“…The response rate to the validation survey of 12.7% falls within the recommended range of 10-20%. [23,24] Of those who did not complete the survey (49% of those who responded) may not have met the eligibility criteria, as the rst part of the survey determined eligibility. While we recognized the potential of lower response rates given the survey design, we determined it most important to include those with adequate and recent experience to provide validation to the current eld.…”
Section: Discussionmentioning
confidence: 99%
“…Third, per industry standards, we removed those competencies that did not meet an Importance score of 3.0. [13,23,24] Phase II processes provided a 'cross-check' of the proposed competencies, to deter potential Task Force bias and to provide stakeholder engagement into the competency development process.…”
Section: Phase II (Judgement): Validating the Ghwc Competenciesmentioning
Background
As the popularity and demonstrated effectiveness of Health and Wellness Coaching (HWC) continue to grow to address chronic disease prevalence worldwide, delivery of this approach in a group format is gaining traction, particularly in healthcare. Nonetheless, very little empirical work exists on group coaching and no published competencies currently exist for Group Health and Wellness Coaching (GHWC).
Methods
We used a well-established two-phase (Development and Judgment) process to create and validate GHWC competencies with strong content validity.
Results
Seven highly qualified Subject Matter Experts systematically developed and proposed the GHWC competencies, which were then validated by 78 National Board Certified Health and Wellness Coaches (NBC-HWCs) currently practicing GHWC who rated the importance and use frequency of each one. The validation study led to 72 competencies which are organized into the structure and process of GHWC.
Conclusions
GHWC requires not only coaching skills, but significant group facilitation skills to guide the group process to best support members in maximizing health and well-being through self-directed behavioral change. As the presence of HWC continues to grow, it is imperative that GHWC skill standards be accepted and implemented for the safety of the public, the effectiveness of the intervention, and the value analysis of the field. Such standards will guide curriculum development, allow for a more robust research agenda, and give practical guidance for health and wellness coaches to responsibly run groups. High quality standards for GHWC are particularly needed in health care, where a Level III Current Procedural Terminology (CPT®) code for GHWC has been approved since 2019 and reimbursement of such has been proposed by the Centers for Medicare and Medicaid for 2024.
“…The response rate to the validation survey of 12.7% falls within the recommended range of 10-20%. [23,24] Of those who did not complete the survey (49% of those who responded) may not have met the eligibility criteria, as the rst part of the survey determined eligibility. While we recognized the potential of lower response rates given the survey design, we determined it most important to include those with adequate and recent experience to provide validation to the current eld.…”
Section: Discussionmentioning
confidence: 99%
“…Third, per industry standards, we removed those competencies that did not meet an Importance score of 3.0. [13,23,24] Phase II processes provided a 'cross-check' of the proposed competencies, to deter potential Task Force bias and to provide stakeholder engagement into the competency development process.…”
Section: Phase II (Judgement): Validating the Ghwc Competenciesmentioning
Background
As the popularity and demonstrated effectiveness of Health and Wellness Coaching (HWC) continue to grow to address chronic disease prevalence worldwide, delivery of this approach in a group format is gaining traction, particularly in healthcare. Nonetheless, very little empirical work exists on group coaching and no published competencies currently exist for Group Health and Wellness Coaching (GHWC).
Methods
We used a well-established two-phase (Development and Judgment) process to create and validate GHWC competencies with strong content validity.
Results
Seven highly qualified Subject Matter Experts systematically developed and proposed the GHWC competencies, which were then validated by 78 National Board Certified Health and Wellness Coaches (NBC-HWCs) currently practicing GHWC who rated the importance and use frequency of each one. The validation study led to 72 competencies which are organized into the structure and process of GHWC.
Conclusions
GHWC requires not only coaching skills, but significant group facilitation skills to guide the group process to best support members in maximizing health and well-being through self-directed behavioral change. As the presence of HWC continues to grow, it is imperative that GHWC skill standards be accepted and implemented for the safety of the public, the effectiveness of the intervention, and the value analysis of the field. Such standards will guide curriculum development, allow for a more robust research agenda, and give practical guidance for health and wellness coaches to responsibly run groups. High quality standards for GHWC are particularly needed in health care, where a Level III Current Procedural Terminology (CPT®) code for GHWC has been approved since 2019 and reimbursement of such has been proposed by the Centers for Medicare and Medicaid for 2024.
“…Second, they calculated task and domain weights using the respondents’ importance and frequency ratings. Third, per industry standards, they removed those competencies that did not meet an Importance score of 3.0 [ 22 , 32 , 33 ]. Phase II processes provided a 'cross-check' of the proposed competencies, to deter potential Task Force bias and to provide stakeholder engagement into the competency development process.…”
Section: Methodsmentioning
confidence: 99%
“…Task weights using the importance and frequency ratings were determined per industry standards with the formulas in Fig. 1 [ 22 , 32 , 33 ]. Fig.…”
Background
As the popularity and demonstrated effectiveness of Health and Wellness Coaching (HWC) continue to grow to address chronic disease prevalence worldwide, delivery of this approach in a group format is gaining traction, particularly in healthcare. Nonetheless, very little empirical work exists on group coaching and there are currently no published competencies for Group Health and Wellness Coaching (GHWC).
Methods
We used a well-established two-phase (Development and Judgment) process to create and validate GHWC competencies with strong content validity.
Results
Seven highly qualified Subject Matter Experts systematically identified and proposed the GHWC competencies, which were then validated by 78 National Board Certified Health and Wellness Coaches (NBC-HWCs) currently practicing GHWC who rated the importance and use frequency of each one. The validation study led to 72 competencies which are organized into the structure and process of GHWC.
Conclusions
GHWC requires not only coaching skills, but significant group facilitation skills to guide the group process to best support members in maximizing health and well-being through self-directed behavioral change. As the presence of HWC continues to grow, it is imperative that GHWC skill standards be accepted and implemented for the safety of the public, the effectiveness of the intervention, and the value analysis of the field. Such standards will guide curriculum development, allow for a more robust research agenda, and give practical guidance for health and wellness coaches to responsibly run groups. High quality standards for GHWC are particularly needed in health care, where a Level III Current Procedural Terminology (CPT®) code for GHWC has been approved in the United States since 2019 and reimbursement of such has been approved by the Centers for Medicare and Medicaid for 2024.
BackgroundThe pressing need to manage burgeoning chronic disease has led to the emergence of job roles such as health and wellness coaches (HWCs). As use of this title has increased dramatically, so has the need to ensure consistency, quality and safety for health and wellness coaching (HWC) provided in both practice and research. Clear and uniform role definitions and competencies are required to ensure appropriate scope of practice, to allow best practices to emerge, and to support the implementation of well-designed, large scale studies to accumulate a rigorous evidence base. Since the nascent field is replete with heterogeneity in terms of role delineations and competencies, a collaborative volunteer non-profit organization, the National Consortium for Credentialing Health and Wellness Coaches (NCCHWC), has been built over the past six years to support professionalization of the field.MethodsIn 2014, a professionally led Job Task Analysis (JTA) was conducted with 15 carefully selected subject matter experts (SMEs) with diverse education and professional backgrounds who were practicing HWC in a wide variety of settings. After establishing a thorough list of specific tasks employed during HWC, the expert panel discussed the knowledge and skills necessary to competently perform the tasks. Subsequently, a large validation survey assessed the relative importance and frequency of each identified job task in conducting HWC.ResultsThe JTA identified 21 job tasks as essential to HWC. In the subsequent validation survey, 4026 practicing health and wellness coaches were invited to rate each of the 21 job tasks in terms of their importance and frequency. A response rate of 25.6 % provided a diverse sample (n = 1031) in terms of background, and represented a wide variety of training programs from academia, industry, the private sector and associations. Per best practices, the subset of practicing HWCs (n = 885) provided importance and frequency ratings to be used to calculate task and domain weights that can serve as a foundation for a NCCHWC national certification examination.ConclusionsThis JTA provides a significant step forward in the building of a clear and consistent definition of HWC that will allow for uniform practice standards and enable more stringent methodology to evaluate this promising approach within evidence-based medicine.
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