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Scenarios not conversations

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This is a scenario framework for learning.

1) There is a situation

2) There is a certain response

3) click

4) and there is an outcome.

This is NOT a conversation.

It is a situation that will have consequences, a decision is taken to do one thing or another, and there is an outcome.

In this instance I guess they've gone for a beer rather than gone to the movies, or had an argument and gone their separate ways.

Having developed a script along these lines to support age group swimmers with asthma, I am now looking at Independent Travel Training for Students with Special Educational Needs.

My mentor/tutor and guide is Anna Sabramowicz.

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Beat Asthma Before Asthma Beats You

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My asthma awareness script for age group swimmers is now done. The next step is to cost it, fund it and produce it. I feel like the teenage who got into video production age 17 - 40 flipping years ago!

Am I as excited? A bit, though I lack the drive and have far too many other distractions.

 

 

 

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Learning Design with Anna Sabramowicz

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In my second week of a six week bespoke course on using scenarios in learning design with Anna Sabramowicz. Aware of her, her work and influence via LinkedIn for many years I leapt at the opportunity to learn her approach. I immediately feel the time, cost and effort on this is justified. It all rings true. I feel at home. I described it to her as the feeling a muscian or singer might get coming back to sheet music to sing or even compose a song after a decade - at first it feels a struggle, but then it all fits into place.

Is that what I wanted 18 years ago when I started the MA in Open & Distance Learning as it was then? Is this practical insight into creating online learning what I had hoped for from the MA ODE which I finally took and completed between 2010 and 2013?

Is this what I had been looking for in my short spells in a Brighton eLearning agency?

The real magic is to feel that my researching, enquiring, planning, developing, creating, visualing and dialogue writing skills and experience can all be used in creating drama recreations, or cartoon enactments that offer the user a number of choices. The MAODE also rings true with course design, the 'swimming lanes' and flow charts that we worked on - and my efforts to simplify this to a few lines of coloured bricks in the style of Gilly Salmon. 

I will be working on a subject that I had worked up into a PhD research proposal - getting young people to follow a better regimen when it comes to taking their asthma drugs. 

 

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Escape

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Edited by Jonathan Vernon, Thursday, 7 Aug 2014, 07:02

Fig. 1 Five Lasers, like butterflies

Helming the boat that set the buoys for this race (it's called 'Ark') I got this shot and likened it to butterflies in the back garden. I so wanted to be out there competing in the race and juggling my inabilities to control the dinghy, but got a thrill from this moment all the same with this imbalance of boats. One getting away, the others heading towards the buoy.

My turn next week.

I've done 12 hours on a 'pond' in various winds on a Laser so feel ready for the sea, and ready for bruises, muscle pain, a dunking: ready too for managed risk: I will have on a wet suit and lifejacket. I will have a pouch containing an inhaler (asthmatic) and water.

I like danger. I need the physical and mental thrills I so enjoyed in my 'youth'. I prefer a challenge. I want to be hit with a stick and offered a carrot. The OU equivalent of the written exam and recognition of success: TMAs are too infrequent for essay writing to become a way of life, whilst EMAs lack the danger and challenge of an examination.

'Ark' is a bit of a tug, a diesel engined quasi-fishing vessel on which the day's race buoys are kept - hunking great things on a long length of rope with a chain and anchor attached. It has a VHS radio so you call back and forth to your harbour of departure and the Race Officer in the clubhouse and RIBS in the bay.

Seven years since I was last on the thing I had with me a cushion I grabbed from the sofa at home not thinking why I did this ... until in the chop I recalled how I had broken my coccyx training to do this when I had bounced off the rubbery side of the RIB and landed on the anchor: twice. Broken coccyx. Imagine how they test for this in A&E? Basically someone prods you up the arse and if you scream there's a problem. This problem then turns into 'there's nothing we can do'. But here's a rubber-ring you may like to have to sit on for the next six weeks ... or don't sit down????

You live and learn, or rather learn through giving things a go until you can get it right enough.

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Time to write

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Edited by Jonathan Vernon, Friday, 2 Aug 2013, 20:55

Screen%2520Shot%25202013-06-20%2520at%252003.18.21.jpg

Fig.1 H809 EMA Mindmap (for fellow H809 / MA ODErs I've added a PDF version in the TMA Forum) Created using Simpleminds.

  • H809 - Practice-based research in e-learning
  • MA ODE - Masters in Open and Distance Education
  • TMA - Tutor Marked Assignment
  • PDF - PDF

Yonks ago I realised for me the best time to study was v.early in the morning. 4.00 am to breakfast isn't unusual, 5.00 am is more typical. All it costs is an early night. This is easy too - no television. Its move from the shed to the dump is imminent.

A week ahead of schedule I find I have an EMA to complete - this'll give me a three hour, exam like run of it. Even the dog knows not to bother me.

For those on the same path the mindmap of my H809 EMA is above.

Ask if you're interested in a legible PDF version.

This gorse bush off density has patterns within it that I can decipher. The net result ought to come out somewhere around the 4,000 word mark too. This approach could not be more different to my earliest TMAs and EMAs three years ago - they were too often the product of what I call 'jazz writing' (this kind of thing), just tapping away to see where it takes you. This process used to start on scrolls of backing wallpaper taped to my bedroom wall. Now it goes onto a whiteboard first.

As always this blog is an e-portfolio: most notes, moments in student forums and references are in here.

I recommend using a blog platform in this way. You can default to 'private', or share with the OU community ... or 'anyone in the world'. One simple addition to this would be a 'share with your module cohort'.

By now I have clicked through some 165 posts taggeed H809 and can refer to H809ema for those picked out for it.

One split occured - I very much wanted to explore the use of augmented reality in museum visits, but found instead a combination of necessity and logic taking me back to the H809 TMA 01 and a substantial reversioning of it. Quite coincidentally this proposed research on adherence to preventer drugs amongst moderate to severe asthmatics had me taking a very close interest on a rare visit to a hospital outpatient's. Nasal endoscopy must look like a circus trick to the casual observer as the consultant carefully 'lances' my skull through the nose with a slender and flexible rod on which there is a tiny camera and light. 'Yes, I can see the damage from surgery' he declares (this was 33 years ago), 'but no signs of cancer'.

There's a relief.

An unexplained nose bleed lasting the best part of 10 weeks was put down to my good-boy adherence to a steroid nasal spray that had damaged the soft tissue. And the medical profession wonder why drug adherence can be so low? 20% to 60% 33 years on and courtesy of the OU Library I found a wholly convincing diagnosis - allergic rhinitis. The 'paper' runs to over 80 pages excluding references and has some 20 contributors (Bousquet, 2008). I'll so miss access to the online library as most papers appear to cost around the £9 to download. This desire to remain attached by a digital umbilical chord to such a resource is one reason I wish to pursue yet more postgraduate studying and potentially even an academic career. I get extraordinary satisfaction browsing 'stuff' to feed my curiosity.

When I stop diddling around here I'll pick off this mindmap in a strick clockwise direction from around 1 O'Clock.

Simpleminds is great as a free App. It's taken me a couple of years to get round to paying £6 for a version that can be exported into a word file though I rather enjoy the slower, more considered 'cut and paste' which adds another opportunity to reflect, expand or ditch an idea.

REFERENCE

Bousquet, J, Khaltaev, N, Cruz, A, Denburg, J, Fokkens, W, Togias, A, Zuberbier, T, Baena-Cagnani, C, Canonica, G, Van Weel, C, Agache, I, Aït-Khaled, N, Bachert, C, Blaiss, M, Bonini, S, Boulet, L, Bousquet, P, Camargos, P, Carlsen, K, & Chen, Y (2008) 'Allergic Rhinitis and its Impact on Asthma (ARIA) 2008 Update (in collaboration with the World Health Organization, GA2LEN', Allergy, 63, pp. 8-160, Academic Search Complete, EBSCOhost, viewed 19 June 2013.

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The future of medicine - wearable and ingested microchips

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Edited by Jonathan Vernon, Sunday, 16 Jun 2013, 18:36

Whilst my asthma or condition isn't severe enough to justify it, imagine though taking a pill in which a microchip, 1mm is embedded. A sufficient electric charge is produced when the microchip gets wet and for a short period it transmits data to a computer (could be a wearable device such as a wristband or watch).

Armed with this data, analysed automatically, and read by you or a healthcare professional, your drug regimen and response to it is closely monitored.

In exchange for the 'big data' you 'transmit' and the knowledge on improving drugs and personalising treatment you may assist with research into the condition you have.

Your GP in this scenario may be sidelined as the specifics of your condition that warrants such an intervention goes directly to a consultant or a biochemist ... even a technician of any part of the device falters.

Papers on the above have been published in the last two/three years. This isn't science-fiction, it is science-fact.

The opportunity to dream up stories, let along to consider serious research, are endless. The scariest thing for me remains the prospect of being kept alive 'well beyond my sell by date' - literally rotting away and being conscious of this long, long after I should have been allowed to die or 'turned off'.

I heard recently of an 80 year old who committed suicide 'before it got too late'.

If you control the scenario described above, instead of the devices and drugs trying to keep you in perfect health at whatever cost, could you, if controlling them, elect to 'turn down the volume' - to achieve what we all perhaps aspire to with death, and that is to die peacefully in our sleep rather than in a strange bed, surrounded by strange people determined, not matter what level of torture is involved, to keep you alive until you last breath and heart beat?

Rather a few friends are talking about how a parent just died - I'm yet to hear a happy ending.

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Making Connections

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Edited by Jonathan Vernon, Thursday, 13 Jun 2013, 08:42

IMG_0896.jpg

  • Stuff found behind the sofa
  • Mindstorms - Seymor Papert
  • Seven Years in Tibet - Heinrich Harra
  • The Future of Pharma - Brian Smith
  • H809 EMA
  • EPHMRA Conference 2013
  • P.hD Research

The stuff that came out of the sofa means nothing to me. These got shoved down the back and sides of the thing nearly a decade ago and whilst I can relate these bits to a child and our dog I cannot see the moment where the stuffing took place ... or even how it could have occurred. Lego bits got constructed on the floor. The dog should have been on the floor. We never used 'soothers' with our children so I guess a parent visited, removed one from a baby and it was lost. In learning terms I liken these artifacts to the niche ideas of an author whose context I don't comprehend - given my recent multiple visits to various museums it is also like going to a museum and walking past exhibits for which you have no context.

Mindstorms is often quoted and I can see why. It draws a lot from Piaget and even mentions Claude Levi-Strauss. I need to investigate both further. It ties into the work of Montessori too and the lessons we gain from understanding how children, or infants in particular, learn.

Seven Years in Tibet and other books by Heinrich Harrer might be better books that a film. I enjoyed the film with Brad Pitt as a lesson, not just as entertainment. My wife couldn't handle his Austrian accent. I was intrigued by the Dalai Llama and the breaking of rules which allowed his tutor to get closer than court etiquette would have permitted. It says a lot about formal vs. informal learning. As well as the drive of the pupil to comprehend.

The pharmaceutical industry inevitably touches on any research into use of prescription drugs. This academic, business school authored book, without becoming popularist, provides a serious of invaluable insights that put adherence to drugs in the wider context of funding, government, longer life and big business.

I am pulling together the EMA for H809. This segues into first interviews with potential supervisors for P.hD research in e-learning in healthcare.

My wife baulked at the £2000 fee to attend a Pharma Conference - EPHMRA. She isn't attending and will skip these things unless she joins Big Pharma or agency. Her contacts on the phone will provide some insights. Already though I squirm at 'papers' presented for an by corporate players as I cannot help but find holes - critiques being the modus operandi of H809.

 

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What will the impact be of the Web on education?

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Edited by Jonathan Vernon, Friday, 29 Mar 2013, 04:54

How is knowledge sharing and learning changing?

From four or five months after conception with the formation of the brain, to the moment of brain death we have the capacity to learn, subconsciously as well as consciously. Whether through interlopers prior to birth, in infancy and early childhood, or through family and carers in our final moment, days, weeks, months or years. At both ends of life the Web through a myriad of ways can advise, suggest and inform, and so educate, like never before. While for all the time in between as sponges, participants and students we can access, interact, interpose and interject in an environment where everything that is known and has been understood is presented to us. The interface between person and this Web of knowledge is a fascinating one that deserves close study for its potentially profound impact on what we as humans can achieve as individuals and collectively:  Individually through, by with and surfing the established and privileged formal and formal conveyor belt of education through nursery, primary, secondary and tertiary centres of learning. Individually, also through expanding opportunities globally to learn unfettered by such formal education where such established opportunities don’t exist unless hindered through poverty and politics or a lack of communications infrastructure (a robust broadband connection to the Web). And individually and collectively alongside or beyond whatever formal education is provided or exploited by finger tapping into close and expanded networks of people, materials, ideas and activities.

By seeking to peg answers to the role the Web is starting to play, at one end to the very first opportunity, at the micro-biological level to form a thought and at the other end to those micro-seconds at the end of life once the brain ceases to function - and everything else in between, requires an understandings neuroscience and an answer to the question ‘what is going on in there?’ How do we learn?

From an anthropological perspective why and how do we learn? Where can we identify the origins of knowledge sharing and its role in the survival and domination of homo sapiens? And from our migration from the savannas of Eastern Africa to every nook and cranny of Earth, on land and sea, what recognised societal behaviours are playing out online? And are these behaviours mimicked or to a lesser extent transmogrified, warped or elevated by the scope, scale and speed of being connected to so much in such variety?

A history of learning is required. From our innate conscious and subconscious capacity to learn from our immediate family and community how has formal education formed right the way through adding reading, writing and numeracy as a foundation to subject choices and specialisms, so momentarily expanded in secondary education into the single subjects studied at undergraduate level and the niche within a niche at Masters and doctoral levels. And what role has and will formal and informal learning continue to have, at work and play if increasing numbers of people globally have a school or university in their pockets, courtesy of a smartphone or tablet and a connection to the Web?

The global village Marshall Mcluhan described is now, for the person connected to the Web, the global fireplace. It has that ability to gather people around. Where though are its limits? With how many people can we develop and maintain a relationship? Once again, how can an understanding of social networks on the ground inform us about those that form on the Web? Multiplicity reins for some, flitting between a variety of groups while others have their niche interests indulged, celebrated and reinforced. Is there an identifiable geography of such hubs small and large and if visualised what does this tell us? Are the ways we can now learn new or old?

In relation to one aspect of education - medicine - how are we informed and how do we respond as patients and clinicians?

The journey starts at conception with the mixing of DNA and ends once the last electrochemical spark has fired. How, in relation to medicine does the quality (or lack of), scale and variety of information available on the Web inform and impact upon our ideas and actions the length of this lifetime’s journey At one end, parents making decisions regarding having children, then knowledge of pregnancy and foetal development. While at the other end, a child takes part in the decision making process with clinicians and potentially the patient - to ‘call it a day’. Both the patient or person, as participant and the clinicians as interlocutors have, potentially, the same level of information at their fingertips courtesy of the Web. How is this relationship and the outcomes altered where the patient will know more about their own health and a good deal about a clinician’s specialism? The relationship between the doctor and patient, like others, courtesy of the connectivity and capacity of the Web, has changed - transmogrified, melted and flipped all at the same time. It is no longer them and us, though it can be - rather, as in education and other fields, it can be highly personalized and close. Can clinicians be many things to many people? Can any or only some of us cope with such multiplicity? A psychologist may say some will and some won’t, some have the nature for it, others not. Ditto in education. Trained to lead a classroom in a domain of their own, can a teacher take on multiple roles aimed at responding to the unique as well as the common traits of each of their students? While in tertiary education should and can academics continue to be, or expected to be undertake research as well as teach? Where teaching might be more akin to broadcasting, and the classroom or tutorial takes place asynchronously and online as well as live and face-to-face. Disaggregation equals change.

In relation to one aspect of education in medicine and one kind of problem, what role might the Web play to support patients so that they can make an informed decision regarding the taking of potentially life saving, if not simply life improving, medications? Having understood the complexity of reasons why having been prescribed a preventer medication, for example, to reduce or even eliminate the risk of a serious asthma attack, what is going on where a patient elects, sometimes belligerently, not to take the medication. Others are forgetful, some misinformed, for others it is the cost, or the palaver of ordering, collecting and paying for repeat prescriptions.

Information alone isn’t enough, but given the capacity of the web to brief a person on an individual basis, where they are online, what can be done to improve adherence, save lives and enhance the quality of life?

My hypothesis is that a patient can be assisted by an artificial companion of some kind, that is responsive to the person’s vicissitudes while metaphorically sitting on that person’s shoulder i.e. in the ‘Cloud’ and on their smartphone, tablet, headset, laptop or whatever other assistive interface will exist between us and the Web.

 

 

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H809: Reflections at the end of week 7

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Edited by Jonathan Vernon, Friday, 22 Mar 2013, 15:03

Still playing catch-up after the TMA

Through week six writing and most activities (a few hours left to wrap)

Familiar with week 7 as we begin week 8. I will catch up over the weekend. Perhaps. If it rains a good deal and my son's football is off (again). This will come back to haunt me - with all the bad weather they are moving to two matches a week. The Daddy Taxi might be busy.

For H809 conjured up the 'Perfect Storm of Online Research'

  • Young people, including minors
  • Online - gamified if not virtual worlds, with social aspects (whether wanted or not)
  • Medical - not a medical market research but ostensibly an 'intervention' of sorts that would require expertise, training and sign off for everyone involved.
  • Global - what isn't if it is accessible online?

The good news?

  • They haven't found life on Mars yet so I can keep it contained to Earth.

My plan

  • Set further parameters.

I'm looking at use of e-learning to improve uptake of perventer medication by young people with servere moderate asthma (i.e. they are supposed to take a daily preventer inhaler, like me, I do - they don't).

I may 'contain' the research to a group where in some cases a step has already been taken to amerliorate the situation - swimming. I'll talk to the ASA (hypothetical) and have participants as UK swimmers with asthma

 

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H809 Reflection on Block 1 - towards compliance for those with moderate severe asthma

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Edited by Jonathan Vernon, Tuesday, 11 Jun 2013, 11:16
The most straight forward of assignments has proved anything but ... not for how to write this 2000 word piece, that is straight forward, but rather committing to a subject, then narrowing down the theme, possible research question and then dig up some papers ... and not simply offer the lot, but give the five 'that say it all'. To pick five how many must you read, at least as abstracts. I made three false starts, even read a PhD thesis on blogging before deciding it is a minefield. I may like to blog but I no more want to research it for an OU assignment than sort out pebbles on Brighton Beach. Lifelogging, memory and neuroscience all interest me ... but are too big to get my head around in a few months - a few years perhaps. Looking at my notes I see I have papers also on augmented learning for field trips and museum visits. Then I returned to a platform that caught my eye three yesrs ago on H807 when I interviewed Dr. B. Price Kerfoot of Harvard Medical School on 'Spaced Education'. So far this system has been usef with doctors, to support their learning and decission making ... the next step will be patients. One of the humdingers here is 'compliance' - taking the medication you are prescribed if you have a chronic condition. What dawned on me this afternoon is that as a asthmatic I am the perfect patient - compliant to the nth degree. What surprised me is that such a large percentage of asthmatics are not. But with alleregies - a double-whammy of irritations, I ignore the nasal steroids and antehistemines almost completely. Compliant, and defiant in one go so just about canceeling the two out. But why? This is what fasciantes. You know you need to take something to avoid a return of the symptoms, but as there are no symptoms you stop taking the medication. Anyway, I am sifting through papers to set me straight and to offer some answers. If you have a moderately severe chronic condition and wish to share your medication regime or attitude please speak up - asthma, allergies, diabetes, epilepsy, other mental illnesses - chat on Skype? Meanwhile I checked my preventer inhaler - it was empty. I at least had a spare and will get a repeat prescription in tomorrow.
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New ways of reading

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I'm trying something new, probably in breach of copyright, but if I keep it to myself where's the harm? But does it work? As I read a paper I freeze the page when I spot something I wish to note, crop this image then load this image into a Google Doc where I can add notes, or cross reference from other papers. I assemble my thoughts and those of others like digitial scraps. Currently treating myself to all that I can find related to asthma. I may not be an MD, but an MD doesn't have the MAODE and if there is one thing I've learnt these last three years, it is what I am not understand at all will in time become familiar.
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Are you asthmatic?

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Edited by Jonathan Vernon, Monday, 11 Mar 2013, 08:11

I'm most interested in those who, like me, who have Moderate Persistent Asthma

Where you not taking medication regularly (or when they run out and you forget to get a new prescription ... I do too often) then the asthma symptoms would occur almost daily.

Your asthma severity is classified as moderate persistent asthma when:

  • You have asthma symptoms daily.

  • You wake up from your asthma more than one night per week, but not every night.

  • You use your rescue inhaler daily.

  • Your asthma moderately interferes with your daily activities.

With moderate persistent asthma, you will need daily asthma medication with anti-inflammatory properties, as well as a second medication.

You are able to gain control of your asthma with two medications, what we call the 'blue one' and the 'brown one'.

The brown one, the inhaled steroid, you take a couple of puffs in the morning and a couple at night.

The blue one, the reliever, or what in North America they call the 'rescue' inhaler, you take as required.

My interest is based on some research done in Brighton by Robert Horne 'Compliance, adherence, and concordance: implications for asthma treatment' makes for interesting reading.

30% of patients ignore the advice, don't bother with their 'brown one' and over use their 'blue one'. This group are far more likely to end up in hospital, develop further complications and dependencies on drugs, or even die.

In our family, my father's stubborn refusal to take his daily medication led to him having a major asthma attack, he was put on a nebuliser and injected steroids to keep him alive and as a result became diabetic.

So why don't people take their medication?

All down to a combination of personality and false perceptions about taking inhaled steriods. Nor does it help when invariably the weakest (Lord of the Flies) or the baddest (Casino Royale) are portrayed as asthmatic.

REFERENCE

Horne, R (2006), 'Compliance, adherence, and concordance: implications for asthma treatment', Chest, 130, 1, pp. 65S-72s, CINAHL, EBSCOhost, (viewed 10 March 2013).

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OU Library and a developing understanding of why too many asthmatics don't bother to take their prescribed medicines.

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Edited by Jonathan Vernon, Tuesday, 11 Jun 2013, 11:23

I will never tire from serving my curiosity when I entre the OU Online Library. I am often lost for weeks at a time, dipping into everything that catches my eye, reading some of if all the way through, following up further leads, then further leads until I find I've either circumnavigated the globe, dropped back a century or more or am spinning circles in a slow, spiraling descent through a single authors previous thinking.

I don't need a ball of thread to help me find my way out and there's no Minotaur to slay at the centre.

All I hate is a underpowered laptop and a rubbish internet connection.

Currently my interest is reseach on compliance, noncompliance, adherence and coherence in use of asthma drugs. I should know, I am one. My compliance is excellent. One asthma attack in my teens and I do everything to the letter. I fail to understand how and why 30% of people with my condition end up hospitalised or dead. The reading is extraordinarily diverse, bringing it down to the person, their identity with the condition and unwillingness to take a couple of puffs on an inhaler morning and night - when surely they are in and out of the bathroom anyway?

If you know any asthmatics like this please put them in touch or send them to my blog where I will add notes.

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HOLIDAY ILLNESS

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Edited by Jonathan Vernon, Sunday, 10 Mar 2013, 00:23

Down with something hideous and find myself on antibiotics. Want to be studying but haven't the head for it, not academic papers.

This cover 20 benefits of mobile learning though.

As an asthmatic I wonder if the kind of videos I used to produce as interactive Apps might be of value?

Watch several movies, the wonderful 'Barefoot in the Park' with Robert Redford and Jane Fonda, the TV movie on the rise of Hitler with Robert Carlyle and 'The Englishman who went up a hill and came down a mountain' with Hugh Grant and Tara Fitzgerald.

'The Rise of Evil' is historically accurate though somewhat eager, understandably, to ensure that Hitler has no redeeming points. I'd recommend it as viewing alongside the two volume biography by Ian Kershaw.

'Barefoot in the Park' which I must have seen on TV in the 1970s drew me into the wonders of a stage play making it onto the big screen. I also admire the way five days of sex is handled by showing newspapers being put outside their hotel bedroom door every morning. I thought Paul put his shoes out to be polished, another film?

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