Health Coaching for Behaviour Change

Maximise your impact as Leaders

Senior Operational Leaders and Front Line Leaders

Networking Event 8th May 2014

What do you already know about health coaching?

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What is Health Coaching?

• In the clinical context “performance”= self-management

• Health coaching is releasing a person’s potential to maximise their own health

Health coaching aims to raise awareness and increase responsibility for health

Coaching is about supporting someone to change their relationship to a problem or challenge

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Health Coaching provides

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Fear as driver of the consultation dynamic?

Patient’s Fears

Clinician’sFears

Adapted from: When doctors and patients talk: making sense of the consultation, Martin Fischer and Gill Ereaut, The Health Foundation June 2012

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“Instead of treating patients as passive recipients of care, they must be viewed as partners in the business of healing, players in the promotion of health, managers of healthcare resources, and experts on their own circumstances, needs, preferences and capabilities.”

Coulter (2011)

Different kind of conversation

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Principles and models from Health Psychology & Behavioural Medicine

Skills & techniques from Performance &

Development Coaching

Knowledge and skills of Health

Practitioners

Behaviour Change theory Social Cognition theory Patient Activation Motivational Interviewing Stages of Change Positive Psychology Mindful awareness Cognitive Behaviour Therapy

Goal setting Coaching models Coaching competencies Range of approaches Awareness & Responsibility Focus on potential & emergence Using Challenge & Rapport Scaling

Health knowledge Health recommendations Diagnostic skills Consultation skills Questioning skills Listening skills Problem solving skills Patient – clinician relationship

Health Coaching Skills Development

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How would practitioners need to think differently and what would they need to believe in order to engage with a health coaching approach?

Coaching Mindset

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How do your conversations lead to outcomes? Working with goals

• What is the value of setting a goal?

• Who’s goal? Patient’s or clinician’s?

• What factors might influence patients’ willingness to set a goal?

• What factors might influence clinicians’ willingness to work on setting a goal with patients?

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TELLING / TRAINING

PUSH

PULL

Solving patient’s

problem for them -Offering the

clinician’s resources & experiences

Enabling patient tosolve their own

problem - Accessing the patient’s resources

& experiences

NON-DIRECTIVE

DIRECTIVE

SILENCE/WITNESS

ASKING QUESTIONS THAT RAISE AWARENESS

CLARIFYING UNDERSTANDING

GIVING FEEDBACK

OFFERING GUIDANCE

GIVING ADVICE

REFLECTING

PARAPHRASING

SUMMARISING

MAKING SUGGESTIONS

Telling

Asking

How do you flex your style for different consultations?A range of approaches

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LISTENING TO UNDERSTAND

How do you see your patients?Bi-focal vision

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How do you reflect on the dynamics of the consultation?Karpman Drama Triangle

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How do you use challenge with your patients?Challenge / Rapport model

Rapport

Challenge AwarenessAwareness

Comfort

Exposure

Context

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Components of High Performance

Achievement

Learning

Meaning

Enjoyment Sustained High

Performance

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Components of Managing Health – Diamond model

Control

Learning

Motivation

Confidence Managing Health

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• Using Scales to have a simple coaching conversation:

Where are you now and what has contributed to that?

Where would you like to be and what are the reasons for that?

What can you do that is within your control to move this forward?

Components of Managing Health

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Discussion

• What was the impact of using the coaching questions?

• How did the process raise awareness and increase responsibility?

About the Performance CoachThe 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.

We offer a range of services across the spectrum of; Diagnosis; Consultancy and Design; Development Solutions; Sustainable Engagement and Evaluation. We pride ourselves on using inventive ways to engage and sustain learning creating lasting impact.

 For further information:Dr Andrew McDowell, The Performance CoachM: 44 (0) 7984 464 407 T: 44 (0) 203 637 0790E: andrew@theperformancecoach.com W: http://www.theperformancecoach.com The Performance Coach, Marble Arch Towers, 55 Bryanston Street, London, W1H 7AA

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