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Health coaching
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Health coaching
Health coaching is the use of evidence-based skillful conversation, clinical interventions and strategies to actively and safely engage client/patients in health behavior change. Health coaches are certified or credentialed to safely guide clients and patients who may have chronic conditions or those at moderate to high risk for chronic conditions.
Health coaching for clinicians and practitioners is based on evidence-based clinical interventions such as motivational interviewing to facilitate behavior change, the transtheoretical model of change, goal setting, active listening, aggregation and trending of health outcome metrics, and prevention.
The Centers for Disease Control and Prevention define wellness as "the degree to which one feels positive and enthusiastic about life". Wellness coaching is a process that facilitates healthy, sustainable behavior change by challenging a client to develop their inner wisdom, identify their values, and transform their goals into action. Wellness coaching draws on the principles from positive psychology and appreciative inquiry, and the practices of motivational interviewing and goal setting.[page needed]
Health coaches are not licensed to prescribe diets. In the US Dietitians are the only nutrition professionals regulated by law, and are governed by an ethical code to ensure that they always work to the highest standard. Minimum requirement is a BSc in Dietetics or a related science degree with a postgraduate diploma or higher degree in Dietetics.
In 13 US states, it is illegal to perform individualized nutrition counseling unless licensed or exempt. Effectively only Registered Dietitians are eligible for licensure. However, around the world legislation varies depending upon the country.
The health coaching model follows a process:
The process begins with engagement. Engagement and building trust with the client is established by building rapport. Many factors are included in this process. Essential traits to building rapport include genuineness, eye contact, good energy, warmth, good quality of voice, a feeling of connectedness, being comfortable and relaxed in the exchange, mindful listening, being supportive and positive body language, and physical gestures. Rapport is fundamental not only in the initial coaching session but also in each coaching session thereafter. The background of the health coach can also be an asset to their bonding with patients. Allowing health coaches to connect with their patients by building a strong relationship plays a vital role in improving the health outcomes of patients. Especially when working with underrepresented populations, pairing patients with a health coach of similar race/ethnicity, socio-cultural or linguistic background makes the health coach more relatable, and this too impacts the health outcomes of patients. Health coaches may speak a variety of languages in addition to English, which helps to increase the audience of patients that health coaches can support. Speaking more than one language as a health coach is also an asset to the health coach-patient relationship. Having a health coach that is relatable and easy to talk to yields positive outcomes due to the positive relationship between the coach and the patient. Although rapport is important, a coach may want to avoid becoming too close with the client. Becoming too close to a client can create a barrier for successful coaching relationships by being too emotionally attached, having a personal agenda and falling into assumptions based on personal relationships or experience.[page needed]
Once a coach has established rapport, building strong communication strategies is essential. An effective tool used in health and wellness coaching and other clinical work is motivational interviewing. Motivational interviewing is a process used in psychotherapy, social work, medicine, addiction and other fields. It aims to raise clients' awareness of problems and possibilities while reducing their ambivalence about change.
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Health coaching
Health coaching is the use of evidence-based skillful conversation, clinical interventions and strategies to actively and safely engage client/patients in health behavior change. Health coaches are certified or credentialed to safely guide clients and patients who may have chronic conditions or those at moderate to high risk for chronic conditions.
Health coaching for clinicians and practitioners is based on evidence-based clinical interventions such as motivational interviewing to facilitate behavior change, the transtheoretical model of change, goal setting, active listening, aggregation and trending of health outcome metrics, and prevention.
The Centers for Disease Control and Prevention define wellness as "the degree to which one feels positive and enthusiastic about life". Wellness coaching is a process that facilitates healthy, sustainable behavior change by challenging a client to develop their inner wisdom, identify their values, and transform their goals into action. Wellness coaching draws on the principles from positive psychology and appreciative inquiry, and the practices of motivational interviewing and goal setting.[page needed]
Health coaches are not licensed to prescribe diets. In the US Dietitians are the only nutrition professionals regulated by law, and are governed by an ethical code to ensure that they always work to the highest standard. Minimum requirement is a BSc in Dietetics or a related science degree with a postgraduate diploma or higher degree in Dietetics.
In 13 US states, it is illegal to perform individualized nutrition counseling unless licensed or exempt. Effectively only Registered Dietitians are eligible for licensure. However, around the world legislation varies depending upon the country.
The health coaching model follows a process:
The process begins with engagement. Engagement and building trust with the client is established by building rapport. Many factors are included in this process. Essential traits to building rapport include genuineness, eye contact, good energy, warmth, good quality of voice, a feeling of connectedness, being comfortable and relaxed in the exchange, mindful listening, being supportive and positive body language, and physical gestures. Rapport is fundamental not only in the initial coaching session but also in each coaching session thereafter. The background of the health coach can also be an asset to their bonding with patients. Allowing health coaches to connect with their patients by building a strong relationship plays a vital role in improving the health outcomes of patients. Especially when working with underrepresented populations, pairing patients with a health coach of similar race/ethnicity, socio-cultural or linguistic background makes the health coach more relatable, and this too impacts the health outcomes of patients. Health coaches may speak a variety of languages in addition to English, which helps to increase the audience of patients that health coaches can support. Speaking more than one language as a health coach is also an asset to the health coach-patient relationship. Having a health coach that is relatable and easy to talk to yields positive outcomes due to the positive relationship between the coach and the patient. Although rapport is important, a coach may want to avoid becoming too close with the client. Becoming too close to a client can create a barrier for successful coaching relationships by being too emotionally attached, having a personal agenda and falling into assumptions based on personal relationships or experience.[page needed]
Once a coach has established rapport, building strong communication strategies is essential. An effective tool used in health and wellness coaching and other clinical work is motivational interviewing. Motivational interviewing is a process used in psychotherapy, social work, medicine, addiction and other fields. It aims to raise clients' awareness of problems and possibilities while reducing their ambivalence about change.