Introduction to Health Coaching

Ying Studebaker, RN, MS, CNS

Director, Wellness & Health Coaching (retired)

OSU Health Plan

Wexner Medical Center at The Ohio State University

Learning Objectives

Define the essence of health coaching. Define the health coaching process. List the elements involved in effective health

coaching. Name the key components of coaching

psychology. Distinguish between life coaching and

coaching in health care.

At the end of the module, you will learn to:

The Essence of Health Coaching

What is Health Coaching?

To guide the person through the process of developing healthy habits from novice to mastery.

Retrieved from balletuni.com

Intro to Health Coaching Quiz1

Differences between Health Coaching and Health Education

Health Coaching

Patient-Centric

Patient is the expert

Health Education

Physician-centric

Program-centric

Provider is the expert

Differences between Health Coaching and Health Education

Health Coaching

Patient develops an Action Plan

Follows patient’s agenda

Health Education

Physician develops a Care

Plan

Uses clinical guidelines as an

agenda

Differences between Health Coaching and Health Education

Health Coaching

Experiential learning

Health Education

Teaches facts and concepts

Intro to Health Coaching Quiz2

Comparison of Preventive Care Model and Acute Care Model

Preventive Care

Model

Requires individual to acquire life

skills

99.9% depends on continuous

self-care

Requires continuous learning &

self-improvement

Acute Care

ModelRequires special

professional training

<1% of lifetime

depends on professional

care

Intervention has a start

and end date.

The Mindset difference in Preventive and Acute Care

Acute CarePreventive Self-Care

Intro to Health Coaching Quiz3

Preventive Care Model

Mindset is Continuous learning Continuous practice Continuous self-improvement Continuous developing healthy habits There’s No Failure in preventive care.

Intro to Health Coaching Quiz4

Patient’s Process of Developing Healthy Habits

The Internal Ambivalence

LIKES DISLIKES

BOTH

Process of Developing Healthy Habits

TIME

Auto-pilotThoughtsFeelings

BehaviorsTriggers

Aware and Do

Requires: Practice of mindfulness Time Acknowledgment of your feelings of like and

dislike. Doing what needs to be done now to create the

new habit. Indirect influence of feelings through doing Building self-confidence through accomplishing

the small action plan.

Intro to Health Coaching Quiz5

YouTube - Dr. Ruth Wolever

Mindfulness and Behavior Change

The Positive Impact of Mindfulness Practice - eMindful - Dr. Ruth Wolever (Clip 8)

http://www.youtube.com/watch?v=9Tlh18666ts

For further inquiry: http://www.youtube.com/user/eMindful

Intro to Health Coaching Quiz6

Patient Action Plan

Strategize to resolve expected barriers.

Strategize to prevent triggers.

Assess confidence level >8

What-How Much-When-How Often-How Confident

Achieve within the target period.

Something client WANTS to do, not SHOULD do.

Intro to Health Coaching Quiz7

Strategies for Developing a Healthy Habit

Accept Reality Acknowledge the actual situation.

Know One’s Purpose/Objective Action Plan

Do What Needs To Be Done Uni-focus on getting one thing done at a time.

Delay Old Habits By having a time gap between impulse and

action.

Elements of Effective Coaching

More listening

than talking.

More asking than telling.

More reflecting

than commenting

.

Not advising

how to solve problems.

Intro to Health Coaching Quiz8

Health Coaching Process Assess patient’s current lifestyle Assess patient’s strengths and past successes Assess what is important to the person right now Assess what the patient wants to work on now Guide, support, teach, and link person to resources Coach patient to develop an action plan of small steps Patient tries the action plan Follow up with patient and develop another action plan…

Intro to Health Coaching Quiz9

Key components of Coaching Psychology

Health Coach Listens Provides support Expresses caring Is positive Uses open-ended

questions to bring awareness of the current perception and new possibilities.

Patient Doubts Resists Fear Not trusting Clinging to the ‘Like’

and resisting the ‘Dislike’

Wants quick results

Distinguish Between Life Coaching and Coaching in Health Care

The reality is that health is related to almost every aspect of the patient’s life.

Life coaching focuses on the person’s life purpose. Coaching in health care focuses more on managing chronic

conditions or overall health Life coaching and coaching in healthcare can be overlapped. Life coach and health coach both assess the person’s values and

beliefs because that is the source of sustaining the motivation to develop life skills

Health is the resource of life and preventive self care is the key to preserving that resource

Intro to Health Coaching Quiz10

References

1. Maurer, R. (2004) One small step can change your life: The Kaizen way.

New York: Workman Publishing Company, Inc

2. Miller, W.R., Rollnick, S. (2002) Motivational interviewing: Preparing people for change. New York: The Guilford Press

3. Reynolds, D. (1995) A handbook for constructive living. New York: William Morrow and Company, Inc.

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