Improving health one behavior at a time
Aaron Fried, M.S., ATC/L
Health
Coaching
Delivering of services that are client-
centered to drive behavior change in
order to achieve specific outcomes
Providing education in
goal-setting, self-discovery,
active learning, and
accountability using
behavior change theories
Creating success through continuous
relationships with a diverse community of
healthcare professionals utilizing
communication and motivational strategies
Disease Management
• Specific diseases/disabilities
Diabetes, asthma, smoking, obesity
Conditions of abuse
Stress, drugs, alcohol
Health and Wellness
• Reduction in health risks to improve wellness
Employee wellness programs can:
Increase Company Moral
Increase Workplace Productivity
Decrease Healthcare Costs
Increase Employee Loyalty
FACE-TO-FACE TELEPHONE
Most effective in creating Still get 1-on-1 treatment
community connection Works well with a multi-site
Easy to contact and follow up interventions
with clients Does not disrupt clients
Highly visible program
schedule
encourages participation
Allows the use of hands-on
Can be done with a large
techniques like fitness population
training and ergonomics Focus on accountability of
More time per client needed appointments
Tough to meet time demands Hard to gauge responses
without expressions
COMPUTER/ONLINE BASED COMBINATION
Can be tailored to fit clients Can include F2F with online
needs follow ups
Can reach a large number of
clients Allows for personalized
Available on-the-go and at approach with cost of many
multiple sites F2F follow ups
Can be linked to tracking Creates a sense of
systems and educational
material
community
You have to consider the Great for large client
online capabilities of all groups
clients Includes the cost of F2F
Limits personalization visits
Active monitoring of client to ensure
accountability
Qualitative self-reporting directly to
coaches
Collection of quantitative data for quality
of life, self-efficacy and perceived
wellness
Health Coaches educate about lifestyle
and health education; including fitness,
nutrition, or other disease-specific
interventions.
Health Coaches need to emphasize the
process of behavior change rather than
only content education
• This will empower clients to set and reach goals
and maintain programs
Health Coaches use evidence-based
practices to formulate goals, empower
clients and facilitate communication
Example of interventions:
• Motivational interviewing
• Visualization
• Values prioritization
• Self-reflection
• Hands-on learning
Ask
• Nonjudgmental communication
• Express Empathy
• Avoid resisting responses
• Develop a discrepancy between current
behavior and the actual effects of the behavior
Health belief model
• Support self-efficacy
Motivational Interviewing
Direct, client-centeredcounselling style
Goal is to resolve ambivalence
• Move from precontemplation to contemplation in
the Transtheoretical Model of behavior change
Method- OARS
• Open-ended questions
• Affirm their perceptions of the behavior
• Reflect on their responses
• Summarize what they are saying- Repeat what
they have said (out loud) in an organized manner
so they hear their own interpretations
Assess
• Determine health status
BMI, waist circumference, quality of life, self-efficacy,
physical activity vital sign
Advise
• Ask permission to give advice
• Provide evidence-based information
• Give treatment options
Agree
• Come to an agreement on a treatment plan
• May take multiple visits to get an agreement
• Create SMART goals
Assist
• Provide motivation
• Give support- Find resources
• Identify and help overcome barriers
Rate how confident you are that you could be physically
active in each of the following situations:
•1. When I am tired
•2. When I am in a bad mood
•3. When I feel I don’t have time
•4. When I am on vacation
•5. When it is raining or snowing
•Likert Scale (1 to 5)
• 1.= not at all confident
• 2.= slightly confident
• 3.= moderately confident
• 4.= very confident
• 5.= extremely confident
Createda consensus of health and
wellness coaching competencies
• National certification exam
• Defined scope of practice
• Created code of ethics
• Have to complete an approved program
Example- ASU Healthy Lifestyle Coaching Program
http://ichwc.org/
