IIN - Program Structure & Coaching Relationship

Question 1

Scope of Practice

Answer 1

Scope of practice refers to the procedures, actions and processes that a practitioner is permitted to undertake in keeping with the terms of their professional license or certification.

set of rules that outline what individuals can and cannot do within profession

Question 2

What are the primary responsibilities of health coaches?

Answer 2

• listening attentively
• asking powerful and illuminating questions
• creating a safe, nonjudgmental space
• taking a client-centered approach and empowering clients
• guiding clients to identify obstacles
• lovingly challenging clients to shift their perspectives
• empowering clients to tap into resources
• holding clients accountable for their progress

Question 3

What is the coaching agreement?

Answer 3

A mutual understanding with the client about the coaching process?

Question 4

The five main factors to include in your coaching agreement are:

Answer 4

1. What is required in the coaching interaction b/w coach + client (attendance, homework?, coach requirements?)
2. Unique responsibilities of the coach + client (coach maintains code of ethics + scope; responsible for guidance/support; client - leads the way, share what matters to them and goals, keep apps, results = their responsibility)
3. Guidelines & parameters of the coaching relationship
4. What is vs is not appropriate (when/where you meet, length & cost of sessions, etc)
5. What is vs is not being offered in the program (personal boundaries, approp behavior/conduct, what resources are offered, etc)

Question 5

What 2 things will you need to accomplish around the coaching agreement.

Answer 5

1. Create a written contract & have them agree then sign it
2. Have a conversation with client and discuss any of their questions

Question 6

According to the NBHWC, there are 3 main competencies that coaches should employ in preparation for the first session with a new client:

Answer 6

1. become calm, present & emotionally available (grounding)
2. review any client materials (intake, personality type tests, health assessments)
3. confirm logistics (contracts signed, app confirmed and $$ collected)

Question 7

What are the primary aims for the first or intake session?

Answer 7

• Describe the coaching process
• Determine if client is approp candidate for coaching
• Clarify coach + client roles/expectations
• Review any info/assessments together w/ client
• Ensure approp time management
  (extras: establish rapport, don’t misrepresent your competencies)

Question 8

What does the “Coaching Structure” consist of?

Answer 8

Beginning Phase (initial/ apps 1-3), Middle Phase (follow up), End Phase (closing)

Question 9

The BEGINNING PHASE represents the initial sessions with a client. During this time, a health coach will:

Answer 9

• Explore the clients values, visions, purpose, priorities (or areas of focus) and readiness for change
• Build rapport
• Establish a client’s wellness vision and area of focus (MOST important)

Question 10

What is the primary goal of the beginning phase?

Answer 10

The primary goal of the beginning phase is to establish a client’s wellness vision and area of focus.

Question 11

What does a wellness vision do?

Answer 11

A wellness vision helps the client identify and prioritize what truly matters most to them - and have the physical capability & mental alertness to enjoy it.

The wellness vision can be elicited through a guided imagery exercise or assessment of your client’s current state of wellness, such as with the Circle of Life. It’s helpful to ask the client to identify any gaps between their current state and desired outcome.

Question 12

When and what is the process of determining the areas of focus?

Answer 12

This is the start of planning or goal setting. This is when the coach encourages the client to hone in on 1-2 areas of focus from their wellness vision. Coach empowers the client to select what is most important and choose the focus.

Question 13

To assess a client’s readiness for change, utilize the ___

Answer 13

Transtheoretical Model (stages of change model)

Question 14

NBHWC Competencies for Begin Phase: In the begin phase, the NBHWC instructs coaches to:

Answer 14

1. Ask client to take an honest assessment of their current state of health & explore their vision for optimal health
2. Inquire about the client’s learning style
3. Help the client identify gaps b/w current state and their wellness vision
4. Explore & clarify the client’s priority areas of focus and have them define long-term goals
5. Establish & support the client with short-term SMART goals
6. Guide the client to establish a plan for maintaining accountability

Question 15

The Middle Phase are ongoing or follow-up sessions. It is the time to support clients while they enact their plan to achieve the goals that will move them toward their wellness vision. During this phase, a Health Coach will:

Answer 15

• Hold the client accountable
• Discover & reflect on the key takeaways the client learns
• Help the client modify the area of focus & action plan, as needed

Question 16

NBHWC Competencies for the Middle Phase: In the middle phase, the NBHWC instructs coaches to:

Answer 16

1. Ask client to assess their current state @ beginning of each session
2. Check in on commitments + action steps made in prior sessions (& celebrate successes)
3. Invite client to select focus for current session
4. Review + discuss client’s SMART goals that need to be accomplished b/w sessions
5. Adjust plan if needed, articulating new action steps + processes for self-monitoring
6. Discover + reflect on client’s learning/takeaways from the session
7. Communicate appreciation of client’s work
8. Invite client to provide feedback to improve coaching experience

Question 17

Three ways to help clients get back on track

Answer 17

1. Remind them of previously stated desired goals
2. Identify obstacles + work with clients to adjust plan
3. Articulate new action steps + adjust plan if needed

Question 18

What is the end phase?

Answer 18

The end phase is when you’re wrapping up your program and reach the last 2-3 appointments. Referred to as the coaching program termination and a time to “recognize progress, reflect on learning & create closure”

Question 19

During this phase, a Health Coach will

Answer 19

1. Help client reflect on progress + learnings
2. Celebrate client’s successes
3. Assist client in creating sustainable maintenance plan

Question 20

The NBHWC’s six key competencies around building a client-centered relationship are:

Answer 20

1. The client’s agenda, interests, preferences, and needs drive the entire relationship
2. Limit sharing coach’s personal info
3. Educate + provide recs only when asked or given permission
4. Observe, identify, and refer to client’s non-limiting beliefs & values thru out the process
5. Empower client by reinforcing that they are resourceful, whole, and not in need of being fixed
6. Meet client where they are in terms of health literacy

Question 21

__ & __ are 2 key components for a successful coach/client relationship

Answer 21

Trust & Rapport

Question 22

It is the coach’s responsibility to create a safe and supportive environment that produces ongoing __ and __. The coaching environment is a positive space where the client feels __ and supported.

Answer 22

mutual respect and trust
unconditionally accepted and supported

Question 23

Why is trust + rapport important?

Answer 23

Because clients are able to better clarify their values and tap into their inner motivation when they feel safe to be honest and vulnerable without fearing judgment.

Question 24

14 key factors to establish trust & rapport with clients

Answer 24

1. Be sincere, authentic + honest
2. Be fully engaged/present
3. Convey empathy + understanding
4. Show unconditional positive regard
5. Acknowledge + reinforce positive behaviors
6. Show confidence in client’s ability to learn, grow + change
7. Adjust to client’s comm + learning style
8. Hold clients accountable to their goals
9. Mirror client’s body language, tone + vocab
10. Act in the best interest of client always
11. Address conflict or discord with client as it arises
12. Follow thru on commitment + promises
13. Ask for permission
14. Ask client for feedback

Question 25

What does active listening involve?

Answer 25

Active listening involves being totally engaged + focusing all of. your attention + awareness on the client, while also being mindful of your own inner thoughts & dialogue

Question 26

Active listening & presence involves:

Answer 26

1. Eliminate distractions 2. Hold space + use silence approp 3. Maintain eye contact + open body language 4. Be mindful + attentive 5. Keep an open mind 6. Demonstrate curiosity w/out judgment 7. Pace communication 8. Listen to what is vs isn't being said 9. Pay attention to & address nonverbal cues 10. Ask appropriately, timed, powerful ?s 11. Access your intiution 12. Be mindful of your own experience

Question 27

According to Carl Roger's client-centered theory:

Answer 27

- the client = expert - thru a supportive & loving relationship, clients can tap into their innate desire for self-growth & work toward the solution best for them - coach must be warm, genuine & understanding

Question 28

There are three core conditions necessary for work with a client to be successful:

Answer 28

1. Congruence: being genuine and real with clients 2. Unconditional positive regard: holding clients in high esteem at all times, without judgment or criticism 3. Empathy: understanding clients’ experiences, perceptions, feelings, and actions from their point of view

Question 29

What is rapport?

Answer 29

a feeling of warmth, trust, relatedness, and connection that's a fundamental building block of all relationships when have rapport, other person can open up, share feelings/ideas & communicate w/ confidence + ease

Question 30

Why is rapport important in coaching?

Answer 30

1. it's a key ingredient of influence 2. lays the groundwork for meaningful change to occur 3. the coaching relationship can serve as a mode for other relationships in a client's life

Question 31

11 ways to create rapport

Answer 31

1. Be sincere, authentic + honest 2. Be fully engaged 3. Convey empathy and understanding 4. Show unconditional positive regard 5. Acknowledge and reinforce positive behaviors 6. Show confidence in the client’s ability to learn, grow, and change 7. Adjust to the client’s personality and communication style 8. Mirror the client’s body language, tone, and vocabulary 9. Act in the best interest of the client at all times 10. Address conflict or discord with clients as it arises 11. Follow through on commitments and promises

Question 32

What is active listening?

Answer 32

Active listening involves paying attention to all the things clients say and do and conveying this attention so they feel heard and understood

Question 33

Active listening requires you to

Answer 33

1. Be present 2. Read b/w the lines 3. Provide silence and space 4. Provide acknowledgement 5. Convey understanding to build empathy and connection 6. Ask approp timed questions 7. Adopt beginner's mind 8. Check your own needs at the door

Question 34

What are the six Guidelines to Help Facilitate Emotional Release

Answer 34

1. bring awareness to your own emotional landscape 2. leave your ego at the door 3. sit in your own discomfort 4. redirect when your clients wander 5. refrain from self-disclosure 6. help clients get in tough with their inner goodness