OBESITY - Lift The Bar · 1. Compare your former clients’ initial rate of weight loss with their...

OBESITYLIFT THE BAR EDUCATION WORKBOOK

PA R T 5 : C O A C H I N G T H E O B E S E – T R E AT M E N T S

LIFT THE BAR EDUCATION

OBESITY: PART 503

Obesity

OBESITY PART 5:

Alex Pearson

This series focuses on improving your knowledge of the intricacies of obesity. Taking you from looking at the challenges obesity stigma presents through to how to achieve faster rates of weight loss, ways to overcome emotional eating and much more.

We use cutting edge research to show you how to improve the results you achieve with obese clients and develop a comprehensive understanding of obesity from a physiological, behavioural and social perspective.

The course has been split into 6 parts as follows:

Part 1: Understanding obesity.

Part 2: What causes obesity.

Part 3: Coaching the obese: Foundations.

Part 4: Coaching the obese: Motivational interviewing.

Part 5: Coaching the obese: Treatments.

Part 6: Coaching the obese: Types of obesity and bringing it all together.

5

Obesity Treatment - Standard Behaviour Treatment

Improving SBT- Calorie and Macronutrient Considerations

Improving SBT - Part 2

Acceptance Based Treatment - Part 1

Acceptance Based Treatment - Part 2

Using ABT- Introduction

Using ABT- Mindfulness

Acceptance

Weight Regain: Why Does it Happen?

Very Low Calorie Diets Part 1

Improving SBT - Building Trust

Very Low Calorie Diets: Part 2

02

05

03

06

LESSONS: PART FIVE

01

04

07

08

09

10

11

12



OBESITY: PART 505

Values Part 2

Values Part 1

Emotional Eating Introduction

ABT for Challenging Food Environments

Exercise Considerations for Obese Individuals

ABT in Practice

Binge Eating Introduction

Using ABT for Automatic Behaviours

Using ABT for Emotional Eating

15

18

16

19

14

13

17

20

21


OBESITY: PART 506

This workbook will help you get the most out of the course. You will see the book mirrors the courses lesson format. For each lesson there are a number of aims that represent the key learning points for that section of the course. We have provided space to write your notes as you go through and there is spare note space at the end of the workbook in case you need more than we have provided for any of the lessons.

The space for action points is where the magic happens. We all know that learning is only useful if we do something with the knowledge so for each lesson make a note of what you are going to do as a result of what you have learnt. Make the action as specific as possible and set yourself a manageable timeframe. If you have some kind of to do list or schedule of action points make sure you transfer these actions to that and get them done.

Each lesson has 2-3 quiz questions that need to be completed on the members site in order to proceed. We have provided space for you to make a note of your answers to these questions as you go through the content so you are prepared for the questions. Not only will this workbook help you as you complete the course but, if used effectively, it will also provide you with a source of key information you can refer back to.

Good Luck!

How to use this workbook


OBESITY: PART 507


THE JOURNEY: A GUIDE TO NUTRITIONAL COACHING05

AIMS:

Key Learning Points

ORIENTATE THE MAP

Client consultation and baselines

― Learn how to prepare for a client ― Decide what information you need to know to work with a client ― Consider how best to gather the information

LESSON:

01


THE JOURNEY: A GUIDE TO NUTRITIONAL COACHING06

Action Points

Quiz Questions

1. Name two areas of information we might want to explore from a client’s past (where have they been)

2. What baseline information should we look to Gather?

AimsThis section will highlight the main learning focus for the lesson

Key Learning PointsUse this area to make notes as you go through the lesson

Action PointsSummarise your learning from the lesson. What actions are you going to take as a result of what you’ve learnt? When are you going to complete it?

Quiz QuestionsWrite your answers to the questions here in preparation for completing the online quiz.


OBESITY: PART 50808

AIMS:

Key Learning Points

― Overview of module and introduction to obesity treatments ― Explore what obesity treatments are available ― Explore what SBT involves ― Look at the different between historical SBT and modern SBT. Consider if they have been a success

LESSON:

01Obesity Treatment -Standard Behaviour Treatment


OBESITY: PART 509

Quiz Questions

Action Points

1. At what amount of weight loss do we start to see clinically meaningful improvements in health markers?

2. Wht are the core components of SBT?

3. What is SBT better at achieving, weight loss or weight maintenance?


OBESITY: PART 51010

AIMS:

Key Learning Points

― Look at the physiology of weight regain ― Look at the role of long term adherence ― Explore the psychological factors that promote weight regain ― Explore how attrition relates to weight regain

LESSON:

02 Weight Regain: Why Does it Happen?


OBESITY: PART 511

Quiz Questions

Tasks

1. What is a pre-treatment predictor of attrition?

1. Compare your former clients’ initial rate of weight loss with their expectations. Is there a connection between those factors and rate of attrition?

2. What happens to satiety promoting gut hormones after weight loss?

3. What is a psychological risk factor for weight regain?


OBESITY: PART 51212

AIMS:

Key Learning Points

― Explore how to build trust to improve SBT

LESSON:

03 Improving SBT - Building Trust


OBESITY: PART 51313

AIMS:

Key Learning Points

― Explore what calorie and macronutrient considerations need to be taken into account for obese clients

― Understand why predictive equations need to be used carefully with obese clients

LESSON:

04

Improving SBT - Calorie and Macronutrient Considerations


OBESITY: PART 514

Quiz Questions

Tasks

1. Choose one client (the higher the bodyweight the better) and calculate their BMR across all the different equations. Then reassess the activity factor you have assigned them:

1. What is the predictive equation that stays most stable with increasing bodyweight?

2. The co-morbidity of osteoarthritis could potentially do what to a client’s NEAT level?

3. Rate of fat loss is an essential part of motivation, the total amount of weight loss achieved and what else?


OBESITY: PART 51515

AIMS:

Key Learning Points

― Understand how VLCD and meal replacements apply to the treatment of obesity ― Explore the advantages and disadvantages of VLCD and meal replacements

LESSON:

05



OBESITY: PART 516

Quiz Questions

Tasks

1. Consider your own biases (either for or against VLCD or MR). Write about what you currently believe below. Consider if those biases are based in fact.

1. What are advantages of using meal replacements?

2. Are people more likely to put all the weight lost back on after a VLCD?

3. What is a disadvantage of VLCD?


OBESITY: PART 51717

AIMS:

Key Learning Points

― Explore the side effects of very low calorie diets ― Understand safe and appropriate application of VLCD

LESSON:

06



OBESITY: PART 518

Quiz Questions

Action Points

1. In meal replacement products, the inclusion of at least how many grams of fat has been attributed to lower rates of cholelithiasis?

2. When considering if a VLCD is applicable, who should we involve in the decisive making process?

3. Before starting a liquid or VLCD we should discuss what with the client?


OBESITY: PART 51919

AIMS:

Key Learning Points

― Explore other specific ways we can improve SBT for obese individuals ― Understand why addressing a client’s biggest limiting factor can be very useful but also very challenging

― Explore how to use self monitoring effectively ― Introduction to techniques we can borrow from third generation therapies.

LESSON:

07

Improving SBT - Part 2


OBESITY: PART 520

Quiz Questions

Tasks

1. How many calories per week do women in the national weight control registry report expending?

1. Assess all of your current clients’ dietary advice. What is the low hanging fruit you may have missed for each individual?

2. The aim of third generation therapies is to do what?

3. Should we advise clients on medications or surgical approaches for obesity?


OBESITY: PART 52121

AIMS:

Key Learning Points

― Introduction to Acceptance Based Treatment ― Introduction to the theory that ABT is based on. Focusing on Relational Frame Theory & Experiential Avoidance

LESSON:

08

Acceptance Based Treatment Theory - Part 1


OBESITY: PART 522

Quiz Questions

Tasks

1. What is experiential avoidance?

1. Consider all of your current clients. Is there someone who has a high level of experiential avoidance?

2. Experiential avoidance can be observed in response to what


OBESITY: PART 52323

AIMS:

Key Learning Points

― Investigate the principles of ABT ― Understand how ABT helps with the treatment of obesity ― Explore how ABT supports our psychological needs

LESSON:

09

Acceptance Based Treatment Theory - Part 2


OBESITY: PART 524

Quiz Questions

Action Points

1. What impact does experiential avoidance have on SBT?

2. How does ABT help with obesity?

3. How can mindfulness support our psychological needs?


OBESITY: PART 52525

AIMS:

Key Learning Points

― Introduction to using ABT ― Explore how we can relate dietary and exercise decisions to important aspects of life

LESSON:

10

Using ABT - Introduction


OBESITY: PART 526

Quiz Questions

Action Points

1. What do we want health based behaviours to be?

2. What are the main focuses of ABT?


OBESITY: PART 52727

AIMS:

Key Learning Points

― Look at what mindfulness is and what it can improve ― Explore how mindfulness can support willpower ― Look at the core components and how to deliver mindful eating programmes

LESSON:

11

Using ABT - Mindfulness


OBESITY: PART 528

TasksTasks

Mindful Eating Exercise: At your next meal practice eating mindfully. Remember no distractions… Follow the questions on “Exploring food choices with mindfulness” What did you notice:

Before? Rate your hunger before the meal:

After? Rate your hunger before the meal:

During?


OBESITY: PART 529

Action Points

Quiz Questions

1. What are core components of mindful eating programmes?

2. After eating what do we want to do?


OBESITY: PART 53030

AIMS:

Key Learning Points

― Explore how using acceptance can support clients behavioural change ― Explore how to use acceptance to deal with avoidance based behaviour ― Look at some practical ways to apply acceptance to practice

LESSON:

12 Acceptance


OBESITY: PART 531

Action PointsTasks

1. Choose one client and take 5 minutes to consider how much he/she avoids important activities.

2. Throughout your next week of coaching, listen out for clients saying self sabotaging or analysing statements. Write what you noticed below.


OBESITY: PART 532

Quiz Questions

Action Points

1. What are the aims of using acceptance?

2. Uncomfortable thoughts need to be….

2. Control what you can. Accept…


OBESITY: PART 53333

AIMS:

Key Learning Points

― Explore how we can use values to assist with the treatment of obesity ― Look at the difference between values and goals ― Understand how to help clients identify their values

LESSON:

13

Values Part 1


OBESITY: PART 534

Quiz Questions

Action Points

1. People are more likely to succeed if they can do what?

2. Is the following statement a goal or value? “I want to be a size 16 again!”


OBESITY: PART 53535

AIMS:

Key Learning Points

― Explore how we can use values to assist with the treatment of obesity ― Look at the difference between values and goals ― Understand how to help clients identify their values

LESSON:

14

Values Part 2


OBESITY: PART 536

TasksTasks

1. Consider one client. Consider how their goals could support an important personal value:

2. Identify your own values: Complete the values exercise from the “Finding Values” slide.

3. Make one value statement that supports a value you identified.


OBESITY: PART 53737

AIMS:

Key Learning Points

― Introduction to specific situations where we can use ABT ― Introduction to the complex relationships obese individuals may have with food

LESSON:

15

ABT in Practice


OBESITY: PART 538

Quiz Questions

Action Points

1. What specific situations might we want to use ABT in?

2. Some people may use food to do what to difficult emotions?


OBESITY: PART 53939

AIMS:

Key Learning Points

― Explore how we can use ABT to aid clients changing automatic behaviours ― Understand how to use mindfulness to aid increasing awareness of behaviours

LESSON:

16

Using ABT for Automatic Behaviours


OBESITY: PART 540

Quiz Questions

Action Points

1. Before we aim to change behaviours, what process do we need to go through?

2. As we increase awareness of behaviours we also change our what?


OBESITY: PART 54141

AIMS:

Key Learning Points

― Introduction to what emotional eating is ― Understand the different theories that give us different types of emotional eating and consider how that applies in practice

LESSON:

17

Emotional Eating Introduction


OBESITY: PART 542

Quiz Questions

Action Points

1. Is it realistic to have every eating decision given purely by physical hunger?

2. Kaplan and Kaplan’s psychosomatic theory of obesity states what?

3. The restraint hypothesis predicts that by restraining their food intake they will do what?


OBESITY: PART 54343

AIMS:

Key Learning Points

― Understand the definition, models and prevalence of binge eating

LESSON:

18

Binge Eating Introduction


OBESITY: PART 544

Quiz Questions

Action Points

1. Dietary restraint precedes binge eating what percentage of the time?

2. Does everyone who binge eats meet DSM criteria?

3. If someone has BED they are more likely to have what?


OBESITY: PART 54545

AIMS:

Key Learning Points

― Explore how ABT can help people overcome emotional eating ― Understand how to gain awareness of triggers ― Explore what we can control and what needs to be accepted when it comes to emotional eating

― Understand how to use choice effectively ― Explore examples of how to put everything covered into practice

LESSON:

19

Using ABT for emotional eating


OBESITY: PART 546

TasksTasks

1. Do you think that you have clients who aren’t communicating fully due to the shame associated with emotional eating? How do you think you help them feel more comfortable?

2. Consider how you are going to incorporate ABT principles into your business.

3. What is the frequency of avoidance or distraction techniques you or your clients use? What are some acceptance based alternatives you could make?


OBESITY: PART 547

Action Points

Quiz Questions

1. When we aiming to make self congruent choices, is it possible for there to be a wrong choice?

2. Emotional eating is what type of eating?

3. What is the issue with avoidance based strategies?


OBESITY: PART 54848

AIMS:

Key Learning Points

― Understand how we can use ABT to build clients’ resilience to food environment stimuli ― Understand how to grade an individual’s exposure to increasingly challenging foods

LESSON:

20 ABT for Challenging Food Environments


OBESITY: PART 549

Quiz Questions

Tasks

1. What are the steps when we are looking to grade someone’s exposure to hyper palatable foods?

1. Run your own experiment. Grading your exposure to a food that typically you would overeat if available. Write about your experiences below:

2. What do we manipulate, quantity, flavour, time and location depending on?


OBESITY: PART 55050

AIMS:

Key Learning Points

― Explore specific considerations for helping obese clients exercise ― Look at the role of exercise in weight loss and maintenance

LESSON:

21 Exercise considerations for Obese Individuals


OBESITY: PART 551

Action PointsTasks

1. Make sure it is clear part of your service that exercise is unlikely to be the main driver of body fat loss. List the 3 key changes below that will help that happen:

2. Look over your programming. Consider your use of high intensity sessions / finishers. Are they appropriate for all your clients?

3. How else do you feel you could facilitate your clients becoming more active in the rest of their lives?


OBESITY: PART 552

Quiz Questions

Action Points

1. How many minutes per week is recommended to maintain weight loss?

2. Exercise induced fatigue is both a physical and what other state?

3. Exercise won’t have a significant impact on weight loss for most individuals due to…


OBESITY: PART 553

Notes


OBESITY: PART 554

Notes


OBESITY: PART 555

Key Learning / Action Date for Completion

Action Plan

Congratulations on completing the course. The key with any education is how you intend to use what you’ve learnt. Take the time to consider the knowledge you have gained during this course and how you are going to implement it or change what you currently do. Use the space below to summarise or to plan and set goals for the implementation or follow up phase.

Complete the last quiz to earn the badge 5

Date post:	17-Aug-2020
Category:	Documents
Upload:	others
View:	0 times
Download:	0 times

OBESITY - Lift The Bar · 1. Compare your former clients’ initial rate of weight loss with their...

Documents