GameCards

Gamification at the Bangor festival of Behaviour Change

The most recent North Wales Participation Network was held as part of a wider event – the Festival of Behaviour Change which took place in Pontio, Bangor University and was organised in partnership with Wales Audit Office and Good Practice Wales.

The Behaviour Change Festival was aimed at people with an interest in social change or innovation in roles in healthcare, education, local and national government and the voluntary sector including:

  • Staff who deliver public services
  • Policy Makers
  • Elected Members
  • Strategic Decision Makers
  • Service Users with an interest in better public services

A major part of the festival was the gamification aspect to each day. If you read our most recent newsletter, this was featured as the ‘Method of the Month’. Let’s explore how this works in more detail:

Each participant had 3 ‘game cards’ inside the delegate pack that was given out upon arrival. Each card either represented ‘easy’, ‘medium’ or ‘hard’ and had a list of challenges to complete throughout the day. When you complete a challenge, you get a stamp on your game card and a completed card wins a small prize.

I like a challenge, so I went straight to the card labelled ‘hard’ and had a look at what I’d need to do in order to win a prize:

  1. Walk 6000 steps
  2. Order a healthy meal from restaurant within the venue
  3. Recognise 3 good things that happened today
  4. Join with another group
  5. Attend all events in one day

Screenshot of step-counter AppIt wasn’t as easy as simply asking for a stamp, you needed to provide proof

I used a step-counter app on my phone to keep track of my footsteps (I’d already walked to the venue so was over half-way towards the target before the event began), they had pedometers available too.

At lunchtime, I took a photograph of my receipt and my meal and was awarded a stamp for ‘ordering a healthy meal’ English Healthy Menu from Pontio Restaurant in Bangor University

 

I also intended to use photos as proof for recognising positive things that happened – the sun was shining, our network event was very well attended and we had an excellent discussion – I sadly didn’t gain the stamp for this challenge, as I was busy facilitating the network event and only had a chance to take 1 photograph so missed out due to lack of evidence!

In order to join with another group, there were various colours of wristbands in our delegate packs – 4 different colours in total. This could be proved by taking a photo of the different coloured wristbands.

Red and Blue wristbands from Bangor University Psychology

To prove you attended all the events in one day, after leaving a session the participants who were playing the game could get a stamp for their card.

Although I didn’t gain every stamp in order to win a prize, this activity was a very fun way to participate in addition to the interesting sessions taking place as part of the festival.

GameCards

Apply this game to your own life

This technique is incredibly motivational if you apply it to your everyday life. There is a website and mobile app I’ve discovered called Habitica which turns your life into an RPG (role-playing-game). You set your own tasks and goals, rate their difficulty and when you complete them your character is rewarded! Be warned, if you don’t complete your tasks, this will harm your character’s health and you will have to work harder to bring it back up again.

Random acts of kindness

In addition to the game cards, inside our delegate pack was information about ‘random acts of kindness’ …and some stickers. The information sheet suggested these possible random acts of kindness:

  • Leave a used book in a cafe
  • Tell someone how they have impacted your life
  • Buy a drink for the person behind you in the queue
  • Hide a small gift for a stranger to discover
  • Pay someone a compliment
  • Give a handwritten note to a friend

The game was to use the stickers provided to identify your random acts of kindness. The aim of this game is to create a positive experience for everyone. Small, simple and commonly spontaneous acts of kindness, often performed to strangers, have been shown to significantly increase feelings of happiness for both the giver and receiver. Additionally, consciously reflecting upon such acts is linked to a reduction in negative emotions and is thought to enhance an optimistic outlook.

Research has shown that random acts of kindness can be an effective way in which to enhance your social and emotional wellbeing, which is further connected to relationship skills, responsible decision-making, self-esteem and self-awareness.

Have you used any gamification activities with service users, or have you used a gamification app for personal behaviour change goals? Why might random acts of kindness work for you? Please let us know in the comments below and join our discussion.

  – Sarah

 

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Networking in nature

In the Participation Cymru team we love spending time outdoors and the opportunity of holding a network in the open air is an idea we’ve thrown around for a while.

So, just after the early May Bank Holiday weekend we held our first ever practitioner network event that took place in nature with the help of Tom Moses from Pembrokeshire Coast National Park. Here is a summary what happened:

Firstly, the weather was absolutely glorious!

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Not even a hint of rain

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Tom started the fire earlier that morning, so hot tea and coffee was served upon arrival.

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Jill Simpson, from Pembrokeshire Coast National Park showed us this beautiful, tactile piece of community made woodland furniture (it’s so much more than just a bench) that was designed and created by local young people.

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Matt, a volunteer for Pembrokeshire Coast took us for a walk along a bridleway where we learned map reading and basic orienteering skills.

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Along the way we met some inquisitive young cattle who were very keen to say hello

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It’s possible to make tea from various plants, roots and fungi found in the woodland (but never eat anything you’ve picked in the wild unless you’re absolutely sure that it’s safe!)

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Our mid-morning snack: warm bread fresh from a Dutch oven with freshly picked wild garlic.

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We used a participatory voting method – ‘pebble voting’ to decide which of the teas tasted the best (dandelion seemed to be the most popular).

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It wasn’t just tea-testing, cows and pretty walks however; the topic of the networking meeting was behaviour change. Participation Cymru posed the question for organisations who are implementing the National Principles for Public Engagement in Wales: what behaviour change has to take place within an organisation? Answers on a magnetic whiteboard…

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We recently published a checklist of implementation for the National Principles with questions relating to each principle. Has your organisation had to change its behaviour when engaging? Have you had to try to influence the behaviour of others in order to make improvements? Join the conversation but leaving a comment below.

Finally…leave (almost) no trace

This water soluble air-drying clay is an excellent way for people to ‘leave their mark’ in nature without causing any damage to the environment. We took all of our rubbish with us.

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Many thanks to Tom, Jill and Matt from Pembrokeshire Park National Park Authority who helped make this event a success.

Are you thinking of holding a community event or meeting outdoors in Wales? If you are, please tell us so we can help you promote it.

Keep checking our website for details of future network events.

Our ‘All Wales Network event’ entitled ‘Engaging with diverse communities’ is taking place in Llandrindod Wells on 14th July it’s FREE to attend!

Sarah

Improving maternity services in Wales

As well as being Participation Cymru’s Adminstrator, I am also the lead on the protected characteristics of pregnancy and maternity under the Equality Act 2010. I am the proud mother of a lovely one year girl and was adamant from the start that I wanted to return to work, largely so that she would grow up knowing that she does not have to choose between a career and a family, and so this topic is close to my heart.

I considered myself fortunate during my own pregnancy and subsequent maternity leave to be working for an organisation that treats pregnant employees fairly – in fact I disclosed my pregnancy during my job interview and was not hindered by this! I chose to take six months of maternity leave and was able to fully appreciate and use this time to bond with my daughter in the knowledge that my position at work would be secure at the end of my leave. Moreover I was only contacted socially by my team during my leave and was given support and supervision on my return to help me get quickly back up to speed with things.

My own situation should be considered the norm and not an example of good fortune. Unlawful discrimination against pregnant employees is well documented however, and every year many women have very different experiences to the one I described. One in nine new mothers are discriminated against or dismissed from their employment in the UK. While men are often seen as more responsible at work when they become fathers and can benefit from increased responsibility or promotion, women can and do suffer from being perceived as less capable and less reliable when they become mothers. This is not only an unfair assessment of the abilities of individual women in their careers (not to mention the contribution of fathers) but also damages workplaces if talented women choose to leave.

I asked some other women about their own experiences of returning to work following maternity leave and what their workplace had done to make that transition as easier. Here is what they had to say:

  • To provide the informal training I felt I needed to ensure I could go back to my work with confidence
  • I was able to return part-time and build up to working full-time over a period of 6 to 8 weeks
  • Co-workers were sympathetic about asking me to attend meetings that were far from home or had a very early start.
  • Flexible working hours
  • For me, the fact that my workplace were part of a childcare vouchers scheme was extremely helpful
  • It’s a simple thing but just people generally having a positive attitude towards my return
  • Reasonable adjustments – my manager and team being understanding when my daughter had a bug and I had to take annual leave at short notice to be at home with her

I recently attended the All Wales Maternity Network, a forum for service users to contribute to the improvement of maternity services in Wales. During the introduction I learned that most changes to these services have come about as a direct result of challenges by service users – our right to give birth in a hospital and to have access to an epidural are a result of demands by mothers.

While it was certainly positive to be part of a meeting of parents and professional (most people present were both) who were determined to improve maternity services, the number of people who shared distressing experiences that could have been avoided was disheartening. One common frustration that emerged was that mothers felt that they had not been provided with enough information to feel that they were making informed, empowered choices about the options available to them regarding where and how they chose to gave birth. Further to this many women were unaware that they had a choice in certain matters – the language used by some health visitors and midwives implied that these women were being instructed instead of advised and there was no opportunity for discussion. These issues are equally relevant for mothers choosing to return to work – if we are to insist on fair treatment it is imperative that we know what our rights in this area are.

Find out more about how to get involved with Maternity Network Wales.

 – Non

Why we love Open Space Technology

If you’ve never come across the concept of Open Space Technology before and you’re familiar with a formal style of hosting meetings, it can seem quite daunting to have to facilitate or even participate in a session that uses Open Space.

This style of facilitating fits our ethos

Our ethos is that ‘We work with people and organisations and not for them’.

Open Space Technology is a style of facilitation that allows a group of individuals to be completely self-organised in reaching goals. This is achieved with barely any input from the facilitator, who will do little more than outline the guiding principles of Open Space Technology, introduce the over-arching topic/theme/purpose of the meeting and then let the group get on with it. This technique has been used around the world in meetings of 5 to 2000 people.

There is no formal agenda and no ground rules, except for the Law of Two Feet, that is: “If at any time during our time together you find yourself in any situation where you are neither learning nor contributing, use your two feet, go someplace else.”  (Harrison Owen)

Owen’s Tedx Talk Dancing with Shiva (or Sandy, or Katrina)’  is a great starting point for any facilitator or practitioner interested in this method.

We’ve used this technique at several network events

We’ve used this technique several times including at our All Wales Residential Network in 2012, during a session at WCVA’s annual staff day and most recently at our Regional Participation Networks in October.

This technique is excellent because it really allows anyone who attends a session to speak about what they want. Open Space gives people a platform to do this without a facilitator poking their nose in (as it may be perceived) if a conversation goes off-topic or a discussion changes course, therefore shifting the power away from one person and sharing it amongst a group.

We’ve always had success using Open Space, at our most recent participation network events there was a wide variety of topics that people brought to the meetings that we held in Rhyl, Barry and Carmarthen this October:

  • How can we work more creatively – changing work structures
  • Fair treatment for Women in Wales – recognition of rights
  • Social housing has years of experience of engagement
  • Autism support for adults who don’t qualify for help
  • Getting information to the right people in the right way
  • Making our work newsworthy
  • How to engage young people as volunteers
  • Community initiatives – engaging with a poor community
  • Home or hospital – what is better for patients and staff?

The online community

There is a huge online community for facilitators and practitioners who use or are interested in Open Space Technology, which includes a very active e-mail discussion list and a Google Group – no organisation or individual owns or controls this collective information and it truly is an ever-expanding knowledge-base. I’ve been part of the e-mail discussion list for just over a month and although I haven’t contributed anything, during my time spend ‘lurking’ I have learnt so much about situations where Open Space has been used successfully. Anyone can read the archives from this list, which date back almost 20 years so there is a huge amount of user-generated information there!

It’s fun

OpenSpace1As a facilitator, it’s great to look around the room and observe meaningful, organic and productive discussions which are taking place.

As a participant, it’s wonderful to have the opportunity to talk about things in an informal environment. Even with careful facilitation with lots of open questions asked it can still be difficult to get your point across if other participants have a louder voice than you. In an open space environment, participants can use the law of two feet to move away from unproductive discussions.

Have you ever used Open Space Technology in your engagement work? Have you ever attended a session? Please share your experiences in the comments section below.

 – Sarah

How patients and members of the public are involved in appraising new medicines

I recently attended a meeting of the Patient and Public Interest Group (PAPIG), which is made up of patients, carers, patient advocates and third sector organisations. The group feeds their views via the All Wales Therapeutics and Toxicology Group (AWTTC), who provide professional, technical and administrative support to the All Wales Medicines Strategy Group (AWMSG). One of the roles of AWMSG is to advise Welsh Government whether new medicines should be available for use in NHS Wales.

New medicines are evaluated against currently available medicines to compare:

  • how well they work,
  • how cost-effective they are,
  • which patients they would benefit the most.

AWMSG is committed to involving patients, carers and members of the public when evaluating new medicines. During the appraisal process, the patient and carer view is critical because clinical data alone can’t quantify a patient experience – the patient needn’t be an expert in medicine in order to be involved in this process. Most of the questions asked of them during the appraisal process are related to their condition and how it affects their day to day life.

The patients and carers who contribute may not be scientifically or clinically trained, but they certainly hold invaluable knowledge about the impact that their condition has on their and their families’ lives. Other stakeholders such as pharmacists, academics, clinicians and industry representatives are also involved throughout the process. The patients and members of the public are found through patient advocates and third sector organisations that are represented on Patient and Public Interest Group. AWTTC also search for other patient groups in order to reach those who are not currently engaged in this process.

It’s worth noting that other bodies in the UK who appraise new medicines do not take responses from individual patients or members of the public, but AWMSG do.

Patients and members of the public who are involved are known as lay-members. The dictionary definition of a lay-member is “A person who does not have specialised or professional knowledge of a subject.”  So if this is what a lay-member doesn’t have, what about the skills that they do have?

At the meeting, we completed a participatory exercise to examine ‘what skills, experience, qualities and attributes does a lay member have?’

Here’s some of what we came up with:

What does a patient representative look like? Skills and experience

  • Getting the point across
  • Analytical ability
  • Good communicator
  • Good understanding and experience of health conditions
  • Good listener

Qualities and attributes

  • Confident
  • Sympathetic / empathetic
  • Caring
  • Being able to stay within their remit

Completing this visual exercise was very a thought-provoking and interesting way of looking at the lay-member role.

What participatory tools have you used to analyse the roles of citizens involved in your consultation process?

Sarah

Participation is key to challenging discrimination

At the All Wales Participation Network this year, Joe Powell set the tone with a powerful opening speech about the importance of full participation in society for people with learning disabilities. Joe was diagnosed with Asperger’s Syndrome in 1996 and has spent 11 years in social care. He is now National Director of All Wales People First; a group uniting the voices of self-advocacy groups in Wales. Joe drew on his first hand experience of fighting to leave a system that was determined to see him purely as a service-user, someone needing assistance, and not as someone who also had a lot to offer to his community.

Joe began his talk by outlining ‘The good life model’; values that are important to the people with learning disabilities Joe has spoken to. These values included ‘loving and caring relationships’, the choice that is derived from having some wealth (implicitly this includes control over one’s financial assets), a ‘contributing place in the World’ and ‘a home of my own’. The first thing that struck me was how similar they are to what a non-learning disabled person wants from their own life – these values seemed universal, as opposed to learning-disability specific. All of the values were, to my mind, underpinned by a balance between personal safety and security on one hand and on the other a sense of being able to take agency over one’s own life and further, contribute something to the lives of others. Isn’t this what everyone wants form their lives?

Picture of Joe Powell presenting at Participation Cymru event.

Many people with learning disabilities also have a visual impairment and some of these people were not taught to read at school. Simple measures such as offering easy-read information and audio format can make it possible for people with learning disabilities to access information without having to rely on a friend or carer to read it to them. This allows people to maintain a sense of independence and dignity, rather than become institutionalised, especially where the information concerned is of a private nature.

Given that what people with learning disabilities want is so similar to what the wider population aspire to, one could be forgiven for assuming that these desires are readily accommodated in learning-disability care and are empathised with by society. However, Joe explained that in reality people with learning disabilities are effectively ‘retired at the age of eighteen years’; rarely in employment and often even excluded from volunteering. The mentality behind such sidelining appears to be that anyone with a learning disability is a ‘service user’ and therefore in need of assistance. Whilst many people with learning disabilities are indeed users of services, this does not mean that they are not capable and eager to give assistance in their communities and contribute meaningfully not only to their own lives, but also to the lives of others.

History of people learning disabilities

This restriction in participation is not only a massive loss in terms of potential volunteering and employment opportunities but also completely contrary to the principles of the All Wales Strategy 1983. The strategy stipulates that people with learning disabilities have the right to choose their own patterns of life within their communities and to access to professional services where additional help is necessary for them to achieve this.

People with learning disabilities largely DO want to work and to volunteer, said Joe, and we need to make more of an effort to accommodate their needs in theses capacities. Prejudice stems from ignorance and when people with learning disabilities are visible in useful roles, this will make it harder to stereotype them as a burden and give credibility to their voices.

Joe’s closing remark, before inviting questions from the floor, was that participation for people with learning disabilities must be realistic and never tokenistic. We must make it possible for people with learning disabilities to enter the workforce with reasonable adjustments made if necessary only when they are capable of fulfilling that role.

If you would like to hear more from Joe Powell, you can keep up with Joe’s Soapbox.

The ‘Storify’ for the day, including Joe’s presentation, other resources from the event as well as delegate’s contributions via social media is available here.

– Non