The case for professional wellness coaches who address

1

Delivering self-efficacy: I can do it!

The case for professional wellness coaches who address physical and mental health together

For questions during the call, e-mail:hturner@acsm.org

2

Consumer-directed healthcare

A CALL TO ACTION

Enabling the consumer to be the master of health and well-

being.

3

Today’s agenda

■

Coaching models in healthcare■

Research news: mental and physical health

■

The cost of sub-optimal mental health

■

Intro to positive psychology■

Intro to coaching psychology

■

Coaching demo■

Q&A

■

References

4

Coaching Models in Healthcare

Consumer-driven■

Wellness coach –

mastery of

wellness■

Health coach –

mastery of

medical issues

Healthcare-driven■

Laser coach –

nurse line, disease

management, call center lifestyle or health coaching

5

Veenhoven Study: Health and Happiness

■

28 long term studies – happiness & health

■

Happiness is a positive state of mind:overall appreciation of one’s life

■

Happiness does not predict longevity in sick populations

■

Happiness does prevent getting ill■

Longevity impact comparable to not smoking – several years

■

Mechanism?

6

Frederickson: Positive Emotions Broaden and Build

■

Positive emotions are fleeting■

Negative emotions stick like VELCRO■

Positive emotions broaden thinking (flexibility, creativity, open-mindedness)

■

Positive emotions build resources: mental, physical, psychological, social

■

IDEAL: 3:1 positive to negative emotions

7

Cognitive Behavioral Therapy improves Brain Function

■

Depression research comparing CBT and antidepressants

■

Left pre-frontal cortex – planning, goal- setting, self-awareness, insight, decision- making

■

Limbic – emotional connection, arousal, rewards

■

Antidepressants act on limbic system■

CBT acts on “CEO” region and limbic system

■

New brain pathways and connections are needed to overcome depression

8

Lessons from Hope Psychology

■

Hope is an important agent and predictor of change

■

Hope is generated by three elements1. Agency (self-efficacy)2. Goals3. Pathways to change

■

Hope therapy addresses these elements

9

Lessons from Hope Psychology

High-hope individuals enjoy better (Snyder, 2000):

■

physical health ■

academic functioning

■

interpersonal effectiveness■

athletic performance

■

psychosocial adjustment■

capacity for emotional self-regulation

■

superior abilities to face and overcome obstacles

10

Tal David Ben Shahar: Not Exercising is a Depressant

■

Duke study – severe depression1. Antidepressant alone2.

Antidepressant + exercise

3.

Exercise alone■

Four months - all groups – 60% remission

■

Ten months□

39% relapse for group 1

□

35% relapse for group 2□

9% relapse for group 3

11

John Ratey, MD: Exercise improves….

■

Learning■

Brain plasticity

■

Self-esteem■

Mood

■

Attention ■

Stress

■

Motivation ■

ADD

■

Anxiety■

Addictions

12

Obesity Epidemic: Confidence Crisis calling for Professional Coaches

■

People don’t believe that they can master weight and wellness

■

Reaching self-efficacy is a mental game■

Medical model focused on weakness not strength

■

Expert approach hurts self-efficacy■

Mastering weight and wellness is a new life skill

■

We need a profession to address physical and mental health together

13

In summary…

■

Positive state of mind prevents illness■

Positive emotions improve thinking and resources

■

Talk therapy is exercise for the brain ■

Hope therapy increases change success■

Not exercising is a depressant ■

Obesity/healthcare crisis is a confidence crisis■

Obesity/chronic disease treatments need to integrate mental and physical health

14

Health Risks (Edington) and Mental Health

■

Exercise■

Life satisfaction■

Stress■

Perception of health■

Body weight ■

Alcohol■

Smoking■

Blood pressure■

Illness days ■

Cholesterol■

HDL■

Existing medical problem

15

Cluster Analysis (Edington)

Health Measure

SmokingAlcoholPhysical activitySafety belt usageBody mass indexSystolic blood pressureDiastolic blood pressureCholesterolHDL cholesterolSelf-perceived healthLife satisfactionStressHeart diseaseDiabetesIllness days

Cluster 1:Risk taking

(N=6688)

Overall RisksLow risk (0-2 risks)Medium risk (3-4 risks)High risk (5+ risks)Avg Number of risks

50.2%35.7%14.1%

2.8

97.6%2.4%

00.6

26.5%48.9%24.7%

3.6

18.9%35.9%45.2%

4.4

31%10%28%36%27%9%5%19%34%13%4%9%9%7%21%

0%0%0 %0 %25 %0 %0 %19 %10 %0 %0 %0 %0 %0 %0 %

16%3%19%22%38%81%61%27%33%9%2%2%5%3%12%

27%5%26%31%27%23%20%22%24%28%73%76%5%4%26%

Cluster 2:Low Risk

(N=3164)

Cluster 3:Biometrics

(N=3100)

Cluster 4:Psychological

(N=3927)

16

Conclusion…

■

We need to address mental and physical health together

17

What is Positive Psychology

An eight year old movement in psychology which focuses on enhancement of well- being - not fixing pathology:

■

Building on strengths ■

Increasing positive emotions

■

Generating flow states■

Cultivating gratitude

■

Increasing hope and optimism■

Increasing life engagement and satisfaction

■

Enabling peak performance and well-being

18

What is Coaching Psychology

The relational vehicle for Positive Psychology whereby coaches help clients master well-being.(health, happiness, and prosperity)

19

Coaching Psychology: Evidence-based Theories

■

Humanistic theory■

CBT & Solution-oriented therapy

■

Motivational interviewing■

Transtheoretical model

■

Appreciative inquiry■

Self-efficacy

■

Emotional intelligence■

Relational flow & flow

■

Relational cultural theory

20

M O U N T L A S T I N G C H A N G E

15 Change Footholds for Higher Well-being

21

Coaching Psychology: Outcomes

Decreasing health risks requires sustainable behavior change. What does it take?

■

Increased self-awareness■

More positive emotion

■

More positive energy■

More hope and optimism

■

Increased self-efficacy ■

Closer to “best self”

22

What do wellness coaches help clients do?

Develop personal wellness blueprint:

■

Enable a thinking and planning process■

Exercise their brains■

Arouse clients’

emotions■

Connect with strengths■

Teach new life skills ■

Identify higher purpose■

Ignite fighting spirit■

See problems as opportunities

23

Rate your well-being (scale of 1 to 10)

■

Energy■

Physical fitness

■

Eating habits■

Weight

■

Stress ■

Health

■

Life satisfaction■

Positive and confident mindset

24

Wellness Vision Coaching

■

Ideal person you want to be?■

Gap between here and your vision?

■

Why does this vision really matter to you?

■

What is the key obstacle?■

What are workable strategies and what strengths can you apply?

■

Are you ready and committed? ■

What will you do tomorrow?

25

We look forward to the day

■

Invest in our health daily■

Meet with health or wellness coach once pa to develop a wellness plan

■

Discuss plan with our doctors

■

Enlist our support team

26

Moore Publications

■

Coach Meg’s Blog■

LWW Coaching Psychology Manual for physical and mental health professionals

■

White paper: The obesity epidemic: a confidence crisis calling for professional coaches

■

Principles of behavioral psychology in wellness coaching

■

Relational flow: a theoretical model for the intuitive dance of coaching

■

Harvard Medical School CME program: Prescribing Lifestyle Medicine for Weight Management

■

Book in progress: Coach Meg and the realization of Rachel (overweight pediatrician)

27

Q&A

For questions during the call, e- mail:hturner@acsm.org

References:After the call, e-mail Margaret Moore at margaretm@wellcoaches.com

www.coachmegblog.com

28

Delivering Self-efficacy: I can do it!

The case for professional wellness coaches who address physical and mental health together