Coaching in Rehabilitation
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Top Contributors - Kapil Narale
Health Coaching[edit | edit source]
Health coaching is an interactive and empathetic patient-centered approach used as an intervention between the therapist and patient, or coach and client, to help drive health behaviour change. [1]
It is good to note that many health coaching interventions are effective in the short-term. [1]
Health coaching within many conditions and disorders such as diabetes, cancer,, or cardiovascular disease, have shown positive health outcomes. However, health coaching may have different levels of effectiveness depending on the chronic disease of concern.[1]
Description of a Coach[edit | edit source]
A health coach can be classified into 4 different categories, which include: Medical Professionals, Allied Health Professionals, Other Health Professionals, and Professional Coaches. These can be further broken down by profession. [2]
Medical Professionals: Physicians, Nurses, Pharmacists, Physician Assistants, and Medical Staff. [2]
Allied Health Professionals: Dieticians or Nutritionists, Psychologists (Doctorate), Social Workers/Psychotherapists/Counsellors (Masters), Mental Health Providers, Physiotherapists, Medical Assistants, Occupational Therapists, and Exercise Physiologists/Specialists. [2]
Other Health Professionals: Health Educators/Promotors, Research Assistants, Medical or Nursing Students, and Allied Health Students. [2]
Professional Coaches: Health/Wellness, Life/Lifestyle, Personal Vitality, and Personal Coach. [2]
An individual like an educated peer can also take the role of a health coach for a particular individual. [1]
A Health Coach that is working with a client needs to be empathetic, and provide patient centered education. When they are searching and assessing for research to present to the patient, or telling about research they previously read, they need to ensure that the research is conducted with an evidence-based practice and thus is credible information, and not commercial or anecdotal information. [2]
Modes of Coaching[edit | edit source]
Coaching can be carried out through: telephone communication, face-to-face interactions, coaching via mail or on the internet, coaching via CD, and text and video coaching. [1]
It is identified by Olsen and Nesbitt (2010) that techniques for an effective health coaching program include, goal setting, Motivational Interviewing (MI), collaborating with the primary health care provider, having a program duration of 6-12 months.
It is seen that coaching via telephone communication is not effective in the long term. Face-to-face interactions are seen to be the most effective.
Motivational Interviewing[edit | edit source]
Motivational Interviewing (MI) is one prominent technique used in health coaching. See the MI Physiopedia page fr the process of Motivational interviewing, the Sages of Motivational Intervieiwng, the Spirit of MI, and other relevant topics.
Stages of Change[edit | edit source]
In the first systematic review, only studies that had an intervention lasting longer than 24 weeks were included. This was done to ensure the clients were progressed to the Maintenance stage.
Other Psychological Techniques[edit | edit source]
Neuro-linguistic programming, social cognitive theory, problem solving theory, or cognitive behavioural therapy. [1]
Two of these techniques, including Motivational Interviewing, have a basis around the collaborative care model (CCM).
Settings[edit | edit source]
Rehabilitative Setting[edit | edit source]
When health coaching was conducted in the rehabilitative setting, there were physiological, behavioural, psychological effects.
It is seen that studies in a rehabilitative setting, there is a minimum of 24 weeks of follow-up, which has a lower percentage.
The researchers found that an effective intervention duration was 3 months in the rehabilitative setting.
Preventive Setting[edit | edit source]
Various preventive settings or situations could be present. In a systematic review analyzing coaching methods in a preventive setting, different studies focused on depressive symptoms, overweight adults, primary care setting, (see table 3) ... [1]
Health coaching intervention is becoming more common in the preventative setting as well. [1]
int he preventive setting, it was seen by the researchers that only a half-da intervention was effective. [1]
Resources[edit | edit source]
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References[edit | edit source]
- ↑ 1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 Dejonghea L.A.L, Beckera L, Froboesea I, Schallera A. Long-term effectiveness of health coaching in rehabilitation and prevention: A systematic review. Patient Education and Counseling. 2017:100:1643-1653.
- ↑ 2.0 2.1 2.2 2.3 2.4 2.5 Wolever R.Q, Simmons L.A, Sforzo G.A, Dill D, Kaye M, Bechard E.M, Southard M.E, Kennedy M, Vosloo J, Yang N. A Systematic Review of the Literature on Health and Wellness Coaching: Defining a Key Behavioral Intervention in Healthcare. Global Advances in Health and Medicine. 2013:2(4)38-57.
