HEALTH COACHING

Health COACHING
Por M. Amparo Pérez Benajas.
Doctora en Farmacia.
The
effectiveness of medical assistant health coaching for low-income patients with
uncontrolled diabetes, hypertension, and hyperlipidemia: protocol for a
randomized controlled trial and baseline characteristics of the study
population.
Bibliografía para
Health COACHING
Recognising
people’s own ability to look after themselves and using their identified
strengths and resources can allow clinicians to stop moralising, criticising
and pathologising and to concentrate instead on negotiating, tailoring our
approaches to individuals and supporting them more appropriately (Greenop
2010).
Three
pillars of health coaching (Hibbard et al 2010)
Pillar
1 – Patient Activation
The
Patient Activation Measure is a tool designed by Judith Hibbard that assesses a
patient’s knowledge, skill and confidence in managing their health so that
interventions can be appropriately tailored to their needs.
Pillar
2 – Motivational Interviewing
Motivational
interviewing (e.g. Prochaska and DiClemente 1992) is an approach to behaviour
change especially where there is ambivalence. 
An editorial by Knapton and colleagues (2011) quotes how there has been
insufficient focus on understanding how to motivate the necessary behaviour
change of individuals with, or at high risk of, coronary heart disease.
Pillar
3 – Positive Psychology
Positive
psychology (e.g. Seligman and Csikszentmihaly 2000) is about looking at what
works for people to improve their sense of happiness. Driver (2011) links
positive emotions with health and a sense of wellbeing. He describes six core
themes of positive psychology that are relevant to coaching:
strengths
mindset
resilience
positive
emotions
relationships
personal growth.
Coaching
to support patients in making decisions
BMJ
2008; 336 doi: http://dx.doi.org/10.1136/bmj.39435.643275.BE (Published 31
January 2008)
Cite
this as: BMJ 2008;336:228
COACHING
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http://www.biomedcentral.com/1471-2296/8/20/prepub

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