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Experiential Learning and Why Information Alone Does Not Stick

Episode
4 of 5
Published
Jun 28th, 2022
Run time
11m 20s
Topic
Patient education
Your instructor
Mike Stewart
Mike Stewart
Mike is a physiotherapist and visiting university lecturer with twenty years of experience managing complex, p...

Episode summary

Why information alone rarely changes behavior, and how experiential learning, a Chinese finger trap demonstration and Kolb's experiential learning cycle help patients learn by feeling and doing rather than being told.

Mike opens with Fordyce's line that, for behavioral change, information alone is like throwing spaghetti at a brick. Patients may seem to understand at the end of a session and yet a week later nothing has changed. Learning comes from experience, which is why pain can be taught through other senses such as taste and hearing. For a frustrated patient seeing several practitioners at once, the didactic option is to tell them to stop trying so hard, which is information-based and can feel judgmental. The experiential option is a Chinese finger trap: the harder the patient pulls, the tighter it gets, and they discover for themselves that flexibility gets them out. This plants a seed rather than telling someone to be more psychologically flexible. Kolb's 1984 cycle has four stages: concrete experience, reflective observation, abstract conceptualization and active experimentation. Having an experience does not guarantee learning, since patients can get blocked at any stage.
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Balancing Challenge and Support to Empower Patients

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