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. 2015 May 1;4(3):46–56. doi: 10.7453/gahmj.2015.039

Table.

Health and Wellness Coaching Job Task Analysis Findings

(25%)a Domain I
The tasks that comprise and define this domain are concerned with the activities that take place in the initial stages of the coaching process.
T-1 Explain the coaching process.
T-2 Obtain information about why coaching is sought, desired outcomes, priorities, personal strengths, and challenges.
T-3 Determine if the individual is a candidate for health and wellness coaching.
T-4 Explore motivation and assess readiness for change.
T-5 Jointly create a coaching agreement that includes roles, expectations, practice-specific processes, fees, and frequency, mode, and length of sessions.
(40%)a Domain II
The tasks that comprise and define this domain are used throughout the health and wellness coaching relationship and are the most central to the coaching process.
T-6 Assist the client in creating a description of their ideal vision of the future.
T-7 Establish or identify the present situation, past history, previous successes and challenges, resources, etc, associated with the client's vision.
T-8 Explore and evaluate the client's readiness to progress toward the vision.
T-9 Proposed new task: Invite the client to identify and explore patterns, perspectives, and beliefs that may be limiting lasting change.
T-10 Work with the client to establish goals that will lead to the vision.
T-11 Work with the client to develop a series of steps that will lead to the achievement of client-selected goals.
T-12 Elicit the client's commitment to and accountability for specific steps.
(30%)a Domain III
The tasks and knowledge that comprise and define this domain are concerned with the activities that address the client's evaluation and integration of progress.
T-13 Collaborate as the client evaluates success in taking steps and achieving goals.
T-14 Work with the client to maintain progress and changes.
T-15 Collaborate as the client reassesses goals and makes modifications based on personal decisions and progress made.
T-16 Assist the client in articulating learning and insights gained in the change process.
T-17 Work with the client to develop a post-coaching plan to sustain changes that promote health and wellness.
(5%)a Domain IV
The tasks that comprise and define this domain underlie all health and wellness coaching practice and the professional behavior of coaches.
T-18 Health and wellness coaches practice in accordance with applicable laws and regulations.
T-19 Health and wellness coaches practice in accordance with accepted professional standards and within the limits of their scope of practice.
T-20 Health and wellness coaches practice in accordance with the accepted standards of professional ethics.
T-21 Health and wellness coaches engage in a continuous process of training and education to become more proficient in their practice and to ensure that their practice-related knowledge and skills remain current.
Knowledge
The competent and effective performance of health and wellness coaching tasks requires knowledge of:
K-1 Techniques for establishing and maintaining rapport
K-2 Communication techniques (verbal and nonverbal)
K-3 Coaching assessment techniques (eg, information gathering, appreciative inquiry, nonjudgmental questioning, motivational interviewing)
K-4 Personal client information that pertains to the coaching process
K-5 Health and wellness coaching process and models
K-6 Models of motivation and behavior change (eg, transtheoretical, Maslow, self-regulation, self-determination theories)
K-7 Techniques for providing or sharing information and resources within the coaching relationship
K-8 Techniques for enhancing self-awareness
K-9 Goal-setting techniques
K-10 Basic, evidence-based healthy lifestyle recommendations by credible sources
K-11 Behavior tracking techniques
Skills
The competent and effective performance of health and wellness coaching Tasks requires skill in
S-1 Establishing and maintaining rapport
S-2 Establishing trust
S-3 Providing support
S-4 Displaying empathy
S-5 Mindful presence
S-6 Respectful interaction
S-7 Active listening
S-8 Open-ended questioning
S-9 Communicating
S-10 Information gathering
S-11 Assessment and evaluation
S-12 Interpreting assessment findings
S-13 Structuring the coaching process
S-14 Recognizing emotions (coach and client)
S-15 Motivating for behavior change
S-16 Applying change processes
S-17 Decision making
S-18 Evaluating research and resources
S-19 Providing information and resources within the coaching process
S-20 Building self-awareness (coach and client)
S-21 Self-care (coach and client)
S-22 Goal setting
S-23 Selecting outcome measures
S-24 Behavior tracking
S-25 Observation
S-26 Responding to client resistance
S-27 Enhancing self-efficacy
S-28 Building positivity
S-29 Building autonomy
S-30 Reframing
S-31 Focusing and redirecting
S-32 Using metaphor
S-33 Time management
S-34 Stress management
S-35 Self-management
S-36 Setting boundaries
S-37 Documenting
S-38 Collaborating with other professionals
a

± 3%