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Home > Coaching
Three Pillars of Health Coaching: Patient Activation, Motivational Interviewing and Positive Psychology
Three Pillars of Health Coaching: Patient Activation, Motivational Interviewing and Positive Psychology
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Three Pillars of Health Coaching: Patient Activation, Motivational Interviewing and Positive Psychology provides the fundamentals of three essential tools that health coaches can use to measure and monitor activation levels, elicit behavior change, move clients along the path to self-management and have a positive impact on health outcomes and utilization.

In this 57-page report, get background on these three health coaching essentials:

  • Patient Activation Measure: The Patient Activation Measure is a relatively new tool that assesses a patients level of activation to more appropriately tailor healthcare interventions. Developed by Dr. Judith Hibbard, a professor of health policy at the University of Oregon, the Patient Activation Measure (PAM) was designed to assess an individuals knowledge, skill and confidence in managing their health. Dr. Hibbard describes the 13-item scale that asks people about their beliefs, knowledge and confidence for engaging in a wide range of health behaviors, from the research behind its development to the impact it can have on a patient's healthcare self-efficacy and service utilization.

  • Motivational Interviewing: Motivational interviewing is a client-centered counseling approach developed in part by Professor William R. Miller, Ph.D. and Professor Stephen Rollnick, Ph.D. From the perspective of a physician and a health psychologist from the field of integrative medicine, learn how motivational interviewing skills and training can enrich the health coaching encounter. Karen Lawson, M.D., program director for the health coaching track at the Center for Spirituality and Healing, University of Minnesota and a physician from the field of integrative medicine, and Ruth Wolever, Ph.D., clinical health psychologist and director of research at Duke Integrative Medicine, describe how motivational interviewing skills can provide a foundational framework for health coaching interaction.

  • Positive Psychology: Recent findings in the field of positive psychology link positive emotions and well-being with both health and longevity. The relatively new domain of coaching psychology is exploring the effects of targeting both the client's mental state and physical condition during the coaching encounter. Wellcoaches CEO Margaret Moore explores research linking physical and mental health as well as critical coaching skills and outcomes that help bring about lasting behavior change. The theories of positive psychology come alive during a 15-minute unscripted coaching demonstration in which Moore helps a volunteer client Kathy Smith (not her real name) to identify life issues that are keeping her from being her "best self" in managing a thyroid condition and weight issues.

    Note: A CD-ROM recording of the coaching demo is included with the printed special report. A link to listen to the coaching demo will be e-mailed with the Adobe Acrobat version.



Table of Contents

  • Patient Activation Measure: Assessing the Engaged Healthcare Consumer for Self-Efficacy
    • Behaviors of the Activated Patient
    • Factors Affecting Activation
    • Impact of Tailored Coaching on Patient Activation
  • Motivational Interviewing Methods and Practice
    • Motivational Interviewing
    • Understanding Patient Motivation
    • Communication Styles in Motivational Interviewing
    • Readiness for Change
    • MI and the Stages of Change
    • Self-Perception Theory
    • Motivational Interviewing in Coaching
    • Defining the Wheel of Health Model
    • Precontemplation Stage of Change
    • Contemplation: The Baton, Miracle Questions and More
    • The Merits of Motivational Interviewing
  • Using Positive Psychology to Improve Disease Management Outcomes
    • Health and Happiness Closely Linked
    • Coaching is Workout for the Brain
    • Lessons from Hope Psychology
    • Not Exercising Can Be a Depressant
    • Connection Between Mental State and Health Undeniable
    • What is Positive Psychology?
    • Coaching Psychology
    • Coaching Processes and Skills
    • Positive Psychology in Action: Transcript of a Live Coaching Demo
  • Q&A: Ask the Experts
    • Separating Activation from Readiness to Change
    • Using the PAM Tool in Primary Care Ambulatory Settings
    • Exploring Level I Activation
    • Integrating PAM into Telephonic Coaching Programs
    • Multiple Administration Modes for PAM
    • Measuring Patient Activation in a Senior Population
    • Measuring Activation at Pre- and Post-Intervention Points
    • Engaging Clients and Sustaining Motivation
    • Creating Sacred Space in a Virtual Environment
    • Sympathy vs Empathy
    • Acceptance of Health Coaching by the Medical and Business Communities
    • Training Primary Care Providers in Coaching Theories
    • Ensuring That Coaches Dont Act As Therapists
    • Handling a Resistant Client
    • Integrating Expert and Coach
  • For More Information
  • About the Presenters
  • Glossary
Publication Date: February 2010
Number of Pages: 57
ISBN 10: 1-936186-98-5 (Print version); 1-936186-99-3 (PDF version)
ISBN 13: 978-1-936186-98-3 (Print version); 978-1-936186-99-0 (PDF version)
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