Health Coaching 1

Question 1

What is the definition of health coaching

Answer 1

Facilitating the patients active participation in managing their own health

Question 2

What is the definition of motivational interviewing

Answer 2

A collaborative person centred approach based on eliciting and strengthening motivation to change

Question 3

How does health coaching relate to MI

Answer 3

Health coaching is aid to have adopted the spirit of MI

Question 4

Why do we need health coaching

Answer 4

Health coaching allows us to advocate for systemic change, as well as addressing inequity in health and the wider determinants of health. In turn, we can empower patients to make good decisions regarding their health choices in order to prevent the onset of disease

Question 5

What accounts for 70% of the worlds deaths

Answer 5

CVD
Stroke
Diabetes
Chronic lung diseases
Cancer

Question 6

What is the preventability of the top 5 diseases

Answer 6

Around 80% of heart disease and strokes are preventable, and around 30-50% of cancer cases have preventable factors

Question 7

What is health influenced by

Answer 7

Health is influenced patient behaviours, genetics and quality of care. It is also influenced by the wider determinants of health, the socioeconomic and environmental factors which in turn are influenced by the local, national and global allocation of resources

Question 8

What is the spirit of MI

Answer 8

CAPE:
Compassion
Acceptance
Partnership 
Evocation

Question 9

What is compassion

Answer 9

Desire to support ones wellbeing

Question 10

What is acceptance

Answer 10

Respectful, non judgemental approach whilst affirming autonomy and worth

Question 11

What is partnership

Answer 11

Working with the patient who is resourceful and an expert in their own situation

Question 12

What is evocation

Answer 12

Identify the patients own perspectives and their own motivation to change

Question 13

What is wrong with using the word problem?

Answer 13

It identifies something that can change however does not go about identifying any of the steps needed to take in order to deal with the issue. Furthermore, it may add to any stress of anxiety the patient is having by making them feel at fault for their situation

Question 14

What is better about using the word issue over the word problem

Answer 14

Assumes there is a solution and that the patient can self identify what this may be, therefore you are facilitating the patient and helping them consider what they can do about their health

Question 15

What are 3 core principles of health coaching

Answer 15

• The patients assumed resourcefulness
• A relationship based on mutual trust and respect
• Coaching is about change and action

Question 16

What is an issue to consider with assuming patient resourcefulness

Answer 16

A patient may not be able to retain, understand and weigh up pros and cons therefore take responsibility for themselves and their choices. For example, someone with end stage dementia would not be able to identify issues therefore it would be difficult to facilitate patient participation

Question 17

What is an issue to consider with needing a mutually trusting and respectful relationship

Answer 17

If the patient is manipulative or dishonest, or they believe that you as the doctor are the same, then there will be no progress and the process cannot take place

Question 18

What is an issue to consider with needing change and action

Answer 18

The patient needs to have a baseline level of motivation and sense of where they want to be - you need to be non judgemental and let the patient want to make change in their own time