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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