Chris Parkin, MSCarmel IndianaCarmel, Indiana

The ArtThe Art of the Argument

Who has done aWho has done a presentation before?

Who has seen a presentation before?

Who knows someone who has seen a presentation

before?before?

What’s in store …What s in store …

Use of graphicUse of graphic design concepts

d tand components

Basic principlesBasic principles of a persuasive

presentationpresentation

Background…Background…

• Everything I learned is by mistakeEverything I learned is by mistake

• There’s no right or wrong … it either works or it doesn’t

• If you don’t participate you becomeIf you don t participate, you become “fair game”

First, a few basics …First, a few basics …

• Know your contentKnow your content

• Know your presentation

• Get comfortable with your audience

• Check your equipment and connections

• Be prepared for anything

Now, the art …Now, the art …

Basic graphic componentsBasic graphic components

• Text:• Text: Font, Size and Color

• Background:

Color and Elements

Some of my favorites …Some of my favorites …

• Arial• Arial• New Times Roman• Comic Sans MS

The main thing is readability it either The main thing is readability … it either works or it doesn’t

When it comes to text, ,size does matter

8 point 8 point

10 point10 point

12 point 12 point

16 point16 point

18 point18 point

24 point24 point24 point24 point28 point28 point36 point36 point Safe Safe

ZoneZone36 point36 point44 point 44 point ZoneZone60 point 60 point 72 point72 pointpp

Examples of text color …What works, what doesn’t

Blue text on black does not show up well

Red text on black does not show up well

Yellow text has greater contrast on black …

… so does white text

Black text on blue does not show up well

Red text on blue is really hard to read!

Yellow text has greater contrast on blueYellow text has greater contrast on blue …

… again, white works very well

Leave about 10% (1/2 inch) margin for safety

Basic graphic componentsBasic graphic components

• Text:• Text: Font, Size and Color

• Background:

Color and Elements

My Favorite …

Th A t StThe Assessment StepTP1: DepressionTP1: Depression

ASSESS• “During the past month

CORE FEATURE• Symptoms of depression• During the past month,

have you often:a. been bothered by

f li d

• Symptoms of depression (i.e., low mood, sleep problems, fatigue, and

h d i ) i t f ifeeling down, depressed, hopeless?

b. had little interest/

anhedonia) are interfering with patient’s ability to function well in his life

pleasure in doing things?”

• See PHQ-9• See PHQ-9

Another Favorite …

Another Favorite …

Lots of options …

G tti i t h ithGetting in touch with my feminine side …

Maybe a little too dramatic …Maybe a little too dramatic …

Some general “rules of thumb …Some general rules of thumb …

• Dark simple backgrounds tend toDark, simple backgrounds tend to work better than lighter backgroundsEl t (i h t ) h ld• Elements (icons, photos) should …– support concepts/objective– not distract or crowd the slide

• For every rule there are exceptions• For every rule there are exceptions …

White backgrounds can gprovide a very clean design

lFor example …

Proposed changes forEfficiency Cost-reduction andEfficiency, Cost-reduction and Revenue enhancement

• E-Scheduling• Online Consultations• E-PrescriptionsE Prescriptions• Patient Education

Tele Medicine• Tele-Medicine• HIPAA Compliance

Notice the “Shadow”

Things to consider

Length of presentation Size of projection screenNe e befo e Easte o afteNever before Easter or after Labor DayLabor Day

Other components …Other components …

• Animation – text and other elementsAnimation text and other elements• Slide transitions

Ph t h / t k/ id• Photographs/artwork/video

Other components …Other components …

• Animation – text and other elementsAnimation text and other elements• Slide transitions

Ph t h / t k/ id• Photographs/artwork/video

For Example …For Example …

Ralph’s Assessment ReviewRalph s Assessment Review

LEVEL OF CONCERNLEVEL OF CONCERNTIPPING POINTTIPPING POINT

?? LowLow MediumMedium HighHigh

1. Depression1. Depression XXI feel OK, so I figureI feel OK, so I figure––no no problem!problem!

I d t d th t di b tI d t d th t di b t2. “No big deal”2. “No big deal” XX

3. Inevitability3. Inevitability XX

I understand that diabetes I understand that diabetes will get me in the long run.will get me in the long run.

Never checks BGs; sees no Never checks BGs; sees no point to it.point to it.

Good diabetes care meansGood diabetes care means4. Treatment skepticism4. Treatment skepticism XX

5. Unrealistic plans for action5. Unrealistic plans for action XX

Good diabetes care means Good diabetes care means eating birdseed.eating birdseed.

Has other things to worry about Has other things to worry about 6. Poor social support6. Poor social support XX

7. Environmental pressures7. Environmental pressures XX

g yg ythat seem more pressing.that seem more pressing.

Polonsky WH. Unpublished case study.Polonsky WH. Unpublished case study.

Animation …

U t h i tUse to emphasize or to enhance understandingenhance understanding …

b t d ’t d it… but don’t over do it

Adaptation Project

Jean XXXX, RNC SCarolyn XXXX, BSN,RNPatricia XXXX, BSN, RN

Cheryl XXXX, BSN, RN-CKaren XXXX, BSN, RN, PHN

University of PhoenixHCS XXX

November 22, 2003

Other components …Other components …

• Animation – text and other elementsAnimation text and other elements• Slide transitions

Ph t h / t k/ id• Photographs/artwork/video

Slide transitions???Slide transitions???

• Whatever works!Whatever works!

Slide transitions???Slide transitions???

• Whatever works!Whatever works!• Cuts and Wipes: Fast and clean if you are

trying for a brisk “no nonsense”trying for a brisk, no nonsense presentation

Slide transitions???Slide transitions???

• Whatever works!Whatever works!• Cuts and Wipes: Fast and clean if you are

trying for a brisk “no nonsense”trying for a brisk, no nonsense presentationDi l Sl l d• Dissolves: Slower, more relaxed presentation

Slide transitions???Slide transitions???

• Whatever works!Whatever works!• Cuts and Wipes: Fast and clean if you are

trying for a brisk “no nonsense”trying for a brisk, no nonsense presentationDi l Sl l d• Dissolves: Slower, more relaxed presentation

• DON’T BE AFRAID TO EXPERIMENT

Other components …Other components …

• Animation – text and other elementsAnimation text and other elements• Slide transitions

Ph t h / t k/ id• Photographs/artwork/video

Art, Photos and VideoArt, Photos and Video

Wh tWhat, whenwhen

and howand how …

Michelangelo's David goes to America on l t th M t lit Mloan to the Metropolitan Museum

After a 2-year visit to the United States. . . y

http://samugliestdog.com/

M O i iMy Opinion …

If it supports a concept, provokes thought or provides comic relief, use it. g p ,

When in doubt, don’t. ,

Otherwise things could get mushyOtherwise, things could get mushy …

M O i iMy Opinion …

If it supports a concept, provokes thought or provides comic relief, use it. g p ,

M O i iMy Opinion …

If it supports a concept, provokes thought or provides comic relief, use it.g p ,

When in doubt, don’t.,

M O i iMy Opinion …

If it supports a concept, provokes thought or provides comic relief, use it. g p ,

When in doubt, don’t.,

However, for those who live o e e , o t ose o edangerously … www.funnyplace.org

In SummaryIn Summary …

Creating the look …Creating the look …

•• FontFont –– simple and readablesimple and readableFont Font simple and readablesimple and readable

•• Size Size –– safe with 18 point and upsafe with 18 point and up

•• Color Color –– I like white and yellow on I like white and yellow on dark backgroundsdark backgroundsdark backgroundsdark backgrounds

The razzz m’ tazzz …The razzz m tazzz …

•• If it supports a concept provokesIf it supports a concept provokesIf it supports a concept, provokes If it supports a concept, provokes thought or provides comic relief, thought or provides comic relief, use ituse ituse it. use it.

•• When in doubt, don’t. When in doubt, don’t.

•• Consider fair use issuesConsider fair use issues

First Rule … BE PREPAREDFirst Rule … BE PREPARED

•• Know your contentKnow your contentKnow your contentKnow your content

•• Know your presentationKnow your presentation

•• Check your equipment and Check your equipment and connectionsconnectionsconnectionsconnections

•• Remember “Murphy’s Law”Remember “Murphy’s Law”

Now, the argument …Now, the argument …

Some things to consider …Some things to consider …

• Define your objectives

E di t t• Empower your audience to act upon what they learn

• Think “syllogism”

Syllogism 101Syllogism 101

If A = BAnd B = CAnd

ThenB = CA = CThen A = C

Now I’m going to break theNow I’m going to break the First Rule …

First Rule … BE PREPAREDFirst Rule … BE PREPARED

•• Know your contentKnow your contentKnow your contentKnow your content

•• Know your presentationKnow your presentation

•• Check your equipment and Check your equipment and connectionsconnectionsconnectionsconnections

•• Remember “Murphy’s Law”Remember “Murphy’s Law”

What we’ve heard so far …What we ve heard so far …

•• A1C is a crude and limited measure ofA1C is a crude and limited measure ofA1C is a crude and limited measure of A1C is a crude and limited measure of glycemic controlglycemic control

•• It doesn’t explain the development of It doesn’t explain the development of complicationscomplications

•• Glycemic variability may be a better Glycemic variability may be a better marker and target for controlmarker and target for controlmarker and target for controlmarker and target for control

What we’ve heard so far …What we ve heard so far …

•• A key contributor to depression andA key contributor to depression andA key contributor to depression and A key contributor to depression and diabetes distress is a sense of diabetes distress is a sense of powerlessnesspowerlessnesspowerlessnesspowerlessness

•• Collaborative relationships between Collaborative relationships between patients and patients and HCPsHCPs seems to helpseems to help

•• Positive reinforcement is essentialPositive reinforcement is essentialPositive reinforcement is essentialPositive reinforcement is essential

What aboutWhat about Structured SMBG…Structured SMBG

as a focal point ofas a focal point of diabetes education?diabetes education?

Why …Why …

•• Provides more comprehensiveProvides more comprehensiveProvides more comprehensive Provides more comprehensive information about glycemic variabilityinformation about glycemic variability

•• Provides an opportunity to engage in Provides an opportunity to engage in more meaningful discussions with more meaningful discussions with patients about their diabetes patients about their diabetes managementmanagement

•• Provides reinforcement to patients Provides reinforcement to patients that what they do mattersthat what they do mattersthat what they do mattersthat what they do matters

Recent Studies …Recent Studies …

SMBG showed no clinical value

SMBG causes depression

SMBG is not worth the cost

Why is this aWhy is this a problem?problem?

Reimbursement is on the h i bl kchopping block

Guideline: Self-Monitoring of Blood Glucose in Non-Insulin Treated Type 2 DiabetesypIDF Clinical Guidelines Taskforce /SMBG International Working Group

Summary Summary of Guidelines•• Purposes of SMBG:Purposes of SMBG:

Summary of Guidelines

oo Enhance the understanding of diabetes as part of their Enhance the understanding of diabetes as part of their education education

oo Facilitate/enhance healthy behaviorsFacilitate/enhance healthy behaviorsoo Facilitate/enhance healthy behaviorsFacilitate/enhance healthy behaviors

oo Facilitate timely treatment initiation and titration Facilitate timely treatment initiation and titration optimisationoptimisation

•• SMBG should be used only when patients andSMBG should be used only when patients andSMBG should be used only when patients and SMBG should be used only when patients and providers have the knowledge, skills and willingness to providers have the knowledge, skills and willingness to incorporate SMBG monitoring and therapy adjustment incorporate SMBG monitoring and therapy adjustment i t th i di b t li t th i di b t linto their diabetes care planinto their diabetes care plan

•• SMBG protocols (intensity and frequency) should be SMBG protocols (intensity and frequency) should be individualized to address each individual’s specificindividualized to address each individual’s specificindividualized to address each individual s specific individualized to address each individual s specific educational/educational/behaviouralbehavioural/clinical requirements/clinical requirements

A Conceptual Framework for SMBG Use

•• Defined the argument Defined the argument –– SMBG as focal point SMBG as focal point gg ppof diabetes educationof diabetes education

•• Reviewed key points from this morning thatReviewed key points from this morning that•• Reviewed key points from this morning that Reviewed key points from this morning that support a rationale for the argumentsupport a rationale for the argument

C t d f di SMBGC t d f di SMBG•• Created a sense of urgency regarding SMBG Created a sense of urgency regarding SMBG reimbursementreimbursement

•• Provided some credible evidence that my Provided some credible evidence that my argument is supported by othersargument is supported by others

Structured SMBGStructured SMBG should be a focalshould be a focal point of diabetespoint of diabetes

educationeducation

Try differentdifferent things …

http://samugliestdog.com/

The ArtThe Art of the Argument

Chris Parkin, MSChris Parkin, MSCarmel IndianaCarmel IndianaCarmel, IndianaCarmel, Indiana