaching led to internal shifts and new conceptualizations of work, not just implementation success.

Conclusions:

  • Outside facilitators can be more than just consultants for technology and care delivery.
  • Coaching approaches are particularly valuable for practices undergoing substantial transformation.
  • Facilitators can help practices think and behave in new ways to achieve benchmarks.