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Chris Parkin, MSCarmel, Indiana

The Art of the Argument

Who has done a presentation before?

Who has seen a presentation before?presentation before?

Who knows someone who has seen a presentation

before?

What’s in store …

Use of graphic design concepts and components

Basic principles of a persuasive

presentation

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Background…

• Everything I learned is by mistake

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

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

First, a few basics …

• Know your content

• Know your presentation

• Get comfortable with your audienceGet comfortable with your audience

• Check your equipment and connections

• Be prepared for anything

Now, the art … Basic graphic components

• Text: Font, Size and Color

• Background:• Background:

Color and Elements

Some of my favorites …

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

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

When it comes to text, size does mattersize does matter

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Safe Safe

8 point 8 point

10 point10 point

12 point 12 point

16 point16 point

18 point18 point

24 point24 point28 point28 point36 point36 point44 i t44 i t ZoneZone44 point 44 point 60 point 60 point 72 point72 point

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 blue …

… again, white works very well

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

Basic graphic components

• Text: Font, Size and Color

• Background:• Background:

Color and Elements

My Favorite … The Assessment StepTP1: Depression

ASSESS• “During the past month,

have you often:

CORE FEATURE• Symptoms of depression

(i.e., low mood, sleep ya. been bothered by

feeling down, depressed, hopeless?

b. had little interest/ pleasure in doing things?”

• See PHQ-9

( , , pproblems, fatigue, and anhedonia) are interfering with patient’s ability to function well in his life

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Another Favorite … Another Favorite …

Lots of optionsLots of options …

Getting in touch with my feminine side … Maybe a little too dramatic …Maybe a little too dramatic …

Some general “rules of thumb …

• Dark, simple backgrounds tend to work better than lighter backgrounds

• Elements (icons, photos) should …– support concepts/objective– not distract or crowd the slide

• For every rule there are exceptions …

White backgrounds can provide a very clean design

For example …p

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Proposed changes forEfficiency, Cost-reduction and Revenue enhancement

• E-Scheduling• Online Consultations• E-Prescriptions• Patient Education• Tele-Medicine• HIPAA Compliance

Notice the “Shadow”

Things to consider

Length of presentation Size of projection screenS e o p oject o sc eeNever before Easter or after Labor Day

Other components …

• Animation – text and other elements• Slide transitions• Photographs/artwork/video

Other components …

• Animation – text and other elements• Slide transitions• Photographs/artwork/video

For Example …

Ralph’s Assessment Review

TIPPING POINTTIPPING POINTLEVEL OF CONCERNLEVEL OF CONCERN

?? LowLow MediumMedium HighHigh

1. Depression1. Depression XX

2. “No big deal”2. “No big deal” XX

I feel OK, so I figureI feel OK, so I figure––no no problem!problem!

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 noNever checks BGs; sees no3. Inevitability3. Inevitability XX

4. Treatment skepticism4. Treatment skepticism XX

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

6. Poor social support6. Poor social support XX

7. Environmental pressures7. Environmental pressures XX

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

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

Has other things to worry about Has other things to worry about that seem more pressing.that seem more pressing.

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

Animation …

Use to emphasize or to enhance understanding …

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… but don’t over do it

Adaptation Project

Jean XXXX, RNCarolyn XXXX, BSN,RNPatricia XXXX, BSN, RN

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

University of PhoenixHCS XXX

November 22, 2003

Other components …

• Animation – text and other elements• Slide transitions• Photographs/artwork/video

Slide transitions???

• Whatever works!

Slide transitions???

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

trying for a brisk, “no nonsense” presentationpresentation

Slide transitions???

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

trying for a brisk, “no nonsense” presentationpresentation

• Dissolves: Slower, more relaxed presentation

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Slide transitions???

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

trying for a brisk, “no nonsense” presentationpresentation

• Dissolves: Slower, more relaxed presentation

• DON’T BE AFRAID TO EXPERIMENT

Other components …

• Animation – text and other elements• Slide transitions• Photographs/artwork/video

Art, Photos and Video

What, hwhen and how …

Michelangelo's David goes to America on loan to the Metropolitan Museum

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

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http://samugliestdog.com/

My Opinion …

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

When in doubt, don’t.

Otherwise, things could get mushy … My Opinion …

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

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My Opinion …

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

When in doubt, don’t.

My Opinion …

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

When in doubt, don’t.

However, for those who live dangerously … www.funnyplace.org

In Summary …

Creating the look …

•• Font Font –– simple and readablesimple and readable

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

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

The razzz m’ tazzz …

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

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

•• Consider fair use issuesConsider fair use issues

First Rule … BE PREPARED

•• Know your contentKnow your content

•• Know your presentationKnow your presentation

•• Check your equipment andCheck your equipment andCheck your equipment and Check your equipment and connectionsconnections

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

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Now, the argument … Some things to consider …

• Define your objectives

• Empower your audience to act h t th lupon what they learn

• Think “syllogism”

Syllogism 101

If A = BAnd

ThenB = CA = C

Now I’m going to break the Fi t R lFirst Rule …

First Rule … BE PREPARED

•• Know your contentKnow your content

•• Know your presentationKnow your presentation

•• Check your equipment andCheck your equipment andCheck your equipment and Check your equipment and connectionsconnections

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

What we’ve heard so far …

•• A1C 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 control

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What we’ve heard so far …

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

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

•• Positive reinforcement is essentialPositive reinforcement is essential

What about …Structured SMBG as a focal point of

diabetes education?

Why …

•• Provides 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 matters

Recent Studies …Recent Studies …

SMBG showed no clinical value

SMBG causes depression

SMBG is not worth the cost

Why is this a problem?

Reimbursement is on the chopping block

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

•• Purposes of SMBG:Purposes of SMBG: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 behaviors

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

Summary Summary of Guidelines

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

•• SMBG 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 into 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 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 of diabetes educationof diabetes education

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

•• 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 SMBG should be a focal point of diabetes

education

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Try different thithings …

http://samugliestdog.com/

The Art of the Argument

Chris Parkin, MSChris Parkin, MSCarmel, IndianaCarmel, Indiana