Early applications of this model have demonstrated effectiveness
particularly of the MI method of health coaching
for exercise and diet (Bennet et al., 2005). While
a comprehensive assessment of the model awaits further
study, we think that the theoretical and empirical
underpinnings of the model are compelling for clinical practice.
A key aspect of clinical application is the establishment
of the ongoing relationship with a provider as coach rather
than solely as an information source. This relationship can be
sustained through telephone and electronic mail as well as
through in-person clinic or home visits. We recognise that
the role of the coach may not be the same as the role
of the primary care provider. In our work, coaches have
functioned in a synergistic manner with the primary care
provider who may be a physician or nurse practitioner. The
clients have easily recognised the distinct roles and have
appropriately utilised both sources in their health care. Yet,
we also recognise that efficiency in primary care is important
and we also have found that the primary care provider
may themselves embody the coaching role. A fundamental
aspect of the model is exquisite communication between
the primary care provider and the coach (if they are different
individuals) as well as communication with other allied
health providers as the client or patient’s needs present. The
important aspect is the relationship that is established that
shifts the focus of the provider/coach to a client-centered,
health promoting, and facilitative support with the client