Back to Top

Health Coaching

Health Coaching is moving to an evidenced-based practice
Health CoachHealth coaching approaches are being used in employer, primary care, community, health plan and population health improvement settings to support individual lifestyle change, treatment adherence, and self-care. Yet while health coaching is a frequently used term, it is often a poorly defined, informal practice. Some clinicians refer to any patient education or advice-giving encounter as “health coaching.” And many non-clinician and clinician health coaches use a variety of life coaching approaches that are based more on popular psychology than behavioral science research. These facts raise a number of questions: What is coaching? Can coaching approaches from the business and sports worlds be applied by clinicians in health care settings? Which health coaching approaches are most effective? How can health coaching be patient-centered and deliver best value to patients and health care payers and purchasers?

What is “Health Coaching?”
The International Coach Federation (ICF) defines coaching as “partnering with clients in a thought-provoking and creative process that inspires them to maximize their personal and professional potential.”(1) Life coaches help clients “clarify their mission, purpose and goals, and help them achieve that outcome.” Life coaching borrows from executive coaching methods that companies use to support employee career growth, learning and performance.

The modern coaching movement can also be traced to Benjamin Karter, a college football coach who became a motivational speaker in the late 1970s. Kanter and others from the sports world have popularized what is known as “personal performance” oriented models of coaching. Most wellness and health coaching models and training programs have been developed by motivational speakers or coaches from the business world. These programs are loosely based on sociology, counseling and positive psychology concepts such as “self-efficacy.”

The ICF is the primary global body that credentials coaches and accredits coach training programs. ICF certifies coaches at three levels: Associate Certified Coach (ACC), Professional Certified Coach (PCC), and Master Certified Coach (MCC). While no professional training or license is required for ICF certification, applicants must complete an ICF-accredited or other coach training program(s), receive mentoring by a coach, fulfill experience requirements and pass an examination. While the ICF does not specifically accredit wellness or health coach training or certification programs, these programs may be recognized as Continuing Coach Education Programs for existing ICF-certified coaches.

Health Coaching Training and Certification Program
Chronic care is a new model of patient care. Clinicians trained in evidence-based chronic care and health coaching deliver better patient-level outcomes. Since 2004, Chronic Care Professional (CCP) remains the only validated health coaching and chronic care training program. Today, CCP is required for nurses and other staff in the nation's largest health plan telephonic wellness, disease management and care management programs, as well as leading public, private and military primary care, home care and hospital direct care settings. Health Coaching training and certification >

Registered Health Coach®
A Registered Health Coach must complete a core curriculum in evidence-based population health management, chronic care and self-care support, wellness and lifestylereviewed studies on implementation success factors for the Chronic Care Model (CCM). 

Motivational Interviewing (MI) is the only health coaching approach that consistently delivers better patient-level outcomes in over 300 clinical trials. RHC training requirements are based on the validated training recommendations of the Motivational Interviewing Network of Trainers (MINT) and proficiency is measured with an externally validated tool for assessing MI health coaching proficiency. 

Health Coaching Core Competencies
The ICF has developed the following competency model for coaches:

Setting the Foundation
1. Meeting ethical guidelines and professional standards
2. Establishing the coaching relationship

Co-Creating the Relationship
3. Establishing trust and intimacy with the client
4. Coaching presence

Communicating Effectively
5. Active listening
6. Powerful questioning
7. Direct communication

Facilitating Learning and Results
8. Creating awareness
9. Designing actions
10. Planning and goal setting
11. Managing progress and accountability

 

Related Articles

Realizing The Promise of Health Coaching >

Moving to an Evidence-Based Health Coaching Practice >

 

1. International Coach Federation. Definition of coaching. 2009. International Coach Federation Web Site. Available at: http://www.coachfederation.org/. Accessed November 15, 2009.
 

Register Now