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Lifestyle Lifestyle Coaching Coaching
Lessons from the Diabetes Prevention ProgramLessons from the Diabetes Prevention Program
Shandiin Begay, MPH & Julie Nelson, RDShandiin Begay, MPH & Julie Nelson, RDDP Grant TrainingDP Grant Training
Denver, CODenver, COJuly 20, 2005July 20, 2005
Today’s AgendaToday’s Agenda
Coaching ModelCoaching Model Keys to SuccessKeys to Success Examples from CurriculumExamples from Curriculum
Health Coaching ModelHealth Coaching Model The health coaching model uses a team The health coaching model uses a team
of health professionals to assist patients of health professionals to assist patients in making behavior changes to improve in making behavior changes to improve their health.their health.
An assigned health coach works with the An assigned health coach works with the patient and multi-disciplinary team to patient and multi-disciplinary team to work collaboratively with the patient to work collaboratively with the patient to create a health plan by helping them to create a health plan by helping them to identify barriers and establish goals to identify barriers and establish goals to change health related behaviors. change health related behaviors.
Characteristics of a Health Characteristics of a Health Coach and Participant Coach and Participant
RelationshipRelationship Building TrustBuilding Trust Facilitating ChangeFacilitating Change Valuing DiversityValuing Diversity CommunicationCommunication Gaining CommitmentGaining Commitment Problem SolvingProblem Solving Revisiting and AdjustingRevisiting and Adjusting Building on SuccessBuilding on Success
Who did DPP use as a Who did DPP use as a coach?coach?
Professionals were used in the DPPProfessionals were used in the DPP Paraprofessional helped supportParaprofessional helped support The coach needs to be supported by The coach needs to be supported by
a teama team
What are the What are the perceptions of weight perceptions of weight
loss in your community?loss in your community?
What are the What are the perceptions of physical perceptions of physical
activity in your activity in your community?community?
What to look for in a CoachWhat to look for in a Coachprofessional or paraprofessionalprofessional or paraprofessional
Be friendly and acceptingBe friendly and accepting Be optimisticBe optimistic Model healthy behaviorsModel healthy behaviors Follow through with what you say you’ll doFollow through with what you say you’ll do Hold accountable in a non-threatening wayHold accountable in a non-threatening way Be able to work with a teamBe able to work with a team Be willing to persevere and endureBe willing to persevere and endure Believe people can lose weightBelieve people can lose weight Believe that those you work with can Believe that those you work with can
changechange
How much work is it?How much work is it?
One-on-One contact with coachOne-on-One contact with coach DPP Research generally a 1:20 ratioDPP Research generally a 1:20 ratio Groups: estimate 8-10 hours per Groups: estimate 8-10 hours per
classclass Travel time not includedTravel time not included
How did coaching How did coaching influence influence
successful weight successful weight loss in the DPP?loss in the DPP?
KeysKeys Relationships- staff and familyRelationships- staff and family Clearly defined and achievable Clearly defined and achievable
goals and expectationsgoals and expectations Frequent contactFrequent contact IndividualizationIndividualization Local AdaptationLocal Adaptation Provide tools to achieve goalsProvide tools to achieve goals
RelationshipsRelationships
Consistency Consistency SupportiveSupportive HonestyHonesty Believe in youBelieve in you FamilyFamily
Defined and Achievable Goals Defined and Achievable Goals and Expectationsand Expectations
Individual weight loss goal (7%)Individual weight loss goal (7%) Physical Activity goal of 150 min per Physical Activity goal of 150 min per
wkwk Individualized fat and calorie goals for Individualized fat and calorie goals for
weight lossweight loss Time frame to meet stated goalsTime frame to meet stated goals Team contractsTeam contracts
Getting StartedGetting Started
MaterialsMaterials ContractContract Participant PurposeParticipant Purpose GoalsGoals Be a good group memberBe a good group member
Frequent ContactFrequent Contact
WeeklyWeekly MonthlyMonthly Most chose to come in more oftenMost chose to come in more often Campaigns/MaintenanceCampaigns/Maintenance Re-startsRe-starts
IndividualizationIndividualization
Fat gram, calorie, weight goals Fat gram, calorie, weight goals individualized to starting weight and individualized to starting weight and what helps them successfully lose what helps them successfully lose weightweight
Recipes and menusRecipes and menus Interpersonal and individual needs: jobs Interpersonal and individual needs: jobs
family responsibilities and languagefamily responsibilities and language Physical Activity Physical Activity
Local AdaptationLocal Adaptation
Use local examples to reinforce Use local examples to reinforce pointspoints 3 ways to eat less fat3 ways to eat less fat
Recipes and FoodsRecipes and Foods Designed for use in many different Designed for use in many different
ethnic groupsethnic groups Localizing recommendations for Localizing recommendations for
Physical Activity Physical Activity
Provide Tools to Achieve Provide Tools to Achieve GoalsGoals
Home weight scales, measuring cups and Home weight scales, measuring cups and spoons and food scalesspoons and food scales
Visual weight loss and exercise graphsVisual weight loss and exercise graphs Monthly exercise calendarsMonthly exercise calendars Weekly Menu plannersWeekly Menu planners PedometersPedometers Keeping Track books and fat counter Keeping Track books and fat counter
books and nutrition in the Fast Lanebooks and nutrition in the Fast Lane Provide sample foods, demos and recipesProvide sample foods, demos and recipes
Lifestyle Core Session #7:Lifestyle Core Session #7:Tip the Calorie BalanceTip the Calorie Balance
Eating and being active are Eating and being active are related in terms of calorie balancerelated in terms of calorie balance
Calorie balance relates to weight Calorie balance relates to weight lossloss
Review progress and changes Review progress and changes mademade
Develop a plan Develop a plan
Take Home PointsTake Home Points Change is participant driven & participant is the Change is participant driven & participant is the
expertexpert Establish that the participant is an integral part of Establish that the participant is an integral part of
the teamthe team Short term goals long term goalsShort term goals long term goals Game plan can change, but the ultimate goal does Game plan can change, but the ultimate goal does
notnot What you do at the start is exciting build on thisWhat you do at the start is exciting build on this Use tools to establish relationshipUse tools to establish relationship Follow through builds expectations and relationshipFollow through builds expectations and relationship Resist giving too much infoResist giving too much info Coach and facilitator not the expert and teacherCoach and facilitator not the expert and teacher
www.bsc.gwu.edu/www.bsc.gwu.edu/dppdpp
Website for DPP Website for DPP
Lifestyle Manuals Lifestyle Manuals
and Other and Other InformationInformation
Other ResourcesOther Resources
NDEP- National Diabetes Education NDEP- National Diabetes Education Program website. Order free starter Program website. Order free starter packets with keeping track and fat packets with keeping track and fat counter book. counter book. www.ndep.nih.govwww.ndep.nih.gov
Small Steps Campaign at Small Steps Campaign at www.smallstep.govwww.smallstep.gov links to the new links to the new ad council clips and other helpful ad council clips and other helpful articles and resources.articles and resources.
That doesn’t That doesn’t make it easy for make it easy for you, but the DPP you, but the DPP
demonstrated demonstrated that it can be that it can be
done.done.NIH Pub. No. 03-5335 Feb NIH Pub. No. 03-5335 Feb
20032003