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Ace Health Coach > Coach Development > Flashcards

Coach Development Flashcards

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1
Q

Confirm understanding

4 steps

A
  • Confirming statement
  • Summarize key facts
  • Ask if understanding is correct
  • Clarify misunderstanding
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2
Q

Active listening

BEFP

A

Body language
Eye contact
(Facial) expressions
Pauses and silence

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3
Q

Language of:
Closure:
Openness:

A
  • Turning away
  • sitting w/ arms and legs crossed
  • open arms/legs
  • feet toward client
  • relaxed/ prolonged eye contact
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4
Q 
How to show:
Interest 
Attentive
Curious
Concentration
A

I: leaning forward
A: head tilt forward
C: head tilt side
Co: slow nodding, furrowed brow

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5
Q

8 ways to determine connection made

A
  • 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
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6
Q

Motivational interviewing

Motivation is a

Motivation to change is

A
  • client centered approach to assist w/ ambivalence to change
  • state of readiness, not personality trait (can fluctuate)
  • evoked w/in, not imposed upon
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7
Q

SWOT

A

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

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8
Q

Positive listening

6 negative habits

A
  • faker
  • interrupter
  • intellectual
  • rebuttal maker
  • focus thief
  • advice giver
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9
Q

Scope of practice

A 
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
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10
Q

weight management discussion/ curricula

A 
eating out
managing holidays
travel
cooking/grocery shopping
reading labels
managing stress
preventing relapse
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11
Q

when to refer

A
  • 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
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12
Q

continuum of care

A
  • primary care physician
  • physical therapist
  • post rehab/medical care specialist
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13
Q

4 types of social support

A
  • 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
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14
Q

response by coach to irrational thinking
experimental
socratic

A
  • 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’
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15
Q

relapse prevention

SA Sr Sm

A

-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

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16
Q 
high risk situations:
events
traits
signs
teach
A
  • vacation, injuries, holidays
  • poor time management, lack social support, busy schedule
  • overwhelmed, worn out
  • coping skills, time management
17
Q

Behavior modification:
written agreement
establishes:

A
  • accountability
  • specify what is expected, but simple
  • between coach/ client or just client
  • clarify coach’s role
  • hold each other accountable
  • revise
18
Q

Behavioral modification:
stimulus control

operant conditioning:

A

-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
19
Q

Behavior modification:

shaping

A
  • reinforcements gradually achieve target behavior

- start with basic achievable skill, then progress

20
Q

cognitive behavior techniques

goal setting

A

-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)

21
Q

feedback
extrinsic
intrinsic

A

-reinforcement and encouragement (program adoption)
-client themselves (program adherence)
>learn to monitor own behavior

22
Q

communicating errors

A
  • lack credibility, overstate facts
  • lack clarity, warmth, listening skills
  • ordering/ directing/ telling
  • too much advice
  • bringing discussion back to self
23
Q

3 A’s of effective coaching

A

available
affable
able

24
Q

Behavioral Contract

components

A
  • 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
25
Q

motivational interviewing 1
goal

4 principles

A
  • client focused, semi directive approach. focus on exploring and resolving ambivalence
  • enhance client’s motivation for change
  • express empathy
  • support self-efficacy
  • roll w/ resistance (listen, help identify barriers/ solutions)
  • develop discrepancy (motivation when client seems difference
26
Q

Lasswell’s communication (4WE)

A

Who says What in Which channel to Whom w/ what Effect?

27
Q

Relationship Trust (3C)

A
  • character based- honest, transparent, loyal, correctable
  • competency based- deliver results, confront reality
  • character/ competency- listen, committed, extend trust
28
Q

DISC

A
  • Dominant- fast paced, task oriented, eye contact, direct
  • Inspiring- outgoing, people oriented, share stories
  • supportive- reserved, people oriented, slow/soft, coach makes decision
  • cautious- reserved, less emotion, slow/deliberate, articles/data
29
Q

Intervention 1

Authoritative

A

A- offer info, provide challenge, specific suggestion

  • prescriptive- advice, guidance, suggestion
  • informative- coach’s own experience, help client understand
  • confronting- mirror or reflect what client has said
30
Q

Interventions 2

facilitative

A

F- help client find own solutions

  • cathartic- client expresses emotions, fears, thoughts not previously confronted
  • catalytic- ask questions to encourage new thinking
  • supportive- build confidence through focus on clients Strs and accomplishments
31
Q

communication must be (6C)

A

Clear, concise
correct, complete
courteous, constructive

32
Q

non verbal communication

A

7% spoken word
28% tone of voice
55% body language

33
Q

motivational interviewing 2

5 core principles (DARES)

A
  • help client overcome ambivalence to change
  • develop awareness negative consequences
  • avoid argument
  • roll w/ resistance
  • express empathy
  • support SE
34
Q

stages of change

A

precontemplation- encourage client to evaluate own risk
contemplation- pro/ con to exercise
preparation- identify obstacles, assist w/ problem solving
action- focus on support system and SE
maintenance- how cope w/ relapse
* relapse- identify triggers/ barriers, coping methods

35
Q

motivation interviewing 3

essential steps

A
  • help identify where unhealthy lifestyle conflicts w/ desire for healthier life
  • avoid resistance w/ empathy
  • support client SE/ confidence building
36
Q

questioning skills

5 types of questions

A
  • open ended- what, (why), how
  • closed-ended- elicit yes or no
  • funnel- begin with closed, leading into more detailed open ended
  • probing- ‘W’s’ with ‘exactly’ (what exactly do you mean)
  • leading- semidirective, move client toward accepting suggestions toward goals
    ‘this sounds like a good idea doesn’t it?’
37
Q

Active listening

3 steps: MVE

A
  • improve understanding- eye contact, restate, don’t interrupt, empathy, pause
  • mirroring- ‘you are saying… yes?’
  • validating- ‘it is reasonable tp say that given you….’
  • empathy- ‘I imagine you feel… yes?’
38
Q

Verbal Listening 1

PC LEERS

A
  • paraphrase
  • clarify
  • linking- keep client’s thoughts connected
  • explaining- keep client open minded
  • encouraging
  • reflecting- empathize, use words speaker uses
  • summarizing- prevents selective perception

Ace Health Coach (11 decks)

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