Wolever Ruth Q
Duke Integrative Medicine, Durham, North Carolina, United States.
Glob Adv Health Med. 2013 Jul;2(4):8-9. doi: 10.7453/gahmj.2013.043.
The rise of health and wellness coaching holds significant promise for facilitating sustainable behavior change to help legions of individuals prevent and manage chronic disease. We all know the threats associated with the staggering epidemic of chronic disease and associated unhealthy lifestyles. But did we get here through a failure of personal responsibility? A failure of family units to support appropriate health behaviors? A failure of educational systems to teach healthy behaviors? A failure of medicine to cultivate health behaviors in patients? A failure of municipalities from an urban planning perspective? A failure of the social sciences to apply the latest in adult learning theory, psychology, and behavioral economics to health behaviors? A failure of government to incentivize or reinforce health behaviors? A failure of industry to prioritize health over capital? A failure of society to integrate all of the above? Or is this just the perfect time to synergize all that we know from numerous disciplines to conquer the challenge of unhealthy behavior that creates chronic disease? From my perspective as a health psychologist, understanding the origins of the problems will help us draft the solution. But from my perspective as a coach, how we got here is much less important than how we get out of here.
健康与 Wellness 教练行业的兴起，为促进可持续的行为改变带来了巨大希望，有助于众多个人预防和管理慢性病。我们都知道与慢性病惊人流行及相关不健康生活方式有关的威胁。但我们陷入这种局面是因为个人责任缺失吗？是家庭单位未能支持适当的健康行为吗？是教育系统未能传授健康行为吗？是医学未能在患者中培养健康行为吗？是从城市规划角度看市政当局的失职吗？是社会科学未能将最新的成人学习理论、心理学和行为经济学应用于健康行为吗？是政府未能激励或强化健康行为吗？是行业未能将健康置于资本之上吗？是社会未能整合上述所有方面吗？还是说现在正是将我们从众多学科中学到的知识协同起来，以应对导致慢性病的不健康行为挑战的绝佳时机？从我作为健康心理学家的角度来看，理解问题的根源将有助于我们制定解决方案。但从我作为教练的角度来看，我们如何陷入这种局面远不如我们如何摆脱这种局面重要。
