jueves, 13 de febrero de 2014

HEALTH COACHING

Health COACHING
Por M. Amparo Pérez Benajas. Doctora en Farmacia.



The effectiveness of medical assistant health coaching for low-income patients with uncontrolled diabetes, hypertension, and hyperlipidemia: protocol for a randomized controlled trial and baseline characteristics of the study population.


Bibliografía para Health COACHING


Recognising people’s own ability to look after themselves and using their identified strengths and resources can allow clinicians to stop moralising, criticising and pathologising and to concentrate instead on negotiating, tailoring our approaches to individuals and supporting them more appropriately (Greenop 2010).


Three pillars of health coaching (Hibbard et al 2010)

Pillar 1 - Patient Activation
The Patient Activation Measure is a tool designed by Judith Hibbard that assesses a patient’s knowledge, skill and confidence in managing their health so that interventions can be appropriately tailored to their needs.
Pillar 2 – Motivational Interviewing
Motivational interviewing (e.g. Prochaska and DiClemente 1992) is an approach to behaviour change especially where there is ambivalence.  An editorial by Knapton and colleagues (2011) quotes how there has been insufficient focus on understanding how to motivate the necessary behaviour change of individuals with, or at high risk of, coronary heart disease.
Pillar 3 – Positive Psychology
Positive psychology (e.g. Seligman and Csikszentmihaly 2000) is about looking at what works for people to improve their sense of happiness. Driver (2011) links positive emotions with health and a sense of wellbeing. He describes six core themes of positive psychology that are relevant to coaching:
strengths
mindset
resilience
positive emotions
relationships
personal growth.

Coaching to support patients in making decisions
BMJ 2008; 336 doi: http://dx.doi.org/10.1136/bmj.39435.643275.BE (Published 31 January 2008)
Cite this as: BMJ 2008;336:228


COACHING telefónico

http://www.biomedcentral.com/1471-2296/8/20/prepub

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