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Health Coaches

The Science of Habit Formation

The Science of Behavior Change

The Science of Habit Formation: How Employers Build Lasting Behavior Change

Habits run quietly in the background of your day, shaping far more of your behavior than you might think. Here is how they actually form in the brain, and how to use that science to build the good ones and break the bad ones.

The science of habit formation and how habits form in the brain
Habit formation is the process by which a repeated behavior becomes automatic. It happens through a brain loop of cue, routine, and reward. Once that loop is wired in, the behavior runs on autopilot. Understanding how the loop works is the key to building good habits and breaking bad ones.

Habits shape far more of your day than most people realize. Research suggests a large share of daily actions are performed automatically, without conscious decision. That's the brain working as designed. It turns repeated behavior into a shortcut so you don't have to think it through every time. The catch is that the same system that locks in a morning walk also locks in the late-night snack.

66 days Average time for a new behavior to become automatic (range: 18 to 254 days)
3 parts Every habit runs on a cue, a routine, and a reward
~43% Share of daily actions performed on autopilot

The Habit Loop: Cue, Routine, Reward

Every habit follows the same three-part loop. A cue triggers the behavior, a routine is the behavior itself, and a reward reinforces it so your brain wants to repeat it. The more the loop runs, the stronger it gets.

Here's how it plays out in real life. The cue is the trigger, such as a time of day, a feeling, a place, or something you just did. Feeling stressed at 3 p.m. is a cue. The routine is the action you take in response. Reaching for a snack is the routine. The reward is the payoff that tells your brain to do it again, like the quick hit of relief from the stress. This three-part loop is the foundation of nearly every habit you have.

Each time that loop completes, the brain strengthens the connection. Over time the behavior moves from the part of the brain you think with to the part that runs on autopilot. That's why a habit eventually feels effortless, and why willpower alone rarely breaks one.

The more a habit loop fires, the stronger it gets. That's the whole game, and it's why repetition matters more than motivation.

Why Habits Form: Repetition and the Brain

Habits form through repetition and reward. When you repeat a behavior in response to the same cue and get a reward each time, the brain physically strengthens the pathway for that behavior, a process called neuroplasticity.

A brain region called the basal ganglia is central to this. It stores and automates behaviors you've repeated enough times, freeing up the rest of your brain for new decisions. This is efficient and useful. It's also exactly why bad habits are so sticky: the pathway is already built, and the brain prefers the path it already knows.

The practical takeaway is simple. You don't break a habit by wanting to break it. You break it by interrupting the loop, and you build a new one by repeating it until the new pathway is the strong one. UCL research found that takes 66 days on average, though the range runs from 18 to 254.

How to Build a New Habit: Practical Steps

To build a new habit, start small, attach it to a cue you already have, and reward yourself for showing up. Consistency builds the pathway faster than intensity.
Step 1
Start Small
Pick something almost too easy. A 10-minute walk, not an hour at the gym. Small wins build momentum, and momentum is what carries you past the first hard weeks.
Step 2
Anchor It to an Existing Cue
Attach the new habit to something you already do every day. "After I brush my teeth, I meditate for two minutes." The existing habit becomes the cue for the new one.
Step 3
Make the Reward Real
Give your brain a reason to repeat it. The reward can be small, like a moment of calm, a checkmark, or a square of dark chocolate. What matters is that the loop closes with a payoff.
Step 4
Track Your Progress
Use a journal or an app. Seeing the streak build is itself a reward, and it keeps you honest on the days you'd rather skip.
Step 5
Be Patient and Expect Setbacks
A new habit can take anywhere from a few weeks to several months to feel automatic. Missing a day doesn't undo your progress. Quitting does. Get back to it the next day and keep going.

How to Break a Bad Habit

To break a bad habit, you don't erase the loop, you redirect it. Keep the cue and the reward, but swap the routine in the middle for a healthier behavior that satisfies the same need.

The mistake most people make is trying to use willpower to white-knuckle through the cue. That fails because willpower fades under stress and fatigue, and when it does, the brain falls back on the strongest pathway, which is the old habit.

A better approach: figure out what reward the bad habit is actually delivering. If the 3 p.m. snack is really about a stress break, the answer isn't "resist the snack." It's giving yourself the break another way, like a short walk or a few minutes of fresh air, so the cue still gets a reward, just a better one.

You rarely defeat a habit by fighting the craving. You redirect it. Same cue, same reward, new routine.

Ready to put this into practice?

Reading about the habit loop is one thing. Living it is another. The Avidon app turns the science on this page into a plan built around your goals, with 40+ courses, habit challenges, and coaching that moves at your pace.

Want the Full Science Behind This?

This is the short version. If you want the deeper neuroscience, including how willpower really works, the stages of change, and how the brain rewires habits at the root, we go all the way into it here: How Habits Work.

Frequently Asked Questions.

Common questions about how habits form, stick, and break.

How long does it take to form a habit? +
Habit formation takes anywhere from 18 to 254 days, with an average around 66 days. The timeline depends on how complex the behavior is, how strong the habit it's replacing is, and how consistently you practice. Simple habits form faster than complex ones.
What are the three parts of a habit? +
Every habit runs on a loop with three parts: a cue that triggers it, a routine that is the behavior itself, and a reward that reinforces it. Understanding all three is what lets you build a habit on purpose, or take one apart.
Why is it so hard to break a bad habit? +
Because the brain has already built a strong pathway for it, and that pathway runs automatically. Willpower relies on a part of the brain that tires under stress, so when you're depleted, the brain defaults to the old habit. The fix is to redirect the loop, not fight it.
What's the best way to start a new habit? +
Start small and attach the new behavior to a cue you already have, something you do every day without thinking. Pair it with a real reward, track your progress, and stay consistent. Repetition is what wires the new pathway in.
Does willpower work for changing habits? +
Not on its own. Willpower fades under stress, fatigue, and overload, exactly when you need it most. Lasting change comes from restructuring your environment, repeating the new behavior until it's automatic, and addressing the beliefs that keep the old habit in place.

Building habits across your whole team?

The same science powers Avidon's platform for employers, with coaching, challenges, and reporting that help healthy habits actually stick at scale.

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Health Coaches

Health Coaching and Chronic Conditions

Health Coaching and Chronic Conditions

Most employee weight loss programs produce short-term results and long-term frustration. The difference between employees who achieve lasting change and those who don’t often comes down to one thing: access to a dedicated employee wellness coach. Unlike generic wellness apps or one-size-fits-all programs, a skilled coach provides the personalized accountability, behavioral support, and holistic guidance that turns good intentions into sustainable results.

1. Understanding Common Chronic Conditions:

Health coaches have a basic knowledge of common chronic conditions such as diabetes, hypertension, heart disease, and arthritis. This includes understanding the impact these conditions have on daily life. Therefore, they can help educate people about lifestyle changes that can improve their health. This helps individuals understand their conditions better and make informed decisions.

2. Collaborative Approach:

Effective health coaching involves a collaborative paradigm. Instead of telling people what to do, coaches ask what changes they are willing to make and support them in those decisions.

Chronic conditions
Health coaching can help individuals with diabetes manage their condition through education, support, and tools….
3. Self-Management Support:

Health Coaches provide tools and strategies to help people manage their conditions. This includes education on medication adherence, lifestyle modifications, and coping strategies.

4. Bridging the Gap:

Health coaches often act as a bridge between clinicians and patients, helping to ensure that patients understand their treatment plans and feel empowered to follow them.

5. Behavioral Change Techniques:

Knowledge of motivational interviewing, goal setting, and other behavioral change techniques is essential. These skills help health coaches to effectively support clients in making sustainable health changes.

6. Emotional Support:

Chronic conditions can be emotionally taxing. Health coaches are prepared to offer empathy, encouragement, and support to help individuals navigate the emotional challenges associated with their conditions.

7. Goal Setting and Problem-Solving:

Health coaches assist people in setting realistic health goals and developing problem-solving skills to overcome barriers to achieving these goals.

8. Regular Follow-Up:

Health coaches provide ongoing support and follow-up to ensure people can stay on track with their health plans and make necessary adjustments as needed.

9. Encouraging Active Participation:

Health coaches empower patients to take an active role in their own care, which can lead to better health outcomes and a greater sense of control over their health.

10. Monitoring Progress:

Health coaches regularly track individuals’ progress towards their health goals and adjust plans as needed to ensure continued improvement.

By focusing on these areas, health coaches can significantly improve the quality of life for individuals with chronic health conditions.

See how Avidon’s health coaching platform supports chronic condition programs.

Frequently Asked Questions

Curious about how health coaching works? Here are answers to some of the most common questions.

What chronic conditions can a health coach help me manage? +

Health coaches are knowledgeable about common chronic conditions including diabetes, hypertension, heart disease, and arthritis. They help you understand how your condition affects daily life and guide you toward lifestyle changes that can improve your long-term health outcomes.

How is health coaching different from seeing a doctor? +

Health coaches act as a bridge between you and your clinical care team. Rather than diagnosing or prescribing, they help you understand your treatment plan, build self-management skills, and feel empowered to follow through — filling the gap that often exists between a clinical appointment and everyday life.

Will a health coach tell me what to do? +

No — health coaching is collaborative, not prescriptive. Coaches ask what changes you're willing and ready to make, then support you in achieving those goals using techniques like motivational interviewing and goal setting. The focus is on sustainable change you're actually on board with.

How often does a health coach check in with me? +

Health coaches provide ongoing support and regular follow-up to help you stay on track, monitor progress toward your health goals, and adjust your plan as your needs change over time.

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Health Coaches

Elevate Your Group Coaching: Tips for Maximizing Impact

What is Group Coaching? 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 coaching

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. 

 

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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. 

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 ingredient list and limited added sugars, such as 100% whey, soy, or pea protein, are always best.

Strength Training

Colorful kettlebells lined up on a gym floor, representing strength training for muscle preservation during GLP-1 medication use.

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. Strength training, can help ensure a healthier and effective transformation.

Side Effect Considerations

Side effects may arise at any time and can interfere with habit-building or other lifestyle 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.

Woman holding her head while on the phone, possibly experiencing discomfort or a medication side effect such as headache or nausea.

More Severe Side Effects:

  • Low Blood Sugar (Hypoglycemia): While less common, hypoglycemia is a serious risk associated with GLP-1 agonists.
  • Stomach Pains: Some individuals may experience abdominal discomfort.
  • Skin Reactions: If they inject the medicine, there’s a possibility of skin reactions.

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 in driving motivation and accountability. Sessions paired with between session communication make for a well-rounded support structure.

Resources:

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)

Protein balance for GLP-1s
meal plan (Mayo Clinic)

A holistic approach to integrative medicine (Mayo Clinic Press)

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