Attention
Health Coach Training Program
Behavior Change
1. Introduction
2. Review Handouts
• Lecture Outline
• Am I Ready to Change Quiz
• ICF Professional Coaching Core Competencies
• Health Coach Tip Sheet for Behavior Change
3. Faculty to discuss client examples for each stage of readiness, including coaching strategies. Role-play coaching demonstration to illustrate coaching strategies for each stage of change:
A. Precontemplation NonBeliever
B. Precontemplation Believer
C. Contemplation
D. Preparation
E. Action
F. Maintenance
Client Scenarios
A. Precontemplation NonBeliever (smoking)
• 55 year old male/CEO
• Married with 3 teenage children
• Has been told several times by his family and MD that he should quit smoking and exercise.
• He is asymptomatic and feels fine. He has no physical limitations and can do anything he wants (cutting firewood) without difficulty.
Coaching Strategies
Identification
Acceptance
Plant seeds
Information
B. Precontemplation Believer (regular exercise and stress reduction)
• Woman age 68 with history of Chronic Fatigue Syndrome
• Overweight
• Retired from banking business
• Newly moved to this city to be near son and his family
• Daughter-in-law very possessive of her husband
• Tired all the time
• Recently joined Senior’s Educational/Activity Group
• Thinks she should take exercise classes but having a hard time getting started
Coaching Strategies
Identification
Problem solving
Empathy
Help sort barriers
C. Contemplation (reducing cholesterol)
• Woman executive who travels a lot
• Vision: to be healthy
• 3 Month Goal: Has high total cholesterol and thinks she might want to do something about it
• wants to know more about why she should do something about it
• wants to know what she will have to do
Coaching Strategies
Intrinsic motivation
Information
Appreciative inquiry
Baby steps
Develop relationships
Motivators or pros
Real barriers
D. Preparation (weight loss)
• Female post menopausal regular exerciser for 10 years but obese
• Wants to lose 50 lbs.
• Vision: of becoming a person who does not having to think about weight because it is fine and wants to be a size 8 - 10
• Has actually read a nutrition and fitness book and
• Is planning to try out some strategies to control eating habits.
Coaching Strategies
Investigation
Planning
Be specific
Commitment
Honor decisions
Praise for planning
Reality check
Scheduling
E. Action (exercise)
• 45 year old male
• Exercises 3x/week
• Starting to have external work and family problems that may interfere with
• current program.
• Vison: To stick with an exercise program for risk factor reduction,
• specifically family history of heart disease and obesity.
• 3 month goal: To be exercising 5x/week.
Coaching Strategies
Inspiration
Problem-solving
Analyze challenges
Choice of Goals
Cues
Energize
Rewards
Social support
Maintenance (managing diabetes)
• Female obese diabetic
• Vision: To Understand and Control her diabetes
• 3 month Goal: taking medication as prescribed
• 6 month Goal: testing blood sugar 3 times a day
• 9 Month Goal: learning how to eat nutritious meals at pretty much the same times everyday
• 12 month goal: getting regular exercise everyday
• Present activity: weekly goal is to spend a day testing before and after every meal and bout of exercise to understand what her blood sugars do, to keep a record and to sit down with her diabetes educator and learn from it
• Other future activities: Get Hemaglobin A 1 C drawn, daily footcare, yearly eye exam
Coaching Strategies
Improvisation
Role Model
Creativity
Help be a role model
Reward
Revisit motivator
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