Introduction to Health Coaching Ying Studebaker, RN, MS, CNS Director, Wellness & Health Coaching (retired) OSU Health Plan Wexner Medical Center at The Ohio State University

Learning Objectives Define the essence of health coaching. Define the health coaching process. List the elements involved in effective health coaching. Name the key components of coaching psychology. Distinguish between life coaching and coaching in health care. At the end of the module, you will learn to:

The Essence of Health Coaching What is Health Coaching? To guide the person through the process of developing healthy habits from novice to mastery. Retrieved from balletuni.com

Differences between Health Coaching and Health Education Health Coaching Patient- Centric Patient is the expert Health Education Physician- centric Program-centric Provider is the expert

Differences between Health Coaching and Health Education Health Coaching Patient develops an Action Plan Follows patient’s agenda Health Education Physician develops a Care Plan Uses clinical guidelines as an agenda

Differences between Health Coaching and Health Education Health Coaching Experiential learning Health Education Teaches facts and concepts

Comparison of Preventive Care Model and Acute Care Model Preventive Care Model Requires individual to acquire life skills 99.9% depends on continuous self-care Requires continuous learning & self- improvement Acute Care Model Requires special professional training <1% of lifetime depends on professional care Intervention has a start and end date.

The Mindset difference in Preventive and Acute Care Acute Care Preventive Self-Care

Preventive Care Model Mindset is Continuous learning Continuous practice Continuous self-improvement Continuous developing healthy habits There’s No Failure in preventive care.

Patient’s Process of Developing Healthy Habits The Internal Ambivalence LIKES DISLIKES

Process of Developing Healthy Habits TIME Auto-pilot Thoughts Feelings Behaviors Triggers

Aware and Do Requires:  Practice of mindfulness  Time  Acknowledgment of your feelings of like and dislike.  Doing what needs to be done now to create the new habit.  Indirect influence of feelings through doing  Building self-confidence through accomplishing the small action plan.

YouTube - Dr. Ruth Wolever Mindfulness and Behavior Change The Positive Impact of Mindfulness Practice - eMindful - Dr. Ruth Wolever (Clip 8) For further inquiry:

Patient Action Plan Strategize to resolve expected barriers. Strategize to prevent triggers. Assess confidence level >8 What-How Much-When-How Often-How Confident Achieve within the target period. Something client WANTS to do, not SHOULD do.

Strategies for Developing a Healthy Habit Accept Reality  Acknowledge the actual situation. Know One’s Purpose/Objective  Action Plan Do What Needs To Be Done  Uni-focus on getting one thing done at a time. Delay Old Habits  By having a time gap between impulse and action.

Elements of Effective Coaching More listening than talking. More asking than telling. More reflecting than commenting. Not advising how to solve problems.

Health Coaching Process Assess patient’s current lifestyle Assess patient’s strengths and past successes Assess what is important to the person right now Assess what the patient wants to work on now Guide, support, teach, and link person to resources Coach patient to develop an action plan of small steps Patient tries the action plan Follow up with patient and develop another action plan…

Key components of Coaching Psychology Health Coach Listens Provides support Expresses caring Is positive Uses open-ended questions to bring awareness of the current perception and new possibilities. Patient Doubts Resists Fear Not trusting Clinging to the ‘Like’ and resisting the ‘Dislike’ Wants quick results

Distinguish Between Life Coaching and Coaching in Health Care The reality is that health is related to almost every aspect of the patient’s life. Life coaching focuses on the person’s life purpose. Coaching in health care focuses more on managing chronic conditions or overall health Life coaching and coaching in healthcare can be overlapped. Life coach and health coach both assess the person’s values and beliefs because that is the source of sustaining the motivation to develop life skills Health is the resource of life and preventive self care is the key to preserving that resource

References 1. Maurer, R. (2004) One small step can change your life: The Kaizen way. New York: Workman Publishing Company, Inc 2. Miller, W.R., Rollnick, S. (2002) Motivational interviewing: Preparing people for change. New York: The Guilford Press 3. Reynolds, D. (1995) A handbook for constructive living. New York: William Morrow and Company, Inc.

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