Health Coaching Techniques

Health Coaching Techniques: Applications for TB

2021 Virtual Pacific Islands Tuberculosis Controllers Association (PITCA) ConferenceNovember 16–19/15–18, 2021 1

Health Coaching Techniques: Applications for TB2021 VIRTUAL PACIFIC ISLANDS TUBERCULOSIS CONTROLLERS ASSOCIATION CONFERENCENOVEMBER 16, 2021

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Learning objectives

By the end of this session, participants will be able to… Explain how Health Coaching techniques apply to

tuberculosis control. Describe the steps of the HEAR Technique to engage

someone expressing frustration or disagreement. Use Ask-Tell-Ask and Closing the Loop to assess and

build on what people already know.

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Meet Reyna• 56-year-old Filipina woman living in Guam

• Has diabetes and asthma

• Her nephew was recently diagnosed with TB disease and listed her as a household contact

• Upon testing, Reyna was found to have LTBI

• You called to encourage her to seek treatment

“I never should have gotten that test. I feel fine! What would be the point of taking a medication for something that’s not a problem? Besides, my nephew told me those medications make you feel sick.”

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What is health coaching?

Health coaching is a set of tools to support people in gaining the knowledge, skills, and confidence to care for their health.

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Health Coaching Toolbox

The HEAR Technique

HAsk-Tell-Ask Closing the

Loop

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What is the HEAR Technique?

A method to de-escalate emotions and respectfully engage with people who have conflicting motivations.

H

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Hear

Steps of the HEAR Technique

Express gratitude

Ask about pros and cons

H

Respond

E

A

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Ask open-ended questions to invite the person to share their thoughts and feelings.

Reflect back the content or feeling of what they share.

Hear

You don’t like the idea of taking medications. Could you tell me more about that?

H

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Thank the person for sharing their thoughts or for the efforts they are making.

Express gratitude

Thank you for getting tested, and for taking the time to talk to me today.

E

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Ask about the pros and cons of seeking testing or treatment, from that person’sperspective.

Ask about pros and consA

What would be the bad things about taking medications?

What would be the good things?

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Summarize what you’ve heard. Share key information. Discuss next steps.

RespondLet me see if I’m hearing this correctly…

R

Would it be okay if I shared some reasons that some other people choose to get treated for Latent TB Infection?

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Your turn!

Reyna says, “You want me to take something that is going to make me feel sick when nothing’s wrong with me? No thank you!”

H

What do you say, using the “Hear” step of the HEAR Technique?

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Reyna says, “Look, I get that my nephew needs medicines. I’m the one who made him go to the doctor, and he hates doctors. And I got the test like they asked me to. But I just don’t know about taking medications for months.”

EWhat do you say to Express Gratitude?

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Reyna says, “You know, I work in a hotel, and I can’t do my job if I’m feeling sick to my stomach. Besides, aren’t there all these things you can’t eat or drink when you are on medications?”

What do you say to Ask about Pros and Cons?

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Reyna says, “My doctor was saying that it was important to get treatment for TB since I have diabetes. And I would hate to pass this on to my mother or sister.”

What do you say to Respond to Reyna by summarizing her thoughts or offering new information?

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What is Ask-Tell-Ask?

A client-centered way to assess and build on what people already know and what they are willing to do.

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Steps of Ask-Tell-Ask

ASK An open-ended question to learn more about the person’s knowledge or perception

TELL Provide information based on the person’s response

ASK Another open-ended question

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What is Closing the Loop?

Asking people to restate new information in their own words

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Closing the Loop makes information “stick”

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How do we Close the Loop?

Just to be sure I explained that well, would you mind telling me in your own words…

We covered a lot of information today! Starting today, what will you be doing?

I know I talk quickly and I want to be sure that I didn’t miss anything important. Would you mind describing in your own words…

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You want to be sure that Reyna understands why it’s important to treat Latent TB Infection.

What’s your first step to use Ask-Tell-Ask?

Your turn!

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Reyna says, “Well I’m really glad my nephew is getting help. My uncle died from TB when I was a kid, and it was awful. But if I’m not sick at all, doesn’t it mean that my body is fine? Why take something that makes me feel sick and turns my sweat orange? That doesn’t seem natural!

After you share new information, what question might you ask?

What do you say next?

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It is the end of the conversation, and you want to be sure that Reyna remembers the new information you shared about the importance of treating LTBI.

What do you ask to Close the Loop?

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Putting it all together

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COVID-19 Vaccine Communications | Virtual Training Academy

https://cepc.ucsf.edu/For questions:

Patricia Mejía ([email protected])

Rachel Willard-Grace ([email protected])

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Health Coaching Techniques

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