Health coaching
Encyclopedia
Health coaching is a method of guiding others to address their health and, if need be, make behavioral changes to improve health. Like traditional coaching, health coaches utilize goal setting, identification of obstacles, and use of personal support systems. The relationship between the coach and coachee is an accountability
Accountability
Accountability is a concept in ethics and governance with several meanings. It is often used synonymously with such concepts as responsibility, answerability, blameworthiness, liability, and other terms associated with the expectation of account-giving...

 partnership focused on the overall health outcome goals as defined by healthcare practitioners and the patient/coachee.

Origins

The roots of health coaching began with psychologists treating persons addicted to alcohol. In the early 1990s, The National Institute on Alcohol Abuse and Alcoholism
National Institute on Alcohol Abuse and Alcoholism
The National Institute on Alcohol Abuse and Alcoholism , as part of the U.S. National Institutes of Health, supports and conducts biomedical and behavioral research on the causes, consequences, treatment, and prevention of alcoholism and alcohol-related problems...

 conducted a study that compared several methods of treatment for alcohol addiction. They included: cognitive behavioral therapy, a twelve-step program
Twelve-step program
A Twelve-Step Program is a set of guiding principles outlining a course of action for recovery from addiction, compulsion, or other behavioral problems...

 approach similar to Alcoholics Anonymous
Alcoholics Anonymous
Alcoholics Anonymous is an international mutual aid movement which says its "primary purpose is to stay sober and help other alcoholics achieve sobriety." Now claiming more than 2 million members, AA was founded in 1935 by Bill Wilson and Dr. Bob Smith in Akron, Ohio...

, and motivational interviewing
Motivational interviewing
Motivational interviewing refers to a counseling approach in part developed by clinical psychologists Professor William R Miller, Ph.D. and Professor Stephen Rollnick, Ph.D. The concept of motivational interviewing evolved from experience in the treatment of problem drinkers, and was first...

.

The findings demonstrated that while all were equally effective, motivational interviewing was more cost effective and timelier in reaching the desired results.

Due to the success of this project and others, researchers have been keenly interested in using this approach and studying how its use may affect health behavior change in persons with chronic conditions. Studies are likely to continue in this arena as this is a relatively new approach for many healthcare providers.

Difference from traditional patient education

The traditional approach to patient teaching and education is one that directs information "at" the patient. In essence, the goal is to have the patient do the things prescribed for them to do. Healthcare professionals have the knowledge about disease processes, exercise guidelines, special diets, and medications that must be imparted to the patient and caregivers in many forms: booklets, pamphlets, audio CD's,and the like.

Fisiogaspar Health coaching, by contrast, guides patients to talk about what is most troubling to them about their conditions, what they most want to change, what support they have to foster change, and what obstacles or difficulties must be removed or minimized to advance healthy behaviors. It is not the main role of the health coach to teach, advise or counsel the patient. Health coaching focuses on the special issues and concerns unique to the individual patient that fit into the context of the patient's life.

Several Health Maintenance Organizations (HMO) are now using health coaches as a selling point for their health care services. Healthcare professionals that are entering the field of health coaching may include social workers, health education specialists, psychologists, nurses, respiratory therapists, physical therapists, pharmacists, nurse practitioners, physician's assistant, nursing case managers, and those practicing occupational therapy
Occupational therapy
Occupational therapy is a discipline that aims to promote health by enabling people to perform meaningful and purposeful activities. Occupational therapists work with individuals who suffer from a mentally, physically, developmentally, and/or emotionally disabling condition by utilizing treatments...

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