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NASM Domain 5

Client Relations and Behavioral Coaching

What can you do to enhance communication? Use good body language Explain important policies, procedures &expectations Be sensitive to feelings; connect emotionally Use positive communication; encouragement, support, positive reinforcement Greet clients with hello, handshake & smile
Active listening having a genuine interest in seeking a client's perspective
Closed-ended (directive) questions can be answered in one word (yes or no)
Open-ended (non-directive) questions allow clients to give more information
Reflecting repeating back to the client the meaning of what was just heard
Summarizing a series of reflections to show depth of listening
What are SMART goals? Specific Measurable Attainable Realistic Timely
Specific: clearly defined so anyone can understand the intended outcome
Measurable: if a goal is not quantifiable, a client cannot manage it
Attainable: challenging but not extreme
Realistic: must be something the client is both willing and able to work toward
Timely: specific date of completion; realistic but not too far in the future
Key concepts of goal expectation management Understand what improvements clients hope to achieve Clarify vague statements Have them verbalize goals Recognize whats unrealistic Only set SMART goals Everyone progresses differently Determine when and how goals will be revisited and reevaluated
What are the behavior modification techniques? Self confidence Motivational interviewing Autonomy-supportive coaching Prompting Contracting Cognitive-behavioral approaches Intrinsic approach
Self confidence building clients' confidence leads to exercise adherence
Motivational interviewing a collaborative, person centered form of coaching to elicit and strengthen motivation for change
Autonomy-supportive coaching creating an environment that emphasizes self-improvement, rather than beating others
Prompting using cues to initiate behavior
Contracting written statements outlining behaviors and consequences for fulfillment
Cognitive-behavioral approaches association and dissociation techniques, positive self-talk, psyching up, imagery, social support
Intrinsic approach emphasize internal enjoyment and fun of exercise, not just goal completion
What are the forms of support? Instrumental Emotional Informational Companionship
Instrumental support tangible, practical factors necessary to help a person achieve a goal
Emotional support expressed through encouragement, caring, empathy, and concern
Informational support directions, advice, and suggestions from the professional
Companionship support the availability of family and friends to exercise together
What are the stages of change? Precontemplation Contemplation Preparation Action Maintenance
Key concepts of client expectation management Before the end of the initial session, discuss: if clients have everything they need, are ready to begin, or need more information clientele of the facility & how to fit in appropriate clothing for exercise effect of other exercisers on their behavior