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Health Coaches

Elevate Your Group Coaching: Tips for Maximizing Impact

What is Group Coaching? 

Group health and wellness coaching is a facilitated, synchronous process for small groups (fewer than 12 participants) led by a certified health coach. The aim is to leverage the collective experience and wisdom of the group to help each member achieve their health and wellness goals, while providing a supportive and stable environment. 

Each participant receives equitable attention throughout the sessions. The coach, an expert in coaching and group dynamics with foundational health knowledge, focuses less on providing educational content (less than 20% of the time) and more on facilitating the group process. They do not offer significant support or therapy. 

Sessions may include instruction in individual skills development, such as mind/body practices and journaling, and the use of self-assessment tools. Coaches equip participants with the skills to find their own answers. By modeling behaviors like encouragement, affirmation, focusing on positive progress, maintaining a nonjudgmental stance, building rapport, and reflective listening, coaches help group members learn these skills as well. 

Coaches trust the group process and recognize that participants are their own best resource for experience and expertise. Groups can be tailored to specific audiences or be more general in focus, covering a wide range of health topics. 

 

What Are Four Things Coaches Need to Consider Before Leading Group Coaching? 

  1. End-to-End Participant Experience 

Creating a seamless end-to-end participant experience in group coaching is crucial for several reasons. A smooth experience keeps participants engaged and motivated throughout the coaching process. When participants feel that every aspect of the program is well-organized and cohesive, they are more likely to stay committed and actively participate. Consistent experiences across all touchpoints help build trust and reliability. A seamless experience leads to higher satisfaction levels. Satisfied participants are more likely to continue with the program, recommend it to others, and return for future sessions. 

When the coaching process is well-structured, participants can focus more on learning and applying new skills rather than dealing with logistical issues. This enhances the overall effectiveness of the coaching. By focusing on creating a seamless end-to-end experience, health coaches can ensure that their participants receive the maximum benefit from the program, leading to better outcomes and a more positive coaching environment. 

  2. Administrative Burden (or lack thereof) 

Health coaches may underestimate the amount of time that goes into facilitating group health coaching. This can be especially important when determining the price (and therefore hourly breakdown of pay) for the program. There is much more than just the time in the group container itself. 

What health coaches need to consider is the time needed to prepare for each group session, to close out each group session (i.e. time for questions at the end, logging any data such as attendance), answering inbound messages from participants in between sessions, marketing the program, creating the curriculum, researching locations/technology, and possible discovery calls/meetings to see if the group is a good fit for the participant goals. Most of the time dedicated to group coaching occurs outside of the group container. 

  3. Health Outcomes vs Health Behaviors 

The difference between health outcomes and health behaviors lies in their definitions and roles in health and wellness. Health outcomes refer to the results or consequences of health behaviors and other factors on an individual’s health. Health outcomes can include measures such as life expectancy, incidence of chronic diseases, mental health status, and overall well-being. Essentially, health outcomes are the end results that reflect the state of an individual’s health. Health behaviors refer to the actions individuals take that affect their health. These behaviors can be either health-promoting (e.g., regular exercise, healthy eating, not smoking) or health-deteriorating (e.g., smoking, excessive alcohol consumption, poor diet). Health behaviors are the choices and habits that influence one’s overall health. In summary, health behaviors are the actions taken to influence health, while health outcomes are the results of those actions and other contributing factors. Improving health behaviors can lead to better health outcomes. 

While it is important to measure pre and post health outcomes to measure and display the effectiveness of a program, health behaviors can unfortunately be neglected in pre and post assessments. In conjunction with biometrics, it is highly recommended to distribute a pre and post lifestyle questionnaire as well. A lifestyle questionnaire can measure a participant’s health behaviors are various pillars of wellness. It is helpful to measure multiple pillars, not just the direct ones that are addressed in the program. For example, one may be working on sleep. As they improve their sleep, they may find organically that they have more energy and are exercising more too and not reaching for sugary snacks for an afternoon pick-me-up. There is a beautiful ripple effect that takes place when working on our health and wellness. 

  4. Engage Beyond the Group Container 

We have heard “What happens in Vegas, stays in Vegas”. Many coaches may even say this as they set the rules of engagement for their group. But what if what happens in the group, doesn’t have to stay in the group container? Keeping all things confidential and HIPAA compliant, what if coaches increased reliability and accountability in between group coaching sessions? What if we created an opportunity for the participants to interact with each other outside of the group session? 

These what if questions have profound positive answers. We would have more engagement, increased social support, and enhanced outcomes and behavior change. Finding a platform that enables a coach to send HIPAA compliant check-in texts and e-mails is vital. Finding one that also enables group challenge leaderboards, social handles, and the like help tickle various participant motivational preferences. 

  Group Health Coaching, Wellness

In Conclusion 

Group health and wellness coaching involves a certified health coach facilitating small group sessions to help participants achieve their health goals by leveraging collective wisdom and focusing on skill development and group dynamics rather than providing direct education. Coaches need to home in on an engaging participant experience, how to decrease administrative burden, report on change in health outcomes and health behaviors, as well as provide opportunities for engagement outside of the group session. With these attributes as a foundation and a platform to enable these functions, coaches can build successful group coaching programs. 

 

Categories
Health Coaches

What Health Coaches Need to Know About GLP-1 Agonists

Introduction to Health Coaching and GLP-1 Agonists

GLP-1 agonists, also known as glucagon-like peptide-1 agonists, are a class of medication that mimics the action of the naturally occurring GLP-1 hormone, which has several essential roles in the body. GLP-1 helps trigger insulin release from the pancreas, blocks glucagon secretion (which raises blood sugar levels), slows stomach emptying, and increases the feeling of fullness after eating. By promoting weight loss and improving blood sugar control, GLP-1 agonists play a crucial role in diabetes management.  Some formulations are also approved for the treatment of overweight and obesity.

With this in mind, health coaches should be aware of a handful of implications to coaching clients that are utilizing GLP-1 agonists.

 

Best Practices for Health Coaches

Although the following list is not exhaustive, it provides you with the foundational strategies for effectively and safely coaching clients using GLP-1 agonists while also staying within your scope. While the primary health coaching principles and techniques remain the same (i.e. motivational interviewing, appreciative inquiring, etc.), there are a few things to take into consideration that may differ when working with clients on GLP-1 agonists. However, the primary health coaching principles and techniques remain the same such as motivational interviewing and appreciative inquiring.

 

Protein Intake

When taking GLP-1 medications, it’s essential to pay attention to protein intake. There are some guidelines for protein requirements. The first is people should aim for at least 70 to 75 grams of protein per day. This helps prevent muscle loss that can occur during weight loss. In a high-protein diet, 25%-35% of calories should come from protein. For example, if someone consumes 1,600 calories a day, this translates to 100-140 grams of protein daily. Of course, please work with a registered dietitian to confirm the appropriate grams of protein needed.

Look for protein sources with at least 15 grams of protein per serving. Some clients may want to consider adding protein powder to some meals. It is convenient and provides a good protein boost. Options with a short ingredients list and limited added sugars, such as 100% whey, soy, or pea protein, are always best.

Strength Training

What Health Coaches Need to Know About GLP-1 Agonists Strength training plays a crucial role when using GLP-1 agonists. GLP-1 medications can help suppress appetite, leading to fewer calories consumed and weight loss. The goal with the weight loss is to lose body fat and preserve muscle mass. Strength training helps to maintain muscle mass, preventing muscle loss during weight loss.

When it comes to long-term weight management, strength training is important too. Consistent strength training sets someone up for sustainable weight management. Especially beyond the GLP-1 agonist journey. With strength training, it can help ensure a healthier and effective transformation.

 

Side Effect Considerations

Side effects can happen at any time and may impact the lifestyle habit goals your client is working on. With empathy, health coaches need to understand there may need to be an opportunity to pivot quickly to “Plan B” when considering the following side effects:

Common Side Effects:

  • Nausea: Feeling sick is a common side effect associated with GLP-1 agonists. However, this usually improves over time.
  • Diarrhea: Some people may experience diarrhea when taking these medications, but it tends to resolve with continued use.
  • Vomiting: Vomiting can occur, especially when starting treatment, but it often diminishes over time.
  • Decreased Appetite: GLP-1 agonists can reduce appetite, which may contribute to weight loss.

GLP-1, side effects, safe usage

More Severe Side Effects:

 

Holistic Approach

Though this may not be a surprise to health coaches, we need to take a holistic approach to someone’s health and well-being; it’s not just about diet and exercise and coaching individuals that take GLP-1 agonists are no exception. Our lifestyle habits are interconnected. For example, if someone does not sleep well, they may choose higher sugar foods and skip their workout. Pillars such as sleep, stress management, substance, use, social support, spiritual, and environmental aspects of someone’s life are important to consider when trying to help guide them to a more balanced and vivacious life.

 

Coaching Program Length and Frequency

Individuals on GLP-1 agonists are typically on them for a minimum of three months and it is not unheard of for them to be on them for 24 months or more. This will impact how long a coaching program should be. Typically, health coaching programs for this population are a minimum of four months and have been seen to be as long as two years.

The frequency of coaching sessions is observed to be biweekly typically. Those that did coaching paired with GLP-1s agonist for one year observed an average 15.6% weight loss. In the second year, people lost an average of 16.8% body weight. Aside from just weight loss, GLP-1 coaching programs have also observed an improvement in lipids, A1c, liver function test, insulin, and hs CRP.

It is important to note what happens between coaching sessions. Check-in messages between sessions are common. This is helpful to drive motivation and accountability. Sessions paired with between session communication makes for a well-rounded support structure.

 

Sources

GLP-1 Agonists: What They Are, How They Work & Side Effects (clevelandclinic.org)

Considering GLP-1s: A Guide to Deciding If It’s Right for You (healthline.com)

Considering GLP-1 medications? What they are and why lifestyle change is key to sustained weight loss | Mayo Clinic Diet

GLP-1 agonists: Diabetes drugs and weight loss – Mayo Clinic

Combined GLP-1 medication and virtual coaching leads to sustained weight loss | Cleveland Clinic Journal of Medicine (ccjm.org)

How to Combat Muscle Loss While Taking GLP-1s | Omada Health

https://diet.mayoclinic.org/media/bqqhmul0/protein-balance-for-glp1s-sample-meal-plan.pdf

A holistic approach to integrative medicine – Mayo Clinic Press

 

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