Health Coaching: Find Your Inner Wellness Warrior
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Transcript of Health Coaching: Find Your Inner Wellness Warrior
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FIND YOUR INNER WELLNESS WARRIORLYDIA WISZ, ACE-CERTIFIED HEALTH COACH AND GROUP FITNESS INSTRUCTOR
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Health Coach | Healthcare Experience | Wellness Advocate | Writer
Lydia Wisz | [email protected] | M: 858.472.1772 wiszinthekitchen.blogspot.com
Driven by a belief that food is medicine, Lydia’s knowledge in nutrition & healthcare allow her to bring a personal approach to population health
Focused on feeding body & mind to positively reinforce healthful behavior change
Continually seeking solutions to encourage a healthy living movement within our city and beyond
Created Food Wisz-dom to address nutrition-related health challenges and the demise of sustainable nourishment
Lydia Wisz
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WHAT IS HEALTH COACHING DESIGNED TO DO?
Empowers clients to:
Find inner strength
Improve with sustainable
behavior change
Avoid gambling with health!
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Healthy People/Healthy Economy: An Initiative to Make Massachusetts the National Leader in Health and Wellness. 2015. Data from NEHI 2013. http://www.tbf.org/tbf/56/hphe/Health-Crisis Accessed May 30, 2016.
THE IMPORTANCE OF BEHAVIOR CHANGE: A HUGE DISCONNECT BETWEEN WHAT MATTERS AND WHAT WE PAY FOR
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CASE STUDY: MEET PAUL
Person with Type 2 Diabetes
Takes oral medication for Diabetes
30 pounds overweight
Chronic lower back pain
Sedentary lifestyle
Approved for exercise by physician
THE STAGES OF THE PROCESS
HOW CAN I GROW PAUL’S ABILITY TO CHANGE BEHAVIOR?
Screen and interview
Assess
Build a plan
Monitor Adherence
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HEALTH COACHING WORKS BEST WITH CLIENTS WHO ARE:
Motivated to improve health
Seeking a positive role model
Inspired to make a real change
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Understand Paul’s concerns Encourage Paul’s need for
continuous support Establish a starting point to
serve as foundation Encourage self-efficacy
INTERVIEW WITH ACTIVE LISTENING:
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ASSESS READINESS TO CHANGE
Pre-Contemplation1
Contemplation 2
Preparation3
Action4
Adapted from Transtheoretical Model of Behavior Change
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ASSESS PAUL’S MOTIVATION AND RESISTANCE TO CHANGE
Start with agreed-upon goals Lose weight Improve blood sugar control Decrease lower back pain
Understand what triggers bad behavior Brainstorm together What thoughts are at the
foundation of Paul’s behavior? What are the feelings that are
fueling bad behavior?
Understand attitude toward making real change What are anticipated potential
obstacles? How can coaching support Paul
through potential ambivalence?
How can coaching help Paul build self-efficacy skills?
Does Paul acknowledge the need to change?
Does Paul know why he hasn’t been able to change?
Does Paul have a desire to change in spite of real-world challenges?
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THE CLIENT’S DECISION-MAKING BALANCE SHEET
Cons Pros
no back pain!
more confidence
better mood
low energy
depression
How motivated is Paul to exercise?
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UNDERSTANDING THE MOTIVATION WAVE
“Help people succeed on the most desirable health behavior that matches their current motivation.”
BJ Fogg’s Health Behavior Solution. Accessed at https://weightmaven.org/2012/06/06/facilitating-behavior-change/
Introduce new goals during the temporary opportunity to do hard things. Desired changes should be sustainable during periods of low motivation.
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Develop a plan with Paul that can lead to sustainable behavior change
BRINGING IT ALL TOGETHER
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SET SMART GOALS
SPECIFIC
Goals should contain defined metrics: eating breakfast at home for 2
days per week.
RELEVANT
Goals need to be targeted towards the client‘s agreed-upon
needs.
ATTAINABLE
Break down a huge goal like losing 50
pounds into bite-size steps.
MEASURABLE
There should be a way to know if
the goal is reached or not.
TIME-BOUND
The goal specified should be capable of
achievement in one or two months.
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EXAMPLE GOALS
Lose weight Eat breakfast at home for 2
days a week increase servings of vegetables
per day by one for a complete week
Power walk for 30 minutes at the lunch hour with a co-worker” 3 times next week
Improve Blood Sugar Control Start a food diary to track
intake Track consistent eating every 3-
4 hours Drink 6-8 glasses of water per
day Test blood sugar levels 4 times
per day
Decrease Lower Back Pain Complete Phase 1 stability and
mobility program Perform 3 sets twice daily of
modified body-weight squats Stretch hamstrings and calves:
3 sets 2 times daily Take the stairs rather than the
elevator
Let’s start small with a few ideas to get moving
Incrementally improve with bite-sized, digestible actions
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MONITOR ADHERENCENewer digital health products that are HIPAA-compliant can help track accountability and enhance collaboration.
Use personal trackers such as Fitbit to monitor activity levels.
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SUPPORT CLIENTS LIKE PAUL IN MAKING POSITIVE HEALTH BEHAVIOR CHANGE
SERVE AS A MENTOR, EDUCATOR, AND SUPPORTER
WORK AS PART OF A BROADER CARE TEAM
SO WHAT DOES A HEALTH COACH DO?