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Flashcards in Coach Development Deck (38):
1

Confirm understanding
4 steps

-Confirming statement
-Summarize key facts
-Ask if understanding is correct
-Clarify misunderstanding

2

Active listening
(BEFP)

Body language
Eye contact
(Facial) expressions
Pauses and silence

3

Language of:
Closure:
Openness:

- Turning away
- sitting w/ arms and legs crossed

- open arms/legs
- feet toward client
- relaxed/ prolonged eye contact

4

How to show:
Interest
Attentive
Curious
Concentration

I: leaning forward
A: head tilt forward
C: head tilt side
Co: slow nodding, furrowed brow

5

8 ways to determine connection made

- give extra effort
- say positive things
- demonstrate trust
- express themselves more readily
- feel good about activity
- display emotional connection
- emotionally charged being together
- synergy- sum > parts

6

Motivational interviewing

Motivation is a

Motivation to change is

- client centered approach to assist w/ ambivalence to change
- state of readiness, not personality trait (can fluctuate)
- evoked w/in, not imposed upon

7

SWOT

Strength- my advantages/values
Weakness- tasks I avoid, traits holding me back
Opportunities- technology, contacts, needs in organization I can fill
Threats- obstacles, weaknesses, technology

8

Positive listening

6 negative habits

- faker
- interrupter
- intellectual
- rebuttal maker
- focus thief
- advice giver

9

Scope of practice

Ok- my plate
Suggestions for weight loss
Pre-evaluation, use of diary
Lifestyle change
Recipes
Pre-post exercise nutrition
Weight loss physiology

-Refer- specific meal plan
Meds
Diseases
Large weight loss/morbid obese
Diagnosis
Post-op
Supps

10

weight management discussion/ curricula

eating out
managing holidays
travel
cooking/grocery shopping
reading labels
managing stress
preventing relapse

11

when to refer

- if have concerns to refer, refer
-coach still cant figure out why overweight
-complain of health symptoms relating to poor management of medical condition
-chronic pain not relieved by program
-eating disorder, addiction
- depression/ anxiety

12

continuum of care

-primary care physician
-physical therapist
-post rehab/medical care specialist

13

4 types of social support

-emotional- coach provide empathy, concern, acceptance, encouragement, care
-tangible- coach provide educational service, direct methods assistance
-informational- problem solving support, advice, guidance, suggestions, video/website
-companionship- create sense of belonging and comfort

14

response by coach to irrational thinking
experimental
socratic

-examine evidence
-experimental technique- create experiment to test validity
-socratic method- ask questions that will help lead to consistencies (self realization) 'no one fails at everything'

15

relapse prevention
SA Sr Sm

-Building Support (family, exercise community)
- assertiveness- honest + straight forward (more likely to speak up = long term success
-self regulation- clients perceive control over outcome + believe they can better deal with barriers
-self monitoring- clients track participation
>quickly recognize relapse, more visual data the better

16

high risk situations:
events
traits
signs
teach

-vacation, injuries, holidays
-poor time management, lack social support, busy schedule
- overwhelmed, worn out
- coping skills, time management

17

Behavior modification:
written agreement
establishes:

- accountability
- specify what is expected, but simple
- between coach/ client or just client
- clarify coach's role
- hold each other accountable
- revise

18

Behavioral modification:
stimulus control

operant conditioning:

-altering environment to encourage healthy behavior and make modifications easy as possible

-have gym bag ready
-signs on fridge, pantry, w/ servings/ macros
-grocery list
- social group to promote accountability

19

Behavior modification:
shaping

-reinforcements gradually achieve target behavior
-start with basic achievable skill, then progress

20

cognitive behavior techniques
goal setting

-alter behavior by changing how feel and think
-constantly re-addressed
-SMART
-avoid setting negative goals
> what to achieve, not avoid ('I will not miss a workout vs I will workout 5 times this week)

21

feedback
extrinsic
intrinsic

-reinforcement and encouragement (program adoption)
-client themselves (program adherence)
>learn to monitor own behavior

22

communicating errors

- lack credibility, overstate facts
- lack clarity, warmth, listening skills
- ordering/ directing/ telling
- too much advice
-bringing discussion back to self

23

3 A's of effective coaching

available
affable
able

24

Behavioral Contract

components

- formal agreement between coach and client that outlines a set of behaviors by client to complete within time frame
- clarity, commitment, accountability, reward
- ie) eat 1500-1800 calories/ d
- complete 4, 45min sessions/ wk
- walk with spouse twice a week
- gym with coach twice a week

25

motivational interviewing 1
goal

4 principles

-client focused, semi directive approach. focus on exploring and resolving ambivalence
- enhance client's motivation for change

- express empathy
- support self-efficacy
- roll w/ resistance (listen, help identify barriers/ solutions)
- develop discrepancy (motivation when client seems difference

26

Lasswell's communication (4WE)

Who says What in Which channel to Whom w/ what Effect?

27

Relationship Trust (3C)

- character based- honest, transparent, loyal, correctable
- competency based- deliver results, confront reality
- character/ competency- listen, committed, extend trust

28

DISC

- Dominant- fast paced, task oriented, eye contact, direct
- Inspiring- outgoing, people oriented, share stories
- supportive- reserved, people oriented, slow/soft, coach makes decision
- cautious- reserved, less emotion, slow/deliberate, articles/data

29

Intervention 1

Authoritative

A- offer info, provide challenge, specific suggestion
- prescriptive- advice, guidance, suggestion
- informative- coach's own experience, help client understand
- confronting- mirror or reflect what client has said

30

Interventions 2

facilitative

F- help client find own solutions
- cathartic- client expresses emotions, fears, thoughts not previously confronted
- catalytic- ask questions to encourage new thinking
- supportive- build confidence through focus on clients Strs and accomplishments

31

communication must be (6C)

Clear, concise
correct, complete
courteous, constructive

32

non verbal communication

7% spoken word
28% tone of voice
55% body language

33

motivational interviewing 2
5 core principles (DARES)

- help client overcome ambivalence to change

-develop awareness negative consequences
- avoid argument
- roll w/ resistance
- express empathy
- support SE

34

stages of change

precontemplation- encourage client to evaluate own risk
contemplation- pro/ con to exercise
preparation- identify obstacles, assist w/ problem solving
action- focus on support system and SE
maintenance- how cope w/ relapse
* relapse- identify triggers/ barriers, coping methods

35

motivation interviewing 3
essential steps

- help identify where unhealthy lifestyle conflicts w/ desire for healthier life
- avoid resistance w/ empathy
- support client SE/ confidence building

36

questioning skills
5 types of questions

- open ended- what, (why), how
- closed-ended- elicit yes or no
- funnel- begin with closed, leading into more detailed open ended
- probing- 'W's' with 'exactly' (what exactly do you mean)
- leading- semidirective, move client toward accepting suggestions toward goals
'this sounds like a good idea doesn't it?'

37

Active listening
3 steps: MVE

- improve understanding- eye contact, restate, don't interrupt, empathy, pause

-mirroring- 'you are saying... yes?'
- validating- 'it is reasonable tp say that given you....'
- empathy- 'I imagine you feel... yes?'

38

Verbal Listening 1
PC LEERS

- paraphrase
- clarify
- linking- keep client's thoughts connected
- explaining- keep client open minded
- encouraging
- reflecting- empathize, use words speaker uses
- summarizing- prevents selective perception