Health Coaching Conversations Flashcards
when can a health coaching approach be used?
referral for sessions
opportunistically with routine consultations
health coaching can be used to change health behaviours like?
improving diet
increasing exercise
smoking cessation
reducing alcohol
what four concepts make up the spirit of motivational interviewing?
compassion
acceptance
partnership
evocation
list the key principles of health coaching
patient’s assumed resourcefulness
relationship built on mutual trust and respect
coaching is about change and action
issues to consider when health coaching
can patient retain information and weigh pros and cons
may not be appropriate if patient is manipulative/dishonest/doesnt trust you
the patient needs to want to address the issue and be prepared to explore it
how to work towards setting expectations with patients
agree on practical details e.g location discuss confidentiality be clear about expectations of roles of practitioner and patient boundaries of work keeping a record
list rapport building techniques
be present
non-verbal communication (eye contact, nodding, leaning forward)
clear speech with pauses
look at camera for video consultations
what is OARS?
Open questions
Affirmations
Reflective listening
Summaries
how to construct effective questions using a coaching framework
keep qs open and short
avoid double/triple qs
start qs with ‘what’ and ‘how’ instead of ‘why’
pause to give pt space to think
explain the benefit of ‘change talk’ rather than negative language
maximises motivation to change
list examples of questions including change talk
what’s stopping you from achieving your ideal outcome?
what part of this do you have control over?
what is going right?
imagine you are your own best friend what do you say to yourself?
list useful questions to help patients plan next steps
what are your options? what might get in the way of your plans? who can help support you? what resources can you access? how will you review progress?
describe the four principles of motivational interviewing
engaging (build rapport)
focusing (help identify health behaviour-related goal)
evoking (supporting patients to explore their situation further)
planning (support pts to identify resources)
what are SMART goals?
specific measurable achievable realistic timely
apart from being SMART, effective goals also take what into account?
how important goal is to the patient?
patient motivation
if goal aligns with patient’s values and situation
to what degree is it under the patient’s control
