Coaching the Brain for Good

Transcription

1 Coaching the Brain for Good Margaret Moore, MBA, aka Coach Meg Institute of Coaching Wellcoaches Corporation National Consortium for Credentialing Health & Wellness Coaches

2 Agenda 1. Why we need coaches 2. How coaching works coaching tips 4. Discussion

3 Why do we need coaches? 95% of adults not engaged in top 3-5 health behaviors 65% are overweight or obese 70% aren t engaged in work 80% of adults are not thriving (mentally) Moore (2014). From Surviving to Thriving. International Coach Federation Coaching World

4 < 20% of adults are thriving Well-Being Assessment: An Evaluation of Well- Being Scales for Public Health and Population Estimates of Well- Being among US Adults (2010) Barbara Fredrickson, PhD UNC Chapel Hill Corey Keyes, PhD Emory University CDC Scientists Keyes (2002). The Mental Health Continuum: From Languishing to Flourishing in Life. Journal of Health and Social Research vol. 43;

5 Change in Mind & Behavior

6 Ambivalence to Change

7 Coaching changes the Brain for Good A mind once stretched by a new idea or understanding will never fully return to its original dimensions... William James ( )

8 Our brains learn by making new connections

9 Insight to action to insight to action to insight Moore, et al: Coaching Psychology Manual. Wolters Kluwer 2015

10 Lasting change imagine a new brain network

11 Definition of Coaching Coaches help people reach a higher level of well-being, performance, and development in life and work. Coaches help people change when change is hard. Animation from: How Coaching YouTube

12 Coaching Mechanisms of Action 1. Growth-promoting Relationships 2. Motivation 3. Capacity to Change 4. Creativity 5. Process or Journey of Change Moore, et al: Coaching Psychology Manual. Wolters Kluwer 2015

13 Professional coaches Health & wellness coach optimal health, wellness or wellbeing (physical and mental) Individual and group coaching Supervising peer health/wellness coaches Health and wellness professionals Coaching skills for all allied health, healthcare/clinical, and wellness providers 13

14 Transform Healthcare and Wellness....from dependency to empowerment.from focus on weakness to wellness.from expert-centered to client-centered

15 Launching national standards and certification in 2016 Non-profit entity founded in 2010 Five year collaborative, volunteer, consensus-building endeavor led by industry leaders

16 Systematic Review: Health & Wellness Coaching Methods Reviewed > 800 papers; 284 included Coaching Elements Coaches trained in behavior change, motivational techniques Patient-centered (guided by patient values) Patient determined goals Self-discovery Accountability Combined with education Ongoing relationship Wolever, Sforzo et al. Systematic Review of the literature on health and wellness coaching. Global Adv Health Med J. 2013;

17 Conclusions: Coaching Research Studies There is evidence in the medical literature that coaching alone is effective at improving health outcomes: Cardiovascular disease Diabetes Asthma Cancer pain Cancer survivors Weight loss ADHD Frates EP, Moore MA, Lopez CN, McMahon GT: Coaching for behavior change in physiatry. Am J Phys Med Rehabil 2011;90:

18 Telephone vs In-person health coaching Control Phone Inperson 5% weight loss 19% 38% 41% at 2 years Appel et al. Comparative Effectiveness of Weight Loss Interventions; N Engl J Med 2011; 365:

19 Self-Determination Theory Autonomy is a primary biological drive, need, capacity. There is no one else like me I march to my own drummer I am in the driver s seat I am the boss of me I am the captain of my ship I am the master of my destiny Deci, Ryan, (2000).The What and Why of Goal Pursuits. Psychological Inquiry. Vol 11. No

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21 Human needs that generate resistance 1. To be the expert fixer 2. To know the answer smarty pants 3. To be needed - rescuer 4. To be in control - taking on responsibility 5. To be right - imposing biases, judgments, motives 6. To look good impressing 7. To be better than other competing 8. To be special it s about me

22 Human needs that generate rapport 1. To be benevolent 2. To be empathetic 3. To be curious 4. To be purposeful 5. To be creative 6. To seek clarity 7. To be confident 8. To be grateful

23 Expert Approach Coach Approach Authority Partner Educator Facilitator of change Defines agenda Elicits client s agenda Feels responsible for client Client is responsible Solve problems Foster possibilities Focus on what s wrong Focus on what s right Has the answers Co-discover the answers Interrupt if off topic Learn from client s story Working harder than client Client works as hard as Wrestle with client coach Dance with client Moore, Tschannen-Moran: Coaching Psychology Manual. LWW. 2009

24 Coaching Culinary Wellness Ten Coaching Tips 1. Be an inspiring role model 2. Be present 3. Share positive emotions 4. Improve self-compassion 5. Elicit autonomous motivation 6. Increase confidence 7. Learn from setbacks 8. Foster creativity 9. Catalyze insights 10. Set a behavioral goal

25 1. Be an Inspiring Role Model John Principe, MD;

26 2. Be Present

27 Mindful Openness & Presence 27

28 High Control FOCUS Evaluate Thinking Rapport Self Evaluate Think Strategic Collaborate Meta Awareness Flow Imagine Nonlinear Mind Wandering Low Control FOCUS Narrow Awareness Experiencing Embodied Learning Open Awareness

29 A mind that is present Executive Center Judgment Centers Me Center Association Centers Vision Center Default Network Carson, 2014 Open Awareness

30 Rapport Executive Center Judgment Center You Center Reward Center Association Vision Default Network Carson, Moore 2014

31 Science of Human Connection & Love Synchrony of brain and behavior Improves brain function Improves physical health Fredrickson, B. LOVE 2.0, 2013

32 Positive Emotions Broaden Thinking Open-minded Flexible Creative Adaptable Peripheral vision Big picture Fredrickson, B. Positivity, 2013

33 3. Share positive emotions Harvest the Good what is going well? Unpack, appreciate, and savor authentic positive emotions to improve brain function, resilience, and physical health. Gratitude Pride Joy Hope Contentment Fun, amusement Interest Inspiration Awe Love Other?

34 Calm Hearts, Calm Minds Share positive emotions Share authentic compassion for negative emotions Fredrickson, B. LOVE 2.0, 2013

35 4. Improve self-compassion

36 Five Facet Mindfulness Assessment Awareness Observing Describing Non-judgment Non-reactivity Not automatic pilot No interpretation Labeling Acceptance Not carried away Vago, Silbersweig Self-awareness, self-regulation, selftranscendance. Frontiers in Human Neuroscience. Vol 6, Article 296

37 Meta Awareness Frontal Pole Executive Center Association Centers Me Center Vision Center Default Network Carson, Moore, 2014

38 5. Elicit Autonomous Motivation Drive Meaning Purpose Values Vision

39 Why am I cleaning the kitchen? Autonomous Present I m cleaning up the kitchen because it s fun and challenging Future I m cleaning up the kitchen because it makes me feel good about my contribution to my marriage and family External Inner critic I am cleaning up the kitchen because I should I will feel like a bad husband if I do not Expert l am only cleaning up the kitchen because my wife will be angry if I don t

40 Imagine a future of culinary wellness Carson, 2014 Imagine Brain State

41 What do you treasure most about your health? What matters most to you? Not, what s the matter with you?

42 Motivation & Confidence are Co-Dependent C O N F I D E N CE 10 9 Maintenance Action Preparation Contemplation Precontemplation I M P O R T A N C E Moore, 2008

43 6. Build confidence with scientist mindset Invest in a period devoted to experimenting Be curious & adventurous No benefits in first 2-3 weeks? Try something else Look for synergy among 3-4 new habits

44 Wisdom & Knowledge Creativity, Curiosity, Open-mindedness, Love of learning, Perspective Courage Authenticity, Bravery, Persistence, Zest Humanity Kindness, Love, Social Intelligence Justice Fairness, Leadership, Teamwork Temperance Forgiveness, Modesty, Prudence, Self-regulation Transcendence Appreciation of beauty, Gratitude, Hope, Humor, Spirituality

45 Use Strengths to overcome Weaknesses Curiosity What will happen if I have the apple? Wisdom What would my wise self decide to do? Learning What can I learn from this situation? Creativity What s a creative solution? Kindness How can I help someone else?

46 7. Learn from Setbacks We all have setbacks Being authentic, sometimes vulnerable Setbacks take us to our growth edge What is the lesson here? What do I need to learn? Growth Mindset Resilience

47 8. Foster Creativity

48 Creativity - Brainstorm

49 Creative Me/Judgement Centers Executive Center Reward Center Default Network Vision Centers Memory Centers Association Centers Carson, 2014

50 Stretch outside comfort zone

51 People are generally better persuaded by the reasons which they have themselves discovered, than by those which have come into the mind of others. Pascal s Pensees, 17 th century 9. Catalyze insights

52 Get out of sales and into fishing Robert Rhode, 2007

53 10. Set Behavioral Goals & Accountability Moore, Tschannen-Moran: Coaching Psychology Manual. LWW. 2009

54 What insights did you have today?

55 Coaching is a Treasure Hunt One s own self is well hidden from one s own self Of all mines of treasure, one s own is the last to be dug up. Friedrich Nietzsche 55

56 Takeaways: Ten Coaching Tips 1. Be an inspiring role model 2. Be present 3. Share positive emotions 4. Improve self-compassion 5. Elicit motivation 6. Increase confidence 7. Learn from setbacks 8. Foster creativity 9. Catalyze insights 10. Set a behavioral goal

57 Coaching Culinary Wellness Margaret Moore, MBA, aka Coach Meg Institute of Coaching Harvard University Extension School Wellcoaches Corporation National Consortium for Credentialing Health & Wellness Coaches