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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

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Consumer-directed healthcare

A CALL TO ACTION

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

being.

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Today’s agenda

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Coaching models in healthcare■

Research news: mental and physical health

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The cost of sub-optimal mental health

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Intro to positive psychology■

Intro to coaching psychology

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Coaching demo■

Q&A

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References

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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

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Veenhoven Study: Health and Happiness

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28 long term studies – happiness & health

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

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Happiness does not predict longevity in sick populations

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Happiness does prevent getting ill■

Longevity impact comparable to not smoking – several years

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Mechanism?

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Frederickson: Positive Emotions Broaden and Build

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Positive emotions are fleeting■

Negative emotions stick like VELCRO■

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

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

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IDEAL: 3:1 positive to negative emotions

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Cognitive Behavioral Therapy improves Brain Function

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Depression research comparing CBT and antidepressants

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

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Limbic – emotional connection, arousal, rewards

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Antidepressants act on limbic system■

CBT acts on “CEO” region and limbic system

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New brain pathways and connections are needed to overcome depression

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Lessons from Hope Psychology

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Hope is an important agent and predictor of change

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

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Hope therapy addresses these elements

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Lessons from Hope Psychology

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

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physical health ■

academic functioning

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interpersonal effectiveness■

athletic performance

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psychosocial adjustment■

capacity for emotional self-regulation

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superior abilities to face and overcome obstacles

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Tal David Ben Shahar: Not Exercising is a Depressant

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Duke study – severe depression1. Antidepressant alone2.

Antidepressant + exercise

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Exercise alone■

Four months - all groups – 60% remission

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Ten months□

39% relapse for group 1

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35% relapse for group 2□

9% relapse for group 3

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John Ratey, MD: Exercise improves….

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Learning■

Brain plasticity

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Self-esteem■

Mood

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Attention ■

Stress

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Motivation ■

ADD

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Anxiety■

Addictions

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Obesity Epidemic: Confidence Crisis calling for Professional Coaches

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

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Reaching self-efficacy is a mental game■

Medical model focused on weakness not strength

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Expert approach hurts self-efficacy■

Mastering weight and wellness is a new life skill

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We need a profession to address physical and mental health together

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In summary…

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Positive state of mind prevents illness■

Positive emotions improve thinking and resources

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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

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Health Risks (Edington) and Mental Health

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Exercise■

Life satisfaction■

Stress■

Perception of health■

Body weight ■

Alcohol■

Smoking■

Blood pressure■

Illness days ■

Cholesterol■

HDL■

Existing medical problem

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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)

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Conclusion…

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We need to address mental and physical health together

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What is Positive Psychology

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

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Building on strengths ■

Increasing positive emotions

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Generating flow states■

Cultivating gratitude

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Increasing hope and optimism■

Increasing life engagement and satisfaction

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Enabling peak performance and well-being

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What is Coaching Psychology

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

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Coaching Psychology: Evidence-based Theories

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Humanistic theory■

CBT & Solution-oriented therapy

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Motivational interviewing■

Transtheoretical model

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Appreciative inquiry■

Self-efficacy

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Emotional intelligence■

Relational flow & flow

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Relational cultural theory

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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

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Coaching Psychology: Outcomes

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

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Increased self-awareness■

More positive emotion

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More positive energy■

More hope and optimism

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Increased self-efficacy ■

Closer to “best self”

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What do wellness coaches help clients do?

Develop personal wellness blueprint:

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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

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

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Energy■

Physical fitness

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Eating habits■

Weight

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Stress ■

Health

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Life satisfaction■

Positive and confident mindset

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Wellness Vision Coaching

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Ideal person you want to be?■

Gap between here and your vision?

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Why does this vision really matter to you?

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What is the key obstacle?■

What are workable strategies and what strengths can you apply?

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Are you ready and committed? ■

What will you do tomorrow?

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We look forward to the day

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Invest in our health daily■

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

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Discuss plan with our doctors

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Enlist our support team

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Moore Publications

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Coach Meg’s Blog■

LWW Coaching Psychology Manual for physical and mental health professionals

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

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Principles of behavioral psychology in wellness coaching

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

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

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

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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

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Delivering Self-efficacy: I can do it!

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