Coaching experts discuss the relationships between coaching, culture, and health outcomes and for what coaches should be held accountable

摘要

Butterworth on accountability: In the behavior change world, we identify effective interventions by using studies based on correlation-not causality. This is important to take into account when making a decision on how a health coach should be evaluated or held accountable for his or her performance. For example, even though we have identified certain practitioner behaviors that consistently decrease or increase the likelihood that a patient will be less/more engaged and will be less/more motivated to follow through on a health goal, there is no guarantee of this happening-even with the most highly proficient and evidence-based strategies. So it would be unfair to evaluate the health coach on patient outcomes. Is it more likely to occur? Yes-but there are too many factors that could keep the patient from following through after the session.