Health Coaching (1) Flashcards
What are the 5 major diseases that contribute to 70% of deaths globally?
Cardiovascular disease (CVD) Stroke Cancer Chronic lung diseases Diabetes
= associated with modifiable risk factors such as smoking, poor diet, lack of exercise and excessive alcohol consumption.
What is Motivational Interviewing (MI)?
Why is it useful in health coaching?
A counselling approach that adopts a person-centred mindset and skillset
The practitioner’s role broadens from expert to enabler
What are the 4 spirit of MI (Motivational interviewing) involves?
Compassion: Act from a desire to support the patient’s wellbeing
Acceptance: Take a respectful, non-judgemental approach, and value and affirm the patient’s autonomy
Partnership: Work in partnership with the patient, recognising that the patient is resourceful and an ‘expert’ in their own situation.
Evocation: Help a patient to identify their own perspectives and motivation for change
What are some examples of questions that do not take a health coaching perspective?
Why are these questions not ideal?
What is the problem?
Why has this problem happened?
Why haven’t you addressed the problem yet?
Who else is this affecting?
What will happen if you don’t address this problem?
Assumes the issue is someone’s fault, explores the problem but doesn’t get closer to finding a path forward
May make person feel worse about problem
What are some examples of questions that do take a health coaching perspective?
Why are these questions better?
What’s the issue?
What do you want ideally around this issue?
What part of this do you have control over?
What are your options going forward?
What is your next step?
Assumes there will be a solution and the person can find it for themselves - more empowering
What are some issues with a health coaching / MI perspective?
You assume the patient’s resourcefulness
The relationship must have mutual trust and respect
Coaching is about change and action, but a patient may not want to explore the issue and move forward
where and how can you use a health coaching approach in life and practice
• Referral to a health coach for a series of sessions
- Focus on changing health behaviours
- Improving diet/increasing exercise/smoking cessation/reducing alcohol
• Opportunistically within routine consultations
- Supports person-centred conversations and shared decision making
Key principles of health coaching
The patient’s assumed resourcefulness
A relationship based on mutual trust and respect
Coaching is about change and action
issues to consider in health coaching approach
Patients assumed resourcefulness issues -Can patient retain information and weigh up pros and cons? (eg. dementia, substance misuse)
A relationship based on mutual trust and respect Issues - May not be appropriate if patient is manipulative/dishonest or they do not trust/respect you
Coaching is about change and action issues - The patient needs to want to address their issue and be prepared to explore it (if not ready to address, non judgemental, offer brief information and let them know they can discuss when ready)
What are the wider determinants of health
social, economic and environmental factors that shape people’s lives.
- influenced by local, national and global distribution of power and resources which shape the conditions of daily lives.
Define motivational interviewing
‘a collaborative, person-centred form of guiding to elicit and strengthen motivation to change’.
Whats wrong with these questions:
What is the problem?
Why has this problem happened?
Why haven’t you addressed the problem yet?
Who else is this affecting?
What will happen if you don’t address this problem?
- assumes that the issue is someone’s fault and goes down the route of exploring the problem further but getting no closer to finding a way forward.
- often result in a person feeling worse about their issue.
- may contribute to further anxiety or stress in someone who is already experiencing this.
Why are these questions good?
What’s the issue?
What do you want ideally around this issue?
What part of this do you have control over?
What are your options going forward?
What is your next step?
- assume that there will be a solution and that you can find this solution for yourself.
- They are more empowering and designed to facilitate your thinking on what the solution/s might be and what you will do about it.
What do health coaching approaches enable
behaviour change, person-centred communication and consultation styles, patient empowerment and shared decision-making.
Why is health coaching patients’ families important
- explore perspectives and values and enable shared decision making in situations where family members are key, e.g. parents or guardians, carers etc.
