Traditional Health Teaching is Out… Evidence-Based Health Coaching is In! Part 2

In Part 1, we discussed what Evidence-Based Health Coaching is, what it is NOT, why it has emerged, and how it differs from traditional health teaching.

This week, we will take a look at why patients resist change and the Evidence-Based Health Coaching strategies to overcome non-compliance.

Why don’t people comply with health behavior change?

  • Their values don’t support it
  • They don’t think it’s important
  • They don’t think they can do it
  • They haven’t worked through their ambivalence about it
  • They aren’t ready for it
  • They don’t have a good plan
  • They don’t have adequate social support

Now that we know why people don’t want to change their health behavior, the question is what strategies does Evidence-Based Health Coaching apply to address these challenges?

  1. Partnering and patient engagement
  2. Empowering the patient
  3. Guiding the agenda and safe goal-setting
  4. Facilitation through Motivational Interviewing
    • This taps into the patient’s own motivation to follow-through
  5. Use of evidence-based clinical interventions for medical advice, treatment, or instruction
  6. Use of empathy & compassion
  7. Stages of change

Based on these strategies, it is plain to see the Health Coaching approach is much different than the traditional, Directing/Managing approach we discussed last week. With Evidence-Based Health Coaching, patients are engaged, empowered, and motivated to work with their provider to change their health behavior.

“It is the truth we ourselves speak rather than the treatment we receive that heals us” – O. Hobart Mowrer, 1966

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