This presentation is about health coaching and understanding the tools to create healthy lifestyle behaviors. One can learn about why health coaching is important. Further, one can understand what health coaching is designed to do and how it works best. This presentation also describes how the relationship of coach and client is meant to build motivation and social support.

1. FIND YOUR INNER WELLNESS WARRIOR
LYDIA WISZ, ACE-CERTIFIED HEALTH COACH AND GROUP FITNESS INSTRUCTOR 1

2. Health Coach | Healthcare Experience | Wellness Advocate | Writer
Lydia Wisz | lydiawi@gmail.com | M: 858.472.1772
wiszinthekitchen.blogspot.com
 Driven by a belief that food is medicine, Lydia’s
knowledge in nutrition & healthcare allow her to bring a
personal approach to population health
 Focused on feeding body & mind to positively reinforce
healthful behavior change
 Continually seeking solutions to encourage a healthy
living movement within our city and beyond
 Created Food Wisz-dom to address nutrition-related
health challenges and the demise of sustainable
nourishment
Lydia Wisz
2

3. 3
WHAT IS HEALTH COACHING
DESIGNED TO DO?
Empowers clients to:
Find inner
strength
Improve with
sustainable
behavior
change
Avoid gambling
with health!

4. Healthy People/Healthy Economy: An Initiative
to Make Massachusetts the National Leader in
Health and Wellness. 2015. Data from NEHI
2013.
http://www.tbf.org/tbf/56/hphe/Health-Crisis
Accessed May 30, 2016.
THE IMPORTANCE OF
BEHAVIOR CHANGE:
A HUGE
DISCONNECT
BETWEEN WHAT
MATTERS AND WHAT
WE PAY FOR
4

5. CASE STUDY:
MEET PAUL
Person with Type 2 Diabetes
Takes oral medication for Diabetes
30 pounds overweight
Chronic lower back pain
Sedentary lifestyle
Approved for exercise by physician
5

6. THESTAGESOFTHE PROCESS
HOW CAN I GROW PAUL’S
ABILITY TO CHANGE BEHAVIOR?
Screen and
interview
Assess
Build a plan
Monitor
Adherence

7. HEALTH COACHING WORKS BEST WITH CLIENTS WHO ARE:
7
Motivatedtoimprove
health
Seekinga positiverole
model
Inspiredtomakeareal
change

8.  Understand Paul’s concerns
 Encourage Paul’s need for
continuous support
 Establish a starting point to
serve as foundation
 Encourage self-efficacy
INTERVIEW WITH
ACTIVE LISTENING:
8

9. ASSESS READINESS TO CHANGE
9
Pre-Contemplation1
Contemplation2
Preparation3
Action4
Adapted from Transtheoretical Model of Behavior Change

10. ASSESS PAUL’S MOTIVATION AND RESISTANCE TO CHANGE
10
Start with agreed-upon goals
 Lose weight
 Improve blood sugar control
 Decrease lower back pain
Understand what triggers bad
behavior
 Brainstorm together
 What thoughts are at the
foundation of Paul’s behavior?
 What are the feelings that are
fueling bad behavior?
Understand attitude toward
making real change
 What are anticipated potential
obstacles?
 How can coaching support Paul
through potential
ambivalence?
 How can coaching help Paul
build self-efficacy skills?
Does Paul acknowledge
the need to change?
Does Paul know why
he hasn’t been able to
change?
Does Paul have a desire
to change in spite of
real-world challenges?

11. THE CLIENT’S DECISION-MAKING BALANCE SHEET
Cons Pros
How
motivated is
Paul to
exercise?
11

12. UNDERSTANDING THE
MOTIVATION WAVE
12
“Help people succeed on the most
desirable health behavior that
matches their current motivation.”
BJ Fogg’s Health Behavior Solution. Accessed at https://weightmaven.org/2012/06/06/facilitating-behavior-change/
Introduce new goals during the
temporary opportunity to do hard
things.
Desired changes should be
sustainable during periods of low
motivation.

13. Develop a plan with Paul
that can lead to sustainable
behavior change
BRINGING IT ALL
TOGETHER
13

14. SET SMART GOALS
SPECIFIC
Goals should contain defined
metrics: eating breakfast at
home for 2 days per week.
RELEVANT
Goals need to be targeted
towards the client‘s agreed-
upon needs.
ATTAINABLE
Break down a huge goal
like losing 50 pounds into
bite-size steps.
MEASURABLE
There should be a way
to know if the goal is
reached or not.
TIME-BOUND
The goal specified should be
capable of achievement in
one or two months.
14

15. EXAMPLE GOALS
15
Lose weight
 Eat breakfast at home for 2
days a week
 increase servings of vegetables
per day by one for a complete
week
 Power walk for 30 minutes at
the lunch hour with a co-
worker” 3 times next week
Improve Blood Sugar Control
 Start a food diary to track
intake
 Track consistent eating every 3-
4 hours
 Drink 6-8 glasses of water per
day
 Test blood sugar levels 4 times
per day
Decrease Lower Back Pain
 Complete Phase 1 stability and
mobility program
 Perform 3 sets twice daily of
modified body-weight squats
 Stretch hamstrings and calves:
3 sets 2 times daily
 Take the stairs rather than the
elevator
Let’s start small with a few
ideas to get moving
Incrementally improve with
bite-sized, digestible actions

16. MONITOR ADHERENCE
16
Newer digital health products that are HIPAA-compliant
can help track accountability and enhance collaboration.
Use personal trackers such as Fitbit to monitor activity
levels.

17. SUPPORT CLIENTS LIKE PAUL IN
MAKING POSITIVE HEALTH
BEHAVIOR CHANGE
SERVE AS A MENTOR, EDUCATOR,
AND SUPPORTER
WORK AS PART OF A BROADER
CARE TEAM
SO WHAT DOES A
HEALTH COACH
DO?
17

18. Contact
How to reach Lydia Wisz
lydiawi@gmail.com
858.472.1772
facebook.com/lydiawi