1. 10 July 2014 Targeting your Training and using the models Dr Andrew McDowell, Psychologist and Director of the Performance Coach

2. A Health Coaching Approach Mindset – Principles and beliefs inherent in a coaching approach Skills – General coaching skills that can be used widely in health consultations Techniques – Specific coaching techniques and conversation frames that can be applied in health consultations Opportunities – What are your top tips for seizing opportunities to have coaching conversations with patients 2

3. Review of Models What do I remember about this technique or concept? How have I used it? In what areas do I believe it can be applied? 3

4. Notes 4

5. TOPIC Initial understanding GOAL Outcome for the session REALITY What is happening now? OPTIONS What is possible? WILL / WRAP-UP Plan and support commitment 5 Source: Whitmore The TGROW Model

6. Components of Managing Health – Diamond model Control Learning Motivation Confidence Managing Health 6 Questions: 1.Where are you now and what has contributed to that? 2.Where would you like to be and what are the reasons for that? 3.What can you do that is within your control to move this forward? Source: McDowell

7. 1.Define the behaviour 2.Antecedents 3.Consequences 4.Eliciting personal meaning 5.Eliciting goals 6.Eliciting resources 7.Way forward Raise Awareness Increase Responsibility ABC Health Coaching model 7 Source: McDowell

8. Situational (Where are you?) Behavioural (What are you doing?) Cognitive (What are you thinking?) Affective (What are you feeling?) Interpersonal (Who are you with?) Physiological (How does your body feel?) Antecedents & Consequences 8 Source: McDowell

9. Managing interferences Performance = Potential – Interference Desired Behaviour = Could do it – What’s in the way The Inner Game Coaching conversation 9 Last 3 Questions What gets in the way MOST? What gets in the way LEAST? Where would you like to START? Source: McDowell, adapted from Gallwey

10. What do you feel you are ready to change? What is currently happening regarding this behaviour? What would you like to achieve? What’s helped you to achieve this in the past? What are your options now? What else could you do? Which do you think might work for you now? What specific goal could you set? What would support you to achieve this goal? What would you need to do to achieve this? What ELSE would you need to do?.... What do you need to do to remember this? Solution focussed coaching questions 10 Source: McDowell

11. 1. How important is ……….. to you? On a scale of 1–10 (1 = not important, 10 = very important) 2. How confident are you about make a change? On a scale of 1–10 (1 = not confident, 10 = very confident) 3. Tell me about how you scored yourself? 4. What would help to move you higher on the scale? 5. How high on the scale would you need to be to change? 6. What makes your “current score”(e.g., 5) not an “lower score” (e.g., 2) ? Quick Motivational Interview 11 Adapted from: Miller & Rollnick

12. Don’t Change AnythingMake Some Changes Good Outcomes 1. What’s working for you now? Easier, less effort Less stressful Less time required Can do what I like 4. What benefits would you expect from changing things? What’s in it for me? What short & long term benefits will I get? Not so Good Outcomes 2. What’s the downside of what you are doing now? Short term negative consequences Long term negative consequences 3. What’s the downside of changing things? Harder, more effort to break habits More stressful More time & planning required Decision making – Motivational Interviewing 12 Adapted from: Miller & Rollnick

13. TechniqueApplication TGROW Diamond Inner Game ABC Solution focussed Brief MI Decision making matrix Techniques and application

14. About the Performance Coach The Performance Coach is proud to offer a range of innovative services to help organisations and individuals with an interest in leadership development, performance coaching and health coaching. We pride ourselves at being the ‘best’ at collaborating with our clients, closing the ‘knowing/ doing’ gap and sustaining performance improvement over time. For further information: Dr Andrew McDowell, The Performance Coach M: 44 (0) 7984 464 407 T: 44 (0) 203 637 0970 E : andrew@theperformancecoach.com W: http://www.theperformancecoach.comandrew@theperformancecoach.comhttp://www.theperformancecoach.com The Performance Coach, Marble Arch Towers, 55 Bryanston Street, London, W1H 7AA 14