Coaching Structure and Process Flashcards
Transtheoretical Model
Competency 2.9.1: Coaching Process
●Behavior change occurs gradually as they move through identifiable stages - a process!
●Coach must recognize which stage of change client is in and supports them to create goals based on that stage/readiness
○Pre-contemplation
○Contemplation
○Preparation
○Action
○Maintenance
●Helping clients move from precontemplation & contemplation to preparation is where coaches will spend most of their time
Precontemplation
Competency 2.9.1: Coaching Process
●Not ready for change, does not think there is a problem
●“I can’t” or “I won’t” mindset
●Coach emphasizes client’s autonomy and shows unconditional positive regard
Contemplation
Competency 2.9.1: Coaching Process
●Client is aware that there is a need for change
●Ambivalence is pervasive in this stage
●“I may”
●Pros must outweigh cons to move to next stage
●Coach focuses on client’s strength, past accomplishments, hopes and vision for future
Preparation
Competency 2.9.1: Coaching Process
●Client is planning to take action within the next month
●“I will”
●Client has strong motivators and is aware of barriers
●Focus is on possible solutions and identifying small steps to take
Action
Competency 2.9.1: Coaching Process
●Client is actively making changes
●This stage lasts 6 months or longer
●“I am”
●Continue to focus on strengths, values and current “wins”
●Frame setbacks as important learning experiences
Maintenance
2.9.1: Coaching Process
●At least six months after beginning the habit
●Client is maintaining behavior automatically
●“I still am”
●Lapses can occur in this stage. Coach helps client recall strengths, recommit to values and goals and refocus on vision of health and wellness.
Patient Activation/Engagement Model (PAM)
Competency 2.9.3: Coaching Process
●Focus on Activation and Engagement rather than compliance
●Activation - Patient’s willingness and ability (knowledge, skills, & confidence) to take action to manage their health and care.
○Patient activation (PA) begins with understanding one’s role in the care process.
●Engagement - Broader intervention designed to increase activation. Ex. Preventive care or patient making healthy food choices.
●Patient Activation Model (PAM) has 4 Levels
1. Passive, not interested in learning
2. Beginning to learn
3. Actively building knowledge (low confidence & skills)
4. Taking an active role to maintain health
●Higher PA creates lower healthcare costs
Self-Determination Theory
Competency 2.11.5: Coaching Process
●Theory of motivation that addresses issues of extrinsic/intrinsic motivation
●Universal needs for well-being
●People have 3 innate psychological needs that must be satisfied to foster health and wellbeing: Acronym CAR
○Competence - Self-efficacy/mastery
○Autonomy - Intrinsic motivation/ability to make one’s own decisions
○Relatedness - Having social support/connection that supports autonomy
Non-Violent Communication
Competency 2.14.2: Coaching Process
●Model for expressing empathy; The coach is calm and judgement free, creating a safe place for clients to share their honest feelings and desires.
A coach should:
●Make observations, not evaluations
●Share feelings, not thoughts
●Suggest needs, not strategies
●Make requests, not demands
Motivational Interviewing
Competency 2.11.6: Coaching Process
●A collaborative coaching technique for strengthening a client’s own motivation and commitment to change.
●Using the following strategies, a coach can guide increased autonomous motivation for change.
○Engaging: develop growth-promoting and relationship-building that support the client’s autonomy
○Focusing: help client develop more clarity around values & goals
○Evoking: generate a connection to the client’s autonomous motivations and drives
○Planning: design action plans that support the building of self-efficacy
●Encourages clients to find their own reasons for change, which they already have in them!
Self-Efficacy Theory
Competency 2.12.1: Coaching Process
●A client’s ability to deal with a situation without being overwhelmed.
●“I believe I can do it!”
●4 sources of self efficacy:
○Becoming physically and emotionally comfortable with the idea of change
○Verbal persuasion: Speak to confidence in ability to reach vision & achieve goals
○Vicarious experiences: witnessing /relating
○Mastery of experiences: quick wins, positive outcomes lead to increased SE
●Client’s perceived ability to successfully achieve a particular goal or perform a particular task
Social Cognitive Theory
Competency 2.12.5: Coaching Process
●Asserts that human behavior is determined by 3 factors which interact with each other in dynamic and reciprocal ways
○Personal
○Environmental
○Behavioral
Social Learning Theory
Competency 2.12.5: Coaching Process
●We learn by observing others
●We learn by observing behavior and the consequences of behavior
●In order for learning to take place: observation, attention, retention, reproduction & motivation
●Precursor to Social Cognitive Theory
Locke and Latham’s Goal Theory
Competency 2.9.10: Coaching Process
●Happiness requires having clear cut goals in life that give a sense of life purpose/direction
●Principles that increase goal achievement:
○Clarity- clear and specific goals
○Complexity - goals must be achievable
○Challenge - goals should be challenging and motivating
○Commitment - client must buy in, be committed to goal
○Feedback - check in and adjust goals as needed
●4 Mechanisms of Goals:
○Directive- direct attention and effort of client
○Energizing-lead to greater client effort
○Affect persistence- goals that prolong effort
○Affect action- allow client to use or learn task-specific skills
Appreciative Inquiry
Competency 2.12.2: Coaching Process
●Developed as a way to help clients solve problems by engaging in new and stronger areas of life.
●Used to help clients find a focus, similar to the Focus section and open ended questions in MI.
●A valuable tool for energizing, motivating, and mobilizing a client toward behavior change
5-D cycle: *client finds the answers
1.Define: affirmative topic choice - clarifying
2.Discover: The best of what is - appreciating
3.Dream: what the would is calling for - envisioning
4.Design: compelling goals - co-constructing
5.Destiny: How to empower learning and improvising - innovating
Positive Psychology
Competency 2.15.5: Coaching Process
●Turns the attention to conditions that allow people to flourish and makes people feel engaged, fulfilled and happy.
●Supports the process of behavior change & fosters higher levels of well-being.
●Understanding or focusing on what is right with humans, not what is wrong.
●PERMA Model
○Positive emotion
○Engagement
○Relationships
○Meaning
○Achievement
Build Rapport
Competency 1.2: Coaching Structure
●This is done throughout each coaching session, and is earned over and over again.
●Coach demonstrates:
○Benevolence
○Honesty○Sincerity
○Authenticity
○Unconditional positive regard
●Underpromise, overdeliver on commitments made to client.
●Openly name and address discord/conflict in a timely manner.
●Coach uses mindfulness to be non-judgmentally aware in the moment.
SMART Goals
Competency 2.9.2: Coaching Process
●Specific
●Measurable
●Action Based
●Realistic (Relevant)
●Time-Bound
Example: Walk on the treadmill for 20 min a day at 4.0 pace M, W, F after work.
Vision Statement
Competency 2.11.3: Coaching Process
●Written in PRESENT tense
●Identify what people want, a clear and compelling vision of desired future self. Connected with values and motivators
●Vision statement is:
○grounded (build on current success)
○bold (stretch status quo)○desired (truly want)
○palpable (present tense, as if already true)
○participatory (involves many stakeholders)
Non-verbal Communication
Competency 2.3.6: Coaching Process
●Undivided attention
●Appropriate eye contact
●Appropriate facial expressions
●Silence to allow client to continue the conversation
Foster Self-Compassion
Competency 2.4.5: Coaching Process
●When behaviors are driven by love, rather than fear, feelings of confidence & a sense of security are more likely to take hold.
●Kristen Neff’s theory of self compassion is made of:
○Self kindness
○Sense of common humanity
○Mindfulness
Paraphrase Reflection
Competency 2.5.1: Coaching Process
●Repeat back understanding in coach’s words
Double-sided Reflection
Competency 2.5.2: Coaching Process
●Reveal multiple perspectives at the same time
●Help to raise clients awareness of discrepancies
Example: “I hear you saying…but, I’ve also heard you say…”
Amplified Reflection
Competency 2.5.2: Coaching Process
●The coach reflects back the client’s words with greater intensity than the client had expressed; one form of response to client using sustain talk or feeling discord
●These reflections “turn up the volume” on the client’s statement
Example:
Client: “I think I am doing just fine on my exercise routine.”
Coach: “You don’t feel like there is any room for improvement.”