Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA 02114, USA.
Am J Phys Med Rehabil. 2011 Dec;90(12):1074-82. doi: 10.1097/PHM.0b013e31822dea9a.
Behavior modification is vital to the prevention or amelioration of lifestyle-related disease. Health and wellness coaching is emerging as a powerful intervention to help patients initiate and maintain sustainable change that can be critical to physiatry practice. The coach approach delivers a patient-centered collaborative partnership to create an engaging and realistic individualized plan. The coaching process builds the psychologic skills needed to support lasting change, including mindfulness, self-awareness, self-motivation, resilience, optimism, and self-efficacy. Preliminary studies indicate that health and wellness coaching is a useful and potentially important adjunct to usual care for managing hyperlipidemia, diabetes, cancer pain, cancer survival, asthma, weight loss, and increasing physical activity. Physiatrists can benefit from the insights of coaching to promote effective collaboration, negotiation, and motivation to encourage patients to take responsibility for their recovery and their future wellness by adopting healthy lifestyles.
行为改变对于预防或改善与生活方式相关的疾病至关重要。健康和健康促进教练正在成为一种强大的干预手段，可以帮助患者启动并维持可持续的改变，这对物理治疗实践至关重要。教练方法提供了以患者为中心的合作关系，以制定引人入胜且现实的个性化计划。教练过程建立了支持持久改变所需的心理技能，包括正念、自我意识、自我激励、韧性、乐观和自我效能感。初步研究表明，健康和健康促进教练是管理高血脂、糖尿病、癌症疼痛、癌症生存、哮喘、减肥和增加身体活动等常规护理的有用且潜在重要的辅助手段。物理治疗师可以从教练的见解中受益，以促进有效的合作、协商和激励，鼓励患者通过采用健康的生活方式为自己的康复和未来的健康负责。
