Health Coaching 3 Flashcards
What are the 4 process of MI
- Engaging
- Focusing
- Evoking
- Planning
What is engaging
Building a connection and rapport with the patient
What is focusing
Helping patients identify a health behaviour related goal that they can focus on during the health coaching interaction
What is evoking
Helping the patient explore their situation and gain new insights - then focus in on the change talk for positive reinforcement
What is planning
Supporting patients to identify possible options, opportunities and resources to help them achieve their goals and then address what might get in the way and plan next steps of action
Why do we use SMART goals
Likelihood of achieving the goal is increased when we use SMART goals
What is a SMART goal
Specific - well defined and clear
Measurable - criteria to measure progress towards goal
Achievable - possible to achieve
Realistic - relevant and possible with resources and time
Timely - can be done within a given timeline
What else is needed when focusing and setting effective goals
We need to take into account the importance of the goal, the patients motivation, whether it aligns with values and situation, whether its moving towards something rather than away from something, and whether the goal is under your control
What are key questions when setting goals and exploring motivation with the patient
What is the issue?
What makes this an issue now?
What is important to you about this issue?
How motivated are you to address this issue?
What part will be most useful to focus on in the next ‘x’ minutes?
What do you want ideally?
What is the problem with the statement “I want to lead a healthy lifestyle” - what is an alternative?
Too vague
Help the patient be more specific - e.g. what does healthy lifestyle mean for you?
What is the problem with the statement “I don’t wan’t to eat junk food anymore” - What is an alternative?
Focused on moving away from a problem instead of working towards something
Help the patient think of what they want to work towards - e.g. “What would you like to eat instead?”
What is the problem with the statement “I want my partner to cook healthier food for me” - What is an alternative?
Goal is regarding a third party - not in their control
Remind the patient that we can’t force their partner to do anything - we need to focus on what is in the patient’s control: “What part of this is within your control?”
What do we do after agreeing on a goal or direction
Explore the current situation further and support the patient to generate new insights therefore use OARS and non verbal skills
What is rolling with resistance
When patients are struggling to move forward (resistance), express empathy, avoid arguing and advice giving, but instead create trust and work collaboratively with the patient
What questions can we use to evoke change talk and increase motivation?
What’s stopping you form achieving your ideal outcome?What needs to happen for this change to become possible?
What part of this do you have control over?
What would be different and better for you if you make this change?
How will you know when you are ready to make the change?
What is going right?
Imagine you are your best friend - what do you say to yourself about this issue?
