Improving health one behavior at a time

Aaron Fried, M.S., ATC/L

Health
Coaching
Delivering of services that are client-
centered to drive behavior change in
order to achieve specific outcomes
Providing education in
goal-setting, self-discovery,
active learning, and
accountability using
behavior change theories

Creating success through continuous

relationships with a diverse community of
healthcare professionals utilizing
communication and motivational strategies
 Disease Management
• Specific diseases/disabilities
 Diabetes, asthma, smoking, obesity
 Conditions of abuse
 Stress, drugs, alcohol
 Health and Wellness
• Reduction in health risks to improve wellness
Employee wellness programs can:
 Increase Company Moral
 Increase Workplace Productivity
 Decrease Healthcare Costs
 Increase Employee Loyalty
FACE-TO-FACE
 Most effective in creating
community connection
 Easy to contact and follow up
with clients
 Highly visible program
encourages participation
 Allows the use of hands-on
techniques like fitness
training and ergonomics
 More time per client needed
 Tough to meet time demands
TELEPHONE
 Still get 1-on-1 treatment
 Works well with a multi-site
interventions
 Does not disrupt clients
schedule
 Can be done with a large
population
 Focus on accountability of
appointments
 Hard to gauge responses
without expressions
COMPUTER/ONLINE BASED
 Can be tailored to fit clients
needs
 Can reach a large number of
clients
 Available on-the-go and at
multiple sites
 Can be linked to tracking
systems and educational
material
 You have to consider the
online capabilities of all
clients
 Limits personalization
COMBINATION
 Can include F2F with online
follow ups
 Allows for personalized
approach with cost of many
F2F follow ups
 Creates a sense of
community
 Great for large client
groups
 Includes the cost of F2F
visits
 Active monitoring of client to ensure
accountability
 Qualitative self-reporting directly to
coaches
 Collection of quantitative data for quality
of life, self-efficacy and perceived
wellness
 Health Coaches educate about lifestyle
and health education; including fitness,
nutrition, or other disease-specific
interventions.
 Health Coaches need to emphasize the
process of behavior change rather than
only content education
• This will empower clients to set and reach goals
and maintain programs
  Health Coaches use evidence-based
practices to formulate goals, empower
clients and facilitate communication

 Example of interventions:
• Motivational interviewing
• Visualization
• Values prioritization
• Self-reflection
• Hands-on learning
 Ask
• Nonjudgmental communication
• Express Empathy
• Avoid resisting responses
• Develop a discrepancy between current
behavior and the actual effects of the behavior
 Health belief model
• Support self-efficacy

 Motivational Interviewing
 Direct, client-centeredcounselling style
 Goal is to resolve ambivalence
• Move from precontemplation to contemplation in
the Transtheoretical Model of behavior change
 Method- OARS
• Open-ended questions
• Affirm their perceptions of the behavior
• Reflect on their responses
• Summarize what they are saying- Repeat what
they have said (out loud) in an organized manner
so they hear their own interpretations
 Assess
• Determine health status
 BMI, waist circumference, quality of life, self-efficacy,
physical activity vital sign

 Advise
• Ask permission to give advice
• Provide evidence-based information
• Give treatment options
 Agree
• Come to an agreement on a treatment plan
• May take multiple visits to get an agreement
• Create SMART goals

 Assist
• Provide motivation
• Give support- Find resources
• Identify and help overcome barriers
 Rate how confident you are that you could be physically
active in each of the following situations:
 •1. When I am tired
 •2. When I am in a bad mood
 •3. When I feel I don’t have time
 •4. When I am on vacation
 •5. When it is raining or snowing

 •Likert Scale (1 to 5)
• 1.= not at all confident
• 2.= slightly confident
• 3.= moderately confident
• 4.= very confident
• 5.= extremely confident
 Createda consensus of health and
wellness coaching competencies
• National certification exam
• Defined scope of practice
• Created code of ethics
• Have to complete an approved program
 Example- ASU Healthy Lifestyle Coaching Program

 http://ichwc.org/