1. Using coaching techniques in typical client interactions

2. Introductions Tonight’s Presenter Lynn Grieger, RDN, CDE, CPT, CHWC
Health, Food and Fitness coach
Moderator
Heidi Diller, RD
ReShape® Patient Care Manager

3. Today’s topics Using a coach approach in: Short interactions
Motivation and non-compliance
Hunger and fullness
Setting and reaching goals
Today’s topics

4. Put on your coaching hat
Mindfulness – set your intention
Develop empathy
Open-ended questions
Active listening
Client-driven
Put on your coaching hat

5. Short interactions

6. FOCUS First ask permission Offer ideas Concise Use a menu
Solicit what the client thinks
Rosengren  Building Motivational Interviewing Skills: A Practitioner Workbook
FOCUS

7. Discussion options What and when to drink Meal times vs grazing
Eating out
hydration
Portion sizes

8. Instant Influence: 6 steps
Why might you change?
How ready are you to change?
Why didn’t you pick a lower number?
Imagine you’ve changed. What are the positive outcomes?
Why are these outcomes important to you?
What’s the next step, if any?
Pantalon, Instant Influence
Instant Influence: 6 steps

9. Step 1: Why might you change?
Create empathy and trust
Use open-ended questions
Focus on the positive
WIFM
Use conditional words
Might
Would
Could
Perhaps
Try
Reflect resistance
Step 1: Why might you change?

10. Step 2: How ready are you to change?
Use a ruler to gauge readiness to change
Focus on one specific step within a set timeframe
Step 2: How ready are you to change?

11. Step 3: Why didn’t you pick a lower number?
Part of you wants to make this change
The number itself isn’t important
The importance is the reasons for making a change
Step 3: Why didn’t you pick a lower number?

12. Step 4: Focus on the positive outcomes
Imagine you’ve made the change. What benefits will you see?
Suppose you can wave a magic wand and suddenly the change occurred. How would you benefit?
Step 4: Focus on the positive outcomes

13. Step 5: Why are these outcomes important to you?

14. Step 6: What’s the next step, if any?

15. Motivation or Non-compliance?
“Noncompliance: Failure or refusal to comply. In medicine, the term noncompliance is commonly used in regard to a patient who does not take a prescribed medication or follow a prescribed course of treatment.”
Motivation or Non-compliance?

16. Health care approach Give them insight Give them knowledge
Give them skills
Give them a hard time
Health care approach

17. Client: I just don’t like the taste of plain water
Client: I just don’t like the taste of plain water. RDN approach: Have you tried flavoring water with cut-up fruit or vegetables? Many of my patients really like making infused water.
Your turn: type into the question box a coach approach reflection you might use instead of the RDN approach.
Your turn!

18. Client: I’m just so busy in the morning, I don’t have time for breakfast. RDN approach: I have a list of breakfasts that you can make in less than 5 minutes that you can use this week.
Your turn: type into the question box a coach approach reflection you might use instead of the RDN approach
Your turn!

19. Coach approach Meet with compassion and empathy Non-judgmental
Active listening
Use your OARS
Focus on the positives
Build self-esteem and self-efficacy
Coach approach

20. Am I Hungry? Body-Mind-Heart Scan from Michelle May, MD Pause
Body scan
Mind scan
Heart scan
Am I Hungry?

21. Pause

22. Body scan Look for tension, discomfort, pain
Is my stomach rumbling, empty, growling?
Do I feel light-headed? Low energy?
Body scan

23. Mind

24. Heart

25. 7 types of hunger Eye hunger Nose hunger Mouth hunger Stomach hunger
Cellular hunger
Mind hunger
Heart hunger
Jan Chozen Bays MD Mindful Eating
7 types of hunger

26. Develop empathy Approach each client with deep curiosity
Be mindful and present
Listen actively and without judgement
See the world the way your client views it
“it sounds like you’re in a difficult place right now”
Communicates the message that we understand and you’re not alone
Develop empathy

27. Motivational Interviewing in Health Care by Stephen Rollnick, William R. Miller and Christopher C. Butler
Motivational Interviewing in Nutrition and Fitness by Dawn Clifford and Laura Curtis
Instant Influence by Michael V. Pantalon
Mindful Eating by Jan Chozen Bays
Resources