Secondary Topic: Interprofessional education
Using Health Coaching Skills to Enhance Patient Engagement & Autonomy
Blaire Morriss, ANP; Mark Dreusicke, MD, , San Diego, CA, United States; Ann King, MA, National Board of Medical Examiners, Philadelphia, PA, United States; Linda Manning, PhD, , Nashville, TN, United States
Informed, activated patients are essential to prevention, and treatment of chronic disease. Emerging healthcare delivery practices implicitly and explicitly demand that patients possess the skills to participate constructively in their care, achieve coordinated care, increase treatment adherence, and improve patient health outcomes. Yet clinicians are often either not trained to support patient behavior change, or believe it would be much more time-intensive than it needs to be. This experiential workshop will teach health coaching skills to practitioners of all types to deepen their ability to enhance patients’ autonomy, motivation, and ability to participate in their care.
This workshop will provide clinicians with instruction and multiple practice opportunities to use health coaching skills to address patient desires and needs in the moment in a way that empowers behavioral change. Participants will learn to optimize intake forms to build patient autonomy, and learn 7 key health coaching skills to enhance growth-promoting relationships that support behavioral change. These skills include: mindful listening; agenda setting in clinical encounters; provision of accurate and meaningful reflections and summaries; affirmation of patient strengths and values; utilization of open-ended questions to empower patients; patient-centered education using Elicit-Provide-Elicit; and Brief Action Planning. Practitioners will also learn to identify patients in the pre-contemplation and contemplation stages of change, and practice coaching skills to assist these patients to move forward in behavior change.
The workshop will be highly experiential, with brief overviews provided to explain the rationale and use of each health coaching skill and demonstrations of how the skills fit together. Each skill will be demonstrated and practiced in clinically-relevant scenarios using various configurations including dyads, triads, group practice, and use of a new digital communication tool.
After completing this workshop, participants will:
1) Understand the scientific and theoretical rationale for utilizing key health coaching skills to enhance patient autonomy and motivation to change behavior;
2) Optimize intake forms to empower patients;
3) Recognize the contribution of foundational health coaching skills (i.e., mindful listening) to growth-fostering relationships that support behavioral change;
4) Practice addressing patient desires and needs in the moment utilizing mindful listening and the other 6 additional health coaching and motivational interviewing skills. In these practices, participants will learn to:
5) “Stack” or assemble the skills into usable formats in case-based practices;
6) Formulate appropriate steps forward in patient behavior change by identifying patients in the pre-contemplation and contemplation stage of change and utilize appropriate skills from the workshop to target this stage of change; and
7) Demonstrate the integration of their new skills using a digital communication tool.
This workshop is highly experiential to include tiered practice of individual health coaching skills and “stacked” skills (1-3 linked skills used together). The general flow is as follows, but times vary depending on the complexity of the skill and how quickly participants adopt each skill.
Materials to be Distributed
Handouts on the skills practiced, access to the new digital communication tool
Special Equipment RequestParticipants must bring smart phones or tablets, workshop will have access to internet, LCD projector with working audio links, flip-chart & markers, lavalier microphone
Room Set-up RequestTables in U-shaped format (can manage up to 60 if the room allows)