ACE Ch. 6 - The Art of Coaching
ex. of activation
"I am willing to walk during lunch" "I am ready to change my eating habits"
ex. of taking steps
"I have started to meditate to manage stress" "I attended 2 GGX classes this week"
example of commitment
"I will make exercise part of my daily routine"
exploring values
*practical approach to evoke change talk -asking clients to highlight things they hold dearly -helps provide anchors
looking forward
*practical approach to evoke change talk -asks client to envision what life will be like if the client successfully make the change -increases hope and motivation
querying extremes
*practical approach to evoke change talk -challenges client to think of the best case scenario (with change) and worst case scenario (if no change)
looking back
*practical approach to evoke change talk -client remembers a time prior to current behaviors that they are considering changing
using importance ruler
*practical approach to evoke change talk -gauge the client's perceived importance to change -scale 1-10 -ask follow up questions
overcoming cognitive distortion
-HC helps them see lapses as solvable problems -NOT indicators of failure -use "cognitive behavioral coaching" to facilitate guided discovery
choice
-desired outcome in mind -HC helps them w/ self-directed goals and positive mindset -leveraging strengths and abilities -planning for successes and challenges
awareness
-initial stage -client recognizes and explores gap between current and desired behaviors -explore present and future vision of wellness -support self-exploration
evoking motivation to change
-key component of motivational interviewing -explore client's motivation to change -empowers client's arguments to change HC -responds to sustain talk -highlights change talk empowers client to work through ambivalence
overcoming barriers, setbacks, and negative self-talk
-mobilize internal resources -leverage strengths -devise new ideas
importance of self-monitoring
-on of the cognitive processes of self-regulation -describes an individual's evaluation of their thoughts/feelings and how that info is then used to shape behaviors -resisting impulse behavior
values interview
-powerful way for HC to explore a client's values and guiding life principles -use open-ended questions -personal mission statement -personal values card sort (place in piles of importance)
respond to discord with:
-reflective listening -apologizing -affirming client's autonomy and resourcefulness -shift away from sensitive topics
practical approaches to evoke change talk
-using the importance ruler -querying extremes -looking back -looking forward -exploring values
execution
-well-defined, client led goals -personalized plan -small actionable steps -increase clients knowledge, skills, and self-efficacy
4 signs of discord
1. Defending: -deflects blame -minimizes situation -justifies decision 2. Squaring off: -"you don't understand" 3. Interrupting: -feels like HC talks too much, isn't listening, or doesn't understand 4. Disengagement: -poor eye contact -not engaging
methods to establish accountability
1. talk completion: -HW from goal they set 2. surveys: -when they're not ready to take action -about specific area of change 3. research: -acquire new knowledge
which OARS skill is appropriate to use to regards a client's "deficit mentality"?
AFFIRMATION
phases of the ACE cycle of change?
Awareness Choice Execution
Framework for understanding change
Awareness-Choice-Execution (ACE) change occurs in phases
who is responsible for upholding a behavior change plan?
CLIENT &&&&& COACH*****
different types of change talk
DARN CATS DARN = categories of change talk Desire Ability Reasons Need
DARN
Desire Ability Reasons Need
Tiny Habits Method?
a new habit should take place AFTER an anchor moment
most effective approach to dealing with a setback?
ask the client what they learned from the experience that will help in the future
how to respond to sustain talk
by reframing new perspective
foundation of behavior change is
client's values & vision for the future
most accurate accountability statement
clients are accountable to THEMSELVES
leveraging strengths
drawn on their strengths for successful change positive psychology "what did you learn from a previous experience that could support your efforts now?"
coaching is a
dynamic, growth promoting partnership that increases client awareness and capacity for change
ultimate goal of the HC is to
enhance the client's SELF-RELIANCE 3-4 months is adequate time frame for most
primary goal for the client at the end of the client-coach relationship?
enhanced self-reliance
goal-setting theory value in _______
feedback! -receive feedback on their progress -get feedback from other coaches -self-assessment feedback
best defines role of ACE HC?
guiding a client along their path of change
how to increase client's self-efficacy
have mastery experiences with small goals
open-ended questions to address need
how important is it to you to eat more healthfully?
open-ended questions to address ability
how might you go about making healthier choices if you decide to?
stimulus control
involves altering the environment to encourage healthy behaviors -pack healthy lunch the night before -identify and remove triggers
shifting perspectives
look at lapses NOT as failures look at them in another way
establish accountability
make "you" statements NOT "I" statements reinforces client's intrinsic motivation and strengthens self-reliance
discord often present when:
making a difficult change
CATs
moving forward in taking action mobilizing change talk Commitment Activation Taking steps
tiny habits method
pair the new tiny behavior (flossing) w/ an anchor (brushing teeth) tiny behavior FOLLOWS anchor instant celebration success makes tiny habits grow
reflective listening
responds to sustain talk double-sided reflections is helpful acknowledge sustain talk before change talk
setting goals
set short-term goals using SMART goal method client creates own goals
creating habits
simplicity matters more than motivation emotions create habits put new behavior AFTER existing routine**** celebrate immediately
what is the primary purpose of a values interview?
to create awareness of what is most important to the client
coaching is a fluid process that requires:
trust curiosity commitment of both the coach and the client
open-ended questions to address reasons
what are your top 3 reasons for wanting to eat healthier foods?
open-ended questions to address desire
what would you like to change about your eating habits?