Health Coaching Works. Is It Right for You?

I used to run track in high school. I was a sprinter; my events were the 100-meter dash and the 400-meter relay. I practiced running every day after school. My coaches, committed to their job to help me perform my best, would point out flaws for me to correct; help me refine my technique; and assign runs to help me become stronger and faster.


I never imagined that I too would one day become a coach – except that instead of helping people to run track, I help them to adopt healthy behaviors and reach health goals. That’s not the only difference, though; whereas my track coaches were in control, determining what I would do and how I would do it, a health coach allows the client to be in the driver’s seat. With the coach’s guidance, the client decides what priorities should be addressed and how to address them. There is no pushiness or badgering; rather, the client proceeds as he or she is ready, all in an atmosphere of support and non-judgment.  


Health coaches can help with a variety of health goals. Common issues include weight loss, stress reduction, tobacco cessation, diet and exercise habits, management of chronic conditions, or adopting new lifestyle behaviors after a major health event, such as a heart attack. 


Health coaching draws from a technique called motivational interviewing, which involves a series of open-ended questions and reflections intended to elicit motivation and direction. This approach helps clients to identify their own reasons for changing, and to consider and plan for lifestyle changes that work for them. I’ve contrasted below some common phrases a patient might hear versus questions a health coach would ask:


“You need to lose weight.” // “How might your life be different if you lost the weight you’re trying to lose?”

“Try the patch to stop smoking.” // “What would be a good next step for you in your efforts to stop smoking?” 

“Let me tell you the best way to do this.” // “Would it be okay if I share some evidence-based strategies with you?”

“You should take your health more seriously.” // “What matters most in your life and health?” 

“If you fall off the horse, just get right back on.”  // “What support do you need to be successful with your action steps and plans?” 


Notice the absence of “musts” and “shoulds” in the health coach approach. Telling people what to do tends to decrease motivation and increase resistance. Health coaching is so effective because people learn to articulate their own health vision and values; to tap into the importance of changing and their confidence in their ability to change; to create a tailored action plan that aligns with their life circumstances and priorities; and to plan for obstacles and barriers that may arise. Health coaches provide non-judgmental support and accountability. Finally, with client permission, health coaches are happy to share credible, evidence-based health information and education. 


A note of caution: For the highest-quality coaching, it’s important to find a national board-certified coach, as designated by the acronym NBC-HWC (National Board-Certified Health & Wellness Coach). This designation ensures a coach has met the most rigorous standards and is qualified to deliver effective coaching. 


As an NBC-HWC who holds additional qualifications in health education, I can provide you with the right support to reach your health goals. Schedule a complimentary call today to learn more.


Here’s to a happy and healthy new year! 


Stephanie Ross