Delivering self-efficacy: I can do it!

Transcription

1 Delivering self-efficacy: I can do it! The case for professional wellness coaches who address physical and mental health together For questions during the call, hturner@acsm.org

2 Consumer-directed healthcare A CALL TO ACTION Enabling the consumer to be the master of health and wellbeing.

3 3 Today s agenda Coaching models in healthcare Research news: mental and physical health The cost of sub-optimal mental health Intro to positive psychology Intro to coaching psychology Coaching demo Q&A References

4 4 Coaching Models in Healthcare Consumer-driven Wellness coach mastery of wellness Health coach mastery of medical issues Healthcare-driven Laser coach nurse line, disease management, call center lifestyle or health coaching

5 5 Veenhoven Study: Health and Happiness 28 long term studies happiness & health Happiness is a positive state of mind: overall appreciation of one s life Happiness does not predict longevity in sick populations Happiness does prevent getting ill Longevity impact comparable to not smoking several years Mechanism?

6 6 Frederickson: Positive Emotions Broaden and Build Positive emotions are fleeting Negative emotions stick like VELCRO Positive emotions broaden thinking (flexibility, creativity, open-mindedness) Positive emotions build resources: mental, physical, psychological, social IDEAL: 3:1 positive to negative emotions

7 7 Cognitive Behavioral Therapy improves Brain Function Depression research comparing CBT and antidepressants Left pre-frontal cortex planning, goalsetting, self-awareness, insight, decisionmaking Limbic emotional connection, arousal, rewards Antidepressants act on limbic system CBT acts on CEO region and limbic system New brain pathways and connections are needed to overcome depression

8 8 Lessons from Hope Psychology Hope is an important agent and predictor of change Hope is generated by three elements 1. Agency (self-efficacy) 2. Goals 3. Pathways to change Hope therapy addresses these elements

9 9 Lessons from Hope Psychology High-hope individuals enjoy better (Snyder, 2000): physical health academic functioning interpersonal effectiveness athletic performance psychosocial adjustment capacity for emotional self-regulation superior abilities to face and overcome obstacles

10 10 Tal David Ben Shahar: Not Exercising is a Depressant Duke study severe depression 1. Antidepressant alone 2. Antidepressant + exercise 3. Exercise alone Four months - all groups 60% remission Ten months 39% relapse for group 1 35% relapse for group 2 9% relapse for group 3

11 11 John Ratey, MD: Exercise improves. Learning Brain plasticity Self-esteem Mood Attention Stress Motivation ADD Anxiety Addictions

12 12 Obesity Epidemic: Confidence Crisis calling for Professional Coaches People don t believe that they can master weight and wellness Reaching self-efficacy is a mental game Medical model focused on weakness not strength Expert approach hurts self-efficacy Mastering weight and wellness is a new life skill We need a profession to address physical and mental health together

13 13 In summary Positive state of mind prevents illness Positive emotions improve thinking and resources Talk therapy is exercise for the brain Hope therapy increases change success Not exercising is a depressant Obesity/healthcare crisis is a confidence crisis Obesity/chronic disease treatments need to integrate mental and physical health

14 14 Health Risks (Edington) and Mental Health Exercise Life satisfaction Stress Perception of health Body weight Alcohol Smoking Blood pressure Illness days Cholesterol HDL Existing medical problem

15 Cluster Analysis (Edington) 15 Health Measure Cluster 1: Risk taking Cluster 2: Low Risk Cluster 3: Biometrics Cluster 4: Psychological Smoking Alcohol Physical activity Safety belt usage Body mass index Systolic blood pressure Diastolic blood pressure Cholesterol HDL cholesterol Self-perceived health Life satisfaction Stress Heart disease Diabetes Illness days Overall Risks Low risk (0-2 risks) Medium risk (3-4 risks) High risk (5+ risks) Avg Number of risks (N=6688) 31% 10% 28% 36% 27% 9% 5% 19% 34% 13% 4% 9% 9% 7% 21% 50.2% 35.7% 14.1% 2.8 (N=3164) 0% 0% 0 % 0 % 25 % 0 % 0 % 19 % 10 % 0 % 0 % 0 % 0 % 0 % 0 % 97.6% 2.4% (N=3100) 16% 3% 19% 22% 38% 81% 61% 27% 33% 9% 2% 2% 5% 3% 12% 26.5% 48.9% 24.7% 3.6 (N=3927) 27% 5% 26% 31% 27% 23% 20% 22% 24% 28% 73% 76% 5% 4% 26% 18.9% 35.9% 45.2% 4.4

16 16 Conclusion We need to address mental and physical health together

17 17 What is Positive Psychology An eight year old movement in psychology which focuses on enhancement of wellbeing - not fixing pathology: Building on strengths Increasing positive emotions Generating flow states Cultivating gratitude Increasing hope and optimism Increasing life engagement and satisfaction Enabling peak performance and well-being

18 18 What is Coaching Psychology The relational vehicle for Positive Psychology whereby coaches help clients master well-being. (health, happiness, and prosperity)

19 19 Coaching Psychology: Evidence-based Theories Humanistic theory CBT & Solution-oriented therapy Motivational interviewing Transtheoretical model Appreciative inquiry Self-efficacy Emotional intelligence Relational flow & flow Relational cultural theory

20 M O U N T L A S T I N G C H A N G E 15 Change Footholds for Higher Well-being

21 21 Coaching Psychology: Outcomes Decreasing health risks requires sustainable behavior change. What does it take? Increased self-awareness More positive emotion More positive energy More hope and optimism Increased self-efficacy Closer to best self

22 22 What do wellness coaches help clients do? Develop personal wellness blueprint: Enable a thinking and planning process Exercise their brains Arouse clients emotions Connect with strengths Teach new life skills Identify higher purpose Ignite fighting spirit See problems as opportunities

23 23 Rate your well-being (scale of 1 to 10) Energy Physical fitness Eating habits Weight Stress Health Life satisfaction Positive and confident mindset

24 24 Wellness Vision Coaching Ideal person you want to be? Gap between here and your vision? Why does this vision really matter to you? What is the key obstacle? What are workable strategies and what strengths can you apply? Are you ready and committed? What will you do tomorrow?

25 25 We look forward to the day Invest in our health daily Meet with health or wellness coach once pa to develop a wellness plan Discuss plan with our doctors Enlist our support team

26 26 Moore Publications Coach Meg s Blog LWW Coaching Psychology Manual for physical and mental health professionals White paper: The obesity epidemic: a confidence crisis calling for professional coaches Principles of behavioral psychology in wellness coaching Relational flow: a theoretical model for the intuitive dance of coaching Harvard Medical School CME program: Prescribing Lifestyle Medicine for Weight Management Book in progress: Coach Meg and the realization of Rachel (overweight pediatrician)

27 27 Q&A For questions during the call, e- mail: References: After the call, Margaret Moore at

28 Delivering Self-efficacy: I can do it! The case for professional wellness coaches who address physical and mental health together