Use DDQs to redirect your actions

RESEARCH Open AccessUse of the measure your medical outcome profile(MYMOP2) and W-BQ12 (Well-Being) outcomesmeasures to evaluate chiropractic treatment:an observational studyBarbara I Polus†, Amanda J Kimpton†, Max J Walsh*†AbstractBackground: The objective was to assess the use of the Measure Yourself Medical Outcome Profile (MYMOP2) andW-BQ12 well-being questionnaire for measuring clinical change associated with a course of chiropractic treatment.Methods: Chiropractic care of the patients involved spinal manipulative therapy (SMT), mechanically assistedtechniques, soft tissue therapy, and physiological therapeutic devices.Outcome measures used were MYMOP2 and the Well-Being Questionnaire 12 (W-BQ12).Results: Statistical and clinical significant changes were demonstrated with W-BQ12 and MYMOP2.Conclusions: The study demonstrated that MYMOP2 was responsive to change and may be a useful instrumentfor assessing clinical changes among chiropractic patients who present with a variety of symptoms and clinicalconditions.BackgroundIn an era of accountability, health care providers areincreasingly required to use reliable and valid outcomemeasures to assess changes in patient characteristics,including function and activities of daily living, followingintervention. A review of outcome measures for primarycare illustrates the evolution of instruments thatacknowledge the importance of subjective perceptions ofhealth and which focus on the measurement of functionand quality of life [1].Subjective outcome measures provide another dimen-sion in the clinician’s understanding of the patient’s com-plaint when compared to standard objective measures(such as range of motion, palpation). Common subjectiveoutcome measures include condition-specific tools such asthe Revised Oswestry Disability Index and Neck DisabilityIndex for assessing functional disability due to low backand neck pain respectively. Standardised questionnairessuch as the Short form 36 (SF36) and the Well-beingQuestionnaire (W-BQ12) are used to assess general healthstatus or quality of life - especially changes in self-conceptover time following therapeutic intervention.A recent approach is to assess change over time forspecific symptoms or complaints identified by patients tobemostimportanttothem[1-3]. The Measure YourselfMedical Outcome Profile (MYMOP) has been recentlydeveloped to evaluate such patient-generated measuresover time following therapeutic intervention [1]. TheMYMOP is a brief patient generated, problem specificquestionnaire which requires the respondent to specifyone or two symptoms which are concerning them mostand which they are seeking treatment for. A daily activitythat is being restricted or prevented by these symptomsis also documented [4].The MYMOP was initially published in 1996 [1] andwas revised to MYMOP2 after a second validation in1999 and included another section relating to medication[3]. It is a sensitive measure of within-person changeover time; is capable of measuring the effects of a wide* Correspondence: max.walsh@rmit.edu.au† Contributed equallyDivision of Chiropractic, School of Health Sciences, RMIT University, PlentyRd Bundoora, Melbourne, AustraliaPolus et al. Chiropractic & Manual Therapies 2011, 19:7http://chiromt.com/content/19/1/7CHIROPRACTIC & MANUAL THERAPIES © 2011 Polus et al; Use DDQs to redirect your actions Use DDQs to redirect your actions Bởi: Joe Tye “Success begins the moment we understand that life is about growing; it is about acquiring the knowledge and skills we need to live more fully and effectively Any joy and exuberance we experience in living are the fruits of our willingness to risk, our openness to change, and our ability to create what we want for our lives.” David McNally: Even Eagles Need a Push: Learning to Soar in a Changing World The Direction Deflection Question (DDQ) is one of the tools that you can use to carve that statue of your ideal self that I mentioned at the beginning of this book The quintessential DDQ is this: Will what I am about to or say help me be my ideal best self? If you really think about it, you’ll see that the DDQ is really three questions in one The first question is some variation of “Who am I (or what am I doing) when I’m being my best self?” Using the DDQ challenges you to think about your best self as a parent, as a professional, as a time and money manager, or any other dimension of your life that you want to change The second question is an adaptation of the “stop, look, and listen” routine that you learned in kindergarten Before you shout at your kid, blow your paycheck on the annual sale at J.C Penney, waste a day watching television when you know you’d be better served getting outside and exercising or networking, you ask yourself whether that action will help you be your best self If you’re being honest (often harder than you’d think it is!), you will hear “no” a lot more than you hear “yes.” So the third question is the “what would I if I were being my best self” question If you listen carefully, you will hear a soft voice whispering an answer: “Put away the donuts, turn off the television, and go to the gym.” You will know that you are listening to your authentic best self if what that voice is telling you to is more difficult than what you were about to Why? It’s human nature to take the path of least resistance, the easy way out 1/2 Use DDQs to redirect your actions Especially when our world is upside down The DDQ is infinitely adaptable and can be used to help you change your thinking, change your behaviors and habits, and ultimately change your life Here are several examples of how people I’ve worked with have adapted the DDQ: Will what I’m about to for the next hour help me achieve my primary goal? Is what I’m about to spend my hard-earned cash on going to help me achieve my dream of being debt-free and financially independent? Will what I’m about to say to this person help build a more trusting relationship? I have seen people use variations of the DDQ to get out of debt, get in shape, lose weight, overcome fears, become more loving parents and partners, and change many other facets of their lives Here’s the kicker: you are most motivated to effectively use DDQs when your world is upside down, because that is precisely when it is most apparent that what you have been doing is not working for you Click here for my 6-minute video on DDQs: 2/2 This page intentionally left blank New York Chicago San Francisco Lisbon London Madrid Mexico City Milan New Delhi San Juan Seoul Singapore Sydney Toronto Copyright © 2011 by Catherine Parker. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written permission of the publisher. 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Neither McGraw-Hill nor its licensors shall be liable to you or anyone else for any inaccuracy, error or omission, regardless of cause, in the work or for any damages resulting therefrom. McGraw- Hill has no responsibility for the content of any information accessed through the work. Under no circumstances shall McGraw-Hill and/or its licensors be liable for any indirect, incidental, special, punitive, consequential or similar damages that result from the use of or inability to use the work, even if any of them has been advised of the possibility of such damages. This limitation of liability shall apply to any claim or cause whatsoever whether such claim I CAN DO IT LOUISE L. HAY www.wonwor.com How to use affirmations to change your life Introduction The power of Affirmations Today is a new day. Today is a day for you to begin creating a joyous, fulfilling life. Today is the day to begin release all your limitations. Today is the day for you to learn the secrets of life. You can change your life for the better. You already have the tools within you to do so. These tools are your thoughts and your beliefs. In this book, I will teach you how to use these tools to improve the quality of your life. For those of you who aren’t familiar with the benefits of positive affirmations, I’d like to explain a little about them. An affirmation is really anything you say or think. However a lot of what we normally say and think is quite negative and doesn’t create good experiences for us. We have to retrain our thinking and speaking into positive patterns if we want to change our lives. An affirmation opens the door. It’s a beginning point on the path to change. In essence, you’re saying to your subconscious mind: “I am taking responsibility. I am aware that there is something I can do to change.” When I talk about doing affirmations, I mean consciously choosing words that will either help eliminate something from your life or help create something new in your life. Every thought you think and every word you speak is an affirmation. All of our self-talk, our internal dialogue, is a stream of affirmations. You’re using affirmations every moment whether you know it or not. You’re affirming and creating your life experiences with every word and thought. Your beliefs are merely habitual thinking patterns that you learned as a child. Many of them work very well for you. Other beliefs may be limiting your ability to create the very things you say you want. What you want and what you believe you deserve may be very different. You need to pay attention to your thoughts so that you can begin to eliminate the ones creating experiences you do not want in your life. Please realize that every complaint is an affirmation of something you think you don’t want in your life. Every time you get angry, you’re affirming that you want more anger in your life. Every time you feel like a victim, you’re affirming that you want to continue to feel like a victim. If you fell that life isn’t giving you what you want in your world, then it’s certain that you will never have the goodies that Life gives to others – that is, until you change the way you think and talk. You’re not a bad person for thinking the way you do. You’ve just never learned how to think and talk. People throughout the world are just now beginning to learn that our thoughts create our experiences. Your parents probably didn’t know this, so they couldn’t possibly teach it to you. They taught you how to look at life in the way that their parents taught them. So nobody is wrong. However, it’s time for all of us to wake up and begin to consciously create our lives in a way that pleases and supports us. You can do it. I can do it. We all can do it – we just need to learn how. So let’s get to it. I CAN DO IT LOUISE L. HAY www.wonwor.com How to use affirmations to change your life Throughout this book, I’ll talk about affirmations in general, and then I’ll get to specific areas of life and show you how to make positive changes in your health, your finances, your love life, and so on. www.redspire.co.uk Motivate Your Sales Team With CRM: Here’s How It's HARD to recruit great salespeople HARDER still to keep them great It’s important that you get the most out of your CRM and sales team While CRM can it, the product is only half the story To get the most from Customer Relationship Management, you have to get your salespeople not just using it, but liking it Liking the way it delivers sales targets Liking how it helps them succeed HERE’S HOW Show them that not all old leads are cold leads when it comes to CRM and sales Cold doesn’t mean dead It just means someone wasn’t ready to buy yet What if: You know which “cold leads” still click every newsletter? You know it takes 21 calls to get an appointment - and 500 cold leads are on twenty? You know cold leads warm up after their annual trade event? Many CRM applications can provide such out-of-the-box insights They’ll get your salespeople warmed up as fast as those unexpected prospects Remember KISS - Keep It Simple, Sales Complexity gets in the way There’s no surer way to hamper adoption than to make users think the old way was easier So double check: Main charts and functions are reachable with a click Any journey through a task is easy to understand Everything integrates with the natural application for that task - such as Microsoft’s Outlook for email campaigning Today, some of the best lessons in ease-of-use within CRM and sales come from mobile app design Get that data to go with mobile access Salespeople are big mobile users So a CRM application that plays well with their phones and tablets - especially those they own at home - will see greater use It enables: A sense of ownership Mobile devices are all about the personal More work hours to be put in as staff can now log in from anywhere A sense of empowerment you’re letting them things their way And maybe, just maybe, all that leads to greater sales numbers Make CRM mobile Find the boring bits and take them out of the loop A powerful application makes it easy to load up on menial tasks too So actively look for things to automate Here are some ideas: KEEP IN TOUCH CAMPAIGN CHASERS EVENT DATES Set follow-up calls automatically Calling people who clicked the newsletter? 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