Karen F. Pridham PhD, FAAN

As a reminder, Guided Participation is a fluid process of teaching and learning that involves 4 main activities. The focus of the process is the relationship between the provider and the patient/caregiver. (Please review below)

1. Joining attention
   • Engaging interest and eliciting commitment to competency development
   • Best began in the initial encounter when expectations are being set
   • Reflect on child and caregiver situation
2. Sharing understanding
   • Share your perspective on common behavior or typical development
   • Find out what the family already knows or does about the issue
   • Keep in mind individual family situations and how they may impact actions
     • Caregiving structure
     • Home environment
     • Cultural background
     • Socioeconomic concerns
3. Developing new understanding
   • Keep the issues you want the caregiver to learn about and anticipate in mind
   • Bring up these key issues as they arise in the flow of conversation
   • Sub-processes:
     • Explaining
     • Providing information
     • Affirming what the parent is doing
     • Requesting a return demonstration
4. Transferring responsibility
   • End the visit with caregiver prepared for action
   • Use teach back if a skill is involved
   • Reflect on what was learned or planned
   • Provide clear expectations for follow up