CMSA Today - Issue 2, 2014 - (Page 12)

CMSA Evidence-Based Health Coaching The New "In" of Health Teaching Engaging Patients through Evidence-Based Health Coaching and Motivational Interviewing BY MELINDA H. HuffMAN, BSN, MSN, CCNS, CHC E vidence-Based Health Coaching (EBHC)® with Motivational Interviewing (MI) is gaining national attention as the latest trend in patient and family engagement to achieve better outcomes at a lower cost through health behavior change, as well as patient and provider partnering. As a consumer-centric collaborative process, case management aligns perfectly with the constructs of this new approach. What is the EBHC with MI skill set that makes it so special? How does it work in case management? How will the ever-increasing use of technology enhance or diminish the effectiveness of this highly personal intervention? EBhC WITh MI DEFINED EBHC with MI is described by the National Society of Health Coaches as conversational skills and interventions used by health care providers to actively and safely engage clients/patients in health behavior change and enhanced self-management of health conditions resulting in improved health outcomes, lowered health risk, and decreased health care costs. This approach gives health care providers a framework of engagement in which they can guide and partner with patients to identify the patient's own values, beliefs, and concerns that support or hinder lifestyle change needed to improve health, wellness, or recovery. As opposed to a more traditional health care model in which the patient is asked to simply mimic the caregiver's instructions with little regard to their feelings, EBHC with MI helps the patient explore any ambivalence they may have reagarding health behavior change. 12 CMSA TODAY Issue 2 * 2014 NShC Clinical Model of EvidenceBased health Coaching EBhC, MI, AND hEAlTh BEhAVIOR ChANGE The introduction of a new prescription, access and use of new services, or followthrough with treatment plans requires some type of behavior change no matter how small the change may seem. Behavior change requires development, adoption, or adaptation to a new habit, commitment, goal, or way of life. Generally, behavior change isn't easy. We only have to think of the health behaviors we ourselves have tried to change or have changed to bring this sharply into focus. Dr. Susan Butterworth of Oregon Health and Sciences University performed research that revealed the most common reasons why people don't change behavior: * Their values don't support it. * They don't think it's important. * They don't think they can. * They haven't worked through their ambivalence. * They aren't ready for it. * They don't have a good plan. * They don't have adequate social support. Notice that "lack of knowledge" is not listed. A few years ago, I gained the motivation to change my exercise level and dietary habits to address my high cholesterol, which I built through a realization of the condition's implications on my life, rather than my knowledge about its potentially detrimental effects. I enjoy eating and initially didn't want to give up the foods I love; however, regular exercise only dropped my total cholesterol by nine points and barely budged my HDL/LDL. I was disappointed and torn between choices. Such is the difficulty with health behavior change. Miller and Rollnick (2013) suggest that people have difficulty with changing behavior not because they don't understand its downside, but because they have conflicting feelings about it. Consider these examples: * "I would exercise, but I'm just too tired when I get home." * "I know that I should eat more fruits and

Table of Contents for the Digital Edition of CMSA Today - Issue 2, 2014

President’s Letter
Association News
Cmsa Corporate Partners
The New “in” of Health Teaching
The Information Technology Factor
Index of Advertisers

CMSA Today - Issue 2, 2014