Coach Development Flashcards
Confirm understanding
4 steps
- Confirming statement
- Summarize key facts
- Ask if understanding is correct
- Clarify misunderstanding
Active listening
BEFP
Body language
Eye contact
(Facial) expressions
Pauses and silence
Language of:
Closure:
Openness:
- Turning away
- sitting w/ arms and legs crossed
- open arms/legs
- feet toward client
- relaxed/ prolonged eye contact
How to show: Interest Attentive Curious Concentration
I: leaning forward
A: head tilt forward
C: head tilt side
Co: slow nodding, furrowed brow
8 ways to determine connection made
- give extra effort
- say positive things
- demonstrate trust
- express themselves more readily
- feel good about activity
- display emotional connection
- emotionally charged being together
- synergy- sum > parts
Motivational interviewing
Motivation is a
Motivation to change is
- client centered approach to assist w/ ambivalence to change
- state of readiness, not personality trait (can fluctuate)
- evoked w/in, not imposed upon
SWOT
Strength- my advantages/values
Weakness- tasks I avoid, traits holding me back
Opportunities- technology, contacts, needs in organization I can fill
Threats- obstacles, weaknesses, technology
Positive listening
6 negative habits
- faker
- interrupter
- intellectual
- rebuttal maker
- focus thief
- advice giver
Scope of practice
Ok- my plate Suggestions for weight loss Pre-evaluation, use of diary Lifestyle change Recipes Pre-post exercise nutrition Weight loss physiology
-Refer- specific meal plan Meds Diseases Large weight loss/morbid obese Diagnosis Post-op Supps
weight management discussion/ curricula
eating out managing holidays travel cooking/grocery shopping reading labels managing stress preventing relapse
when to refer
- if have concerns to refer, refer
- coach still cant figure out why overweight
- complain of health symptoms relating to poor management of medical condition
- chronic pain not relieved by program
- eating disorder, addiction
- depression/ anxiety
continuum of care
- primary care physician
- physical therapist
- post rehab/medical care specialist
4 types of social support
- emotional- coach provide empathy, concern, acceptance, encouragement, care
- tangible- coach provide educational service, direct methods assistance
- informational- problem solving support, advice, guidance, suggestions, video/website
- companionship- create sense of belonging and comfort
response by coach to irrational thinking
experimental
socratic
- examine evidence
- experimental technique- create experiment to test validity
- socratic method- ask questions that will help lead to consistencies (self realization) ‘no one fails at everything’
relapse prevention
SA Sr Sm
-Building Support (family, exercise community)
- assertiveness- honest + straight forward (more likely to speak up = long term success
-self regulation- clients perceive control over outcome + believe they can better deal with barriers
-self monitoring- clients track participation
>quickly recognize relapse, more visual data the better
high risk situations: events traits signs teach
- vacation, injuries, holidays
- poor time management, lack social support, busy schedule
- overwhelmed, worn out
- coping skills, time management
Behavior modification:
written agreement
establishes:
- accountability
- specify what is expected, but simple
- between coach/ client or just client
- clarify coach’s role
- hold each other accountable
- revise
Behavioral modification:
stimulus control
operant conditioning:
-altering environment to encourage healthy behavior and make modifications easy as possible
- have gym bag ready
- signs on fridge, pantry, w/ servings/ macros
- grocery list
- social group to promote accountability
Behavior modification:
shaping
- reinforcements gradually achieve target behavior
- start with basic achievable skill, then progress
cognitive behavior techniques
goal setting
-alter behavior by changing how feel and think
-constantly re-addressed
-SMART
-avoid setting negative goals
> what to achieve, not avoid (‘I will not miss a workout vs I will workout 5 times this week)
feedback
extrinsic
intrinsic
-reinforcement and encouragement (program adoption)
-client themselves (program adherence)
>learn to monitor own behavior
communicating errors
- lack credibility, overstate facts
- lack clarity, warmth, listening skills
- ordering/ directing/ telling
- too much advice
- bringing discussion back to self
3 A’s of effective coaching
available
affable
able
Behavioral Contract
components
- formal agreement between coach and client that outlines a set of behaviors by client to complete within time frame
- clarity, commitment, accountability, reward
- ie) eat 1500-1800 calories/ d
- complete 4, 45min sessions/ wk
- walk with spouse twice a week
- gym with coach twice a week
