NSHC Program Content Outline

Subject Matter by Section

NSHC recognizes a higher level of education, knowledge, skill, and supervised clinical practice that healthcare professionals have acquired in patient/family communication, psychosocial aspects of illness and recovery, health teaching/learning assessment and methods, and care management of those with health conditions, both acute and chronic. Program content is based on this premise.

On average, a minimum of 85+ hours of self-study is recommended to complete the Program. However, individual study habits, reading speed, and comprehension can affect the amount of study time required to be successful with testing. NSHC Lead Coaches are available for support during your self-study.

In addition to the Program Manual (all Sections given below), study resources include a new robust MI Video Series, Webinars, Audio Recognition, Articles, Online Skills Practice, highly popular Live Practice Webinars, and Quick Reference Pocket Guide. These resources are located on the Member Home Dashboard upon login. 

**University/College Faculty: Questions about integrating NSHC's program into your curriculum?  It's very adaptable!

Content Outline

Section 1: Introduction to Evidence-based Health Coaching (EBHC)®

  • Evidence-based Health Coaching Defined
  • The premise of Evidence-based Health Coaching
  • Why Health Coaching has Emerged
  • Differences in Traditional Health Teaching and Health Coaching
  • new Differences in Health Coaching, Wellness Coaching, Counseling & Psychotherapy
  • Attributes of Health Coaching
  • Patient/Client Engagement
  • Self-Management Support
  • "Partnering" as a Healthcare Provider
  • Managing versus Coaching
  • Characteristics of an Effective Health Coach
  • new Nutritional Counseling and Dietary Teaching
  • new Health Coaching Liability & Legal Implications
  • Trends in Health Coaching
  • NSHC's Clinical Model of Evidence-based Health Coaching
  • NSHC Code of Ethics and Standards of Practice
  • NSHC Core Competencies

Section 2: Identifying Your Communication Style

  • Four Primary Styles
  • Adapting Your Style
  • Communication Pitfalls to Avoid

Section 3: Are You Listening?

  • How We Listen/Active Listening
  • Ten Active Listening Strategies for Health Coaches
  • Strategies for when Becoming Distracted
  • Unique Aspects of Telephonic Health Coaching
  • Differences in Face-to-Face versus Telephonic
  • Telephonic Health Coaching Outcomes

Section 4: Tapping into the Client's Learning Style

  • How We Learn
  • Three Primary Learning Styles Explored
  • Seven Step Learning Process
  • Teach-Back Method

Section 5: Facilitating Health Behavior Change

  • Creating SPACE for Health Coaching
  • Transtheoretical Model of Change- Stages of Change
  • Societal and Generational Influences on Beliefs, Values & Health Behavior Change
    • Generational Influence
    • Cultural Competence
  • Readiness for Change Tools

Section 6: Guiding the Health Coaching Agenda & Goal Setting

  • Guiding the Agenda
  • Setting Goals: The Six Criteria
  • Commitment & Working through Goal Achievement
  • Feedback on Lack of Progress

Section 7: Motivational Interviewing (MI) 

  • The History of MI
  • The "Spirit" of MI
  • new Language of Change
  • new Four Phases of MI
  • new Increasing Importance
  • Ambivalence: It's Only Natural!
  • Righting Reflex
  • newGiving Information
  • new Increasing Confidence
  • new Using MI to Navigate the Stages of Change
  • Avoiding Discord/Managing Resistance
  • OARS
  • Recognizing and Reinforcing "Change Talk"
  • Managing Resistance
  • new Robust Motivational Interviewing Training & Practice Video Series
  • Adaptation of MI for Brief Clinical Encounters

new Section 8: Positive Psychology

  • Effectiveness of
  • Interventions for Health Coaches
  • Exercises for Clients/Patients

Section 9: Wellness and Prevention

  • Tobacco Cessation
    • Addiction & Smoking facts
    • EBP Guidelines
    • Key Considerations in Health Coaching
  • Weight Loss & Maintenance
    • Contributing factors
    • Physical assessment
    • Weight management 
    • Behavior therapy
    • Mindful eating
    • Evidence-based practice (EBP) guidelines
    • Key Considerations in Health Coaching
  • Stress Management
    • Effects 
    • Mind/body assessment
    • Measurement scales
    • EBP Guidelines
    • Key Considerations in Health Coaching
  • Eat Well, Eat Right!
  • Physical Activity and Resistance Training
  • Integrating Health Coaching into the Workplace

Section 10: Evidence-based Practice Interventions for Chronic Conditions

  • Evidence-based Practice & Standards of Care
  • Integrating EBP into a Health Coaching Encounter
  • Evidence-based Practice Interventions for Chronic Conditions (Online Clinical Resource only; not for testing)
  • Websites for Evidence-based Practice

Section 11: Measuring Health Coaching Outcomes

  • Outcomes and Outcome Measurement
  • Aggregation and Trending
  • new Outcomes Analysis and Performance Improvement

Section 12: Putting it All Together!


  • Quick Quizzes/Concept Applications
  • Forms & Tools

Additional Study Resources

  • NSHC's Live Practice Webinars
  • Online Skills Practice
  • Articles, Recorded Webinars, and Videos



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