Lesson 1.0: Course Outline & Presenter Information


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Lesson Transcript

Welcome to Nudge University - simple and powerful strategies to optimize health coaching and your business thorough the integration of technology.

This lesson provides a course outline and information on your presenter for Nudge University, Dr. Steve Feyrer-Melk.

I'm Dr. Steve Feyrer-Melk and I'll be your guide on this incredible journey. I'm the Director of Lifestyle Medicine at the Optimal Heart Attack and Stroke Prevention Center, Chief Science Officer at Nudge, and I'm a nationally recognized expert in Lifestyle Medicine, Behavior Change and Health Coaching.

My Ph.D. is in Exercise Science and Wellness, and I have a Master's Degree in Human Performance.

But what's most important in this whole journey, and what you need to know, is that I have a distinctive experience from many years working individually with clients and patients to help them make better lifestyle choices, become healthy, decrease their risk, become a better athlete, the whole gamut.

And I use my passionate, forward-thinking, proactive, hands-on approach to present this information to you.

It's things that I've tested, I've researched and documented, but the thread that I want you to think about throughout this entire course is simplicity.

Simplicity in gaining information from your clients, and simplicity on your behalf in utilizing that information.

Because without those, this information is not going to help you.

Additionally, having the right technology, having the right platform is critical to your success.

So the purpose of Nudge University is pretty simple: the purpose is YOU.

The purpose is to empower you - to assist you in optimizing what you do, your health coaching - to strengthen your business - to give you simple and powerful strategies to help you integrate and leverage technology, to leverage your skills and already great abilities to make them even better.

And the format of Nudge University was actually designed to save you time.

You can view it on your smart, your tablet or your computer - it's entirely up to you.

It's been organized into short segments, or lessons to fit into your busy life, in fact, this is actually going to be one of the longest segments!

It's set up for easy access and for quick brushing up in case you forgot a section of, for example, what's important to consider about syncing up certain apps.

It will also be updated as often as possible to stay cutting edge for you.

So the ways you can engage include clicking through a slideshow at your own pace, or you can listen to me [or watch my videos] and I try to add extra information and get a little more detailed along the way [or you can read this like you're doing now!].

So the main sections in Nudge University include:

  • Part 1: Overview of Technology and the Health Professional
  • Part 2: Overview of the Nudge App and Nudge Coach Platform
  • Part 3(a): The Client Experience
  • Part 3(b): The Health Coach Experience
  • Part 4(a): Best Practices for Clients
  • Part 4(b): Best Practices for the Health Coach

So let's get into a little more detail so you understand what you're getting into.

So Part 1 is the overview of technology and the health professional, and I should add that it's very beneficial to from Part 1 all the way through to the next levels, and not to jump around, however, if that's the only way I'll get you to watch these, then you'll absorb some of it and it'll help.

So here are the lessons in Part 1:

  • 1.1 - The Big Picture
  • 1.2 - Current Use of Technology (very important)
  • 1.3 - What Can Be Measured
  • 1.4 - Examples of technology
  • 1.5 - How Technology Helps You
  • 1.6 - Data Approach - Trends or Granular (Oh my gosh, what should you focus on? Granular data or trends data? Ahh.)
  • 1.7 - Data: The Big Four (What are the big four? Where can you get the biggest bang for your buck?)
  • 1.8 - The Best Data and Info

Part 2 is an overview of the Nudge App itself and the Nudge Coach platform.

So for Nudge its the general setup, the Nudge Score and other core elements, and for Nudge Coach it's also the general setup and core elements, and then safety of that data.

We keep data as secure as possible, Nudge is a HIPAA-compliant platform, so you can feel safe and your clients can feel safe.

And within this section, there is also going to be tutorials which show how to actually work the app and Nudge Coach.

The the client experience, the Nudge App features, the functions, the data points, syncing wearables, how clients will do that, wearable devices, which ones are out there, and how the client will communicate with you as their health professional.

And then the experience for you. The dashboard features, functions and layout, and how you invite clients and get them set up under you. Setting up banners and announcements for them, and setting up Smart Lists [formerly called 'alerts'] to make things easier for you.

And then best practices goes into more depth - how to use passive data and active data with clients, using messaging, setting up parameters and how that impacts the client, and then a great area to save you a lot of time in the long run is how you introduce this technology to clients, how you interpret data, and how you can leverage it. 

The easiest way to communicate, how you use Smart Lists [formerly called 'alerts'] to work in your benefit, how to message a group and how to message individuals and details of setting up announcements.

Marketing to your clients and getting them to understand that you're even out there doing this, which is very powerful.

The integration of wearable technology and how that works, and finally revenue you can generate working with this technology.

So technology is very powerful. If you have the right technology it will help you optimize your approach, and the way you do things currently in your health, fitness and prevention programs.

So in overview, again, I'm Dr. Steve and I'm here to guide you through this.

Nudge University provides simple, powerful strategies to help you optimize your health coaching and strengthen your business.

It provides you guidance for how to integrate technology. The course can be viewed as presentations or slideshows [or text!].

It's set up in small, easy-to-digest sections, and it'll be great for you to review in the future as you're working more and more in depth with your clients.

Thanks so much for joining me for this course outline and allowing me to introduce myself.

So thanks for listening, this is Dr. Steve, and good luck!

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Lesson 1.1: The Big Picture


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Welcome to Nudge University! This is NU 1.1 - The Big Picture.

I'm Dr. Steve Feyrer-Melk, and I'm the Director of Lifestyle Medicine and a Health Coach at the Optimal Heart Attack and Stroke Prevention Center.

I'm also the Chief Science Officer for Nudge, and a nationally recognized expert in Lifestyle Medicine, Behavior Change, and Health Coaching.

Now, the health and fitness profession is awesome, and as professionals we are positioned in an exciting, rewarding, and potentially very profitable mission.

And if we set ourselves up right we can do we can do this, but there is a problem.

As professionals and organizations, we are not as well-equipped as we could be to manage and engage the clients and patients of the 21st Century.

They are different than they were in the past, and technology is playing a big part in this.

Looking at the issues involving these patients and clients: 

  • obtaining reliable information is very important
  • being able to increase our volume, of working with more people 
  • effectively managing health technology and smartphone information they are using
  • and efficiently communicating with the clients and patients of today

Now we're in a very competitive environment as well, so we have to modify how we do our business - not the core of it - but we need to use other sources, and other tools to help leverage our abilities.

The old way was gaining information through logs, through very inefficient and fragmented systems, and interacting with patients and clients was time-consuming, and often even non-existent.

The old way was very reactive instead of proactive. It was more delayed feedback versus giving them actionable feedback before its too late. So unfortunately this leads to suboptimal results with not only our patients and clients, but also our business as well.

Technology is a powerful tool that can help. It can help you optimize your approach to health, fitness and prevention.

It can augment, it can support what you already do.

So the big picture is that health and fitness pros are in a great position for success. Unfortunately, we aren't as well equipped as we need to be.

And our issues of obtaining reliable information from clients and patients, and increasing our volume and revenue, those are serious issues.

So we must leverage tools that are available in this competitive market, and one big tool that we can all leverage is technology - its the right technology, that's what we need.

So thanks for listening [or reading], this is Dr. Steve, and good luck!

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Lesson 1.2: Current Use of Technology


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Welcome to Nudge University! This is Lesson 1.2 - Current Use of Technology.

I'm Dr. Steve Feyrer-Melk, and I'm the Director of Lifestyle Medicine and a Health Coach at the Optimal Heart Attack and Stroke Prevention Center.

I'm also the Chief Science Officer for Nudge, and a nationally recognized expert in Lifestyle MedicineBehavior Change, and Health Coaching.

Technology is a powerful tool. It can be a powerful tool in our hands to help us optimize our approach to health, fitness and prevention.

Because our clients and patients are very familiar with wearable technology. Nearly 80% of the people we work with are familiar with activity monitors, and over 80% are familiar with smartwatches.

But what's even more exciting is that wearables and apps make people feel more engaged, engaged with their health.

And for us as professionals, this is where we fit in.

Also, millions and millions of wearables are being sold worldwide, and they will continue to be sold at a rapid rate, so we have to keep up with this.

So the time is now.

  • 84% of consumers believe health technology can boost health management.
  • 58% of smartphone owners have downloaded at least one fitness app.
  • A significant amount of health professionals, 88% of them, want patients to monitor themselves.
  • And 81% of clients and patients said they would buy a wearable if it was recommended to them by a health professional.

Those are wonderful statistics that support what we do, and the integration of health technology.

Now the American College of Sports Medicine [ACSM] has a national survey every year on fitness trends, and the most recent one said that fitness professionals say that the number 1 trend is wearable technology.

So you're probably engaged with some of this wearable technology, but what we're trying to do with you with Nudge University is help you optimize the way that you use that technology for each individual client or patient, and your business.

So don't be left behind.

In summary... 

  • consumers are familiar with wearable technology.
  • wearables and apps make people feel more engaged
  • wearables sales have, and will continue to skyrocket
  • your clients or patients believe that health technology can boost health management
  • 58% of smartphone owners have downloaded at least one health app
  • 88% of health pros want clients and patients to monitor themselves
  • 81% of consumers would buy a wearable devices if it's recommended by a health professional

Thank you for listening [reading] and learning this lesson on current use of technology. I'm Dr. Steve, good luck.

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Lesson 1.3: What Can Technology Measure


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Welcome to Nudge University! This is Lesson 1.3 - What Can Technology Measure?

I'm Dr. Steve Feyrer-Melk, and I'm the Director of Lifestyle Medicine and a Health Coach at the Optimal Heart Attack and Stroke Prevention Center.

I'm also the Chief Science Officer for Nudge, and a nationally recognized expert in Lifestyle MedicineBehavior Change, and Health Coaching.

Our theme here has been technology being a very powerful tool. And we can optimize our craft and optimize our approach to health, fitness and prevention if we use and leverage the right technology.

So the first area to explore is, what will technology actually measure? What are the options that we have?

Basically, there are a couple of different categories on each end, but then there's everything in-between. So there are very simple things that can be measured, and there are very complex data sets and so on that can be measured.

So lets get some specific examples...

  • steps
  • flights of stairs
  • distance
  • heart rate
  • intensity
  • caloric expenditure
  • sleep

Those are all very simple types of data that's being collected in normal wearables. Also, as we move further toward the complex, there's...

  • posture
  • sedentary behavior
  • sun exposure
  • body composition (like in the case of the InBody BAND using bioimpedance to give body composition measurements)
  • nutrition
  • muscular activity
  • stress
  • hyration levels
  • blood pressure

All of these can be measured with electronic devices and wearable devices.

  • blood glucose
  • breathing rate
  • EKG
  • heart rate recovery
  • even heart rate variability (which is an important component of health and wellbeing)

So there's a whole range of things that can be measured from the simple to the complex.

So what should you, your patients, your clients measure? Well that's a big question mark because that depends on the outcomes, that depends on each individual client or patient, the finances of the patient, the level of involvement that they have, and so on.

Those areas will be addressed in more detail later on, but you should have a good understanding of the wide range of variables that you can test using technology.

So in summary...

  • data that can be measured can be simple or complex
  • steps, flights of stairs, heart rate, intensity of movement, hydration
  • caloric expenditure, posture, heart rate variability
  • stress, body composition, nutrition

A whole number of these can be measured, and they can help you help your clients and your patients.

Thanks so much for listening to [reading] Nudge University 1.3 - What Can Technology Measure, I'm Dr. Steve, good luck.

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Lesson 1.4: Examples of Technology


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Welcome to Nudge University! This is Lesson 1.4 - Examples of Technology.

I'm Dr. Steve Feyrer-Melk, and I'm the Director of Lifestyle Medicine and a Health Coach at the Optimal Heart Attack and Stroke Prevention Center.

I'm also the Chief Science Officer for Nudge, and a nationally recognized expert in Lifestyle MedicineBehavior Change, and Health Coaching.

Our theme has been the power of technology and harnessing the right technology to leverage your skills and optimize your approach to health, fitness and prevention, and to your business.

So health technology can come in many different types. During our last lesson we talked about the different things that can be measured.

They also come in various prices and levels of complexity. All of these are variables involved in choosing which technology you will use.

Moreover, having the right technology for specific patients or clients is important, and what exactly to measure depends of the client's specific needs.

But let's talk about some different types of technology that are out there.

You're definitely not expected to be an expert in every one of these, but just be aware that they're out there, and you can help guide clients or patients to which areas to purchase, or as a professional in your business you can become a reseller of some of these which can help your business financially.

Garmin is one that is a very trusted brand. They continually change. They have a whole range of wearables for probably the whole gamut of clients that you might have.

Fitbit has been around forever it seems, and they have a long list from just a simple wearable to a smartwatch. Very good quality, very good technology, so you can't really go wrong with a Fitbit.

Now one of the newest ones out is the InBody BAND, and this is a technology that takes it to the next level. I really like the InBody BAND because you can check body composition through bioimpedance. This is great as a fitness professional because we're not really as concerned about our weight as we are about what we're actually made of.

Vector Watch is a technology I've been testing out that is more of a fashion watch. More basic than an Apple Watch, but very stylish and can get basic lifestyle information.

Apple Watch is a trend-setter and will continue to be a trend-setter in the health technology wearable market. This is one of my favorites. I think it offers a heck of a lot, more than just health and fitness. So it's going to be for someone who wants more, more than just a health and fitness device for activity monitoring but its a very good device.

Withings is another company that has a wide array of wearable devices. From blood pressure cuffs, to sleep technology, to wireless scales that will send data to the Nudge App, which is nice. I like Withings a lot. They work well with fitness professionals that we know.

Polar has been around for awhile, were a trend-setter in heart rate monitoring. I did research with Polar WAY way back in the '90s and they had wonderful technology. One of the good things about Polar is they are waterproof, which if we have swimmers then that's a good one for them.

Under Armour is trying to make an impact in the wearable device market. They have a fitness system where its a scale, a monitor and a band.

Samsung, has an array of devices, and again its personal preference. The technology is basically the same in a lot of these.

Misfit has teamed up with Swarovski, to make designer types of wearables. And so this you may not work out in, but you can get daily activities from clients who might be more willing to wear something.

Life Beam is a company that's working with helmets and hats to help monitor behaviors and movement, heart rate and so on.

Omron is a top technology in wireless blood pressure cuffs. They are working on getting approval for this one on the wrist. They're pretty close, and by the time you watch this they may already have received approval. That's a great one because it will send data to an app and get be used very powerfully by a health professional.

Pryme Vessyl you may have seen these. A water bottle that will track the amount of water that you drink and send it to an app. And this will help trigger better hydration. I mean, we get busy, our patients and clients forget to drink water so its a good thing.

Athos and Hexo Skin, they've been around a long time but they haven't successfully brought their wearables to a high level. I've tried to get these to test, but its very difficult. So I can't say that I've tested these as I have with other wearables, but they can measure movement, balance of muscle mass, and balance of movement in an actual resistance training exercise for example.

ResMed is a trend-setter when it comes to sleep monitoring and sleep health, providing feedback to the client about the quality of their sleep. This is one of the areas that has so significant an impact in the positive or negative results with lifestyle, exercise, nutrition and so on.

Dash is wireless smart earbud that measures heart rate and more.

Lumo Lift, I've been testing this out, is a posture device. Very small, you put it in your lapel or put it in your blouse and you can set it to give you a little vibrate when you start to lean forward, and it's really helping personally, just anecdotally for my posture, as well as other people I've had tested. So the Lumo Lift is a very simple device but very powerful.

Also Upright lift, also a wonderful device. A little more invasive if you will. You have to put it on the skin. So there might be a little trouble for people actually getting it on their back.

AliveCore Kardia band for EKG is one of those that will probably be approved by the time you listen to this. I see this as a value for more of the medical side in that you basically just put your hands on the band and it will measure an EKG and send it to whomever you have linked to your account.

Now, this goes a little bit beyond what a health coach will be involved with, but I just wanted to show you the technology that is becoming available. I work in a cardiology practice and this AliveCore has cases for smartphones that have electrodes on them that you hold, and that information is sent to the cardiologist. It's very accurate information and it's wonderful.

So what should your clients or patients measure?

Again, it depends on a number of variables that as we move through here we will be discussing. But keep in mind... 

  • what do you want to measure
  • how much are they [your client] willing to spend
  • what value is that [data] going to have to you
  • and how are you going to gather that information to make it usable

So in summary...

  • there's various prices, complexities and costs for wearables
  • make selections based on what is to be measured
  • examples include Withinga, InBody, Fitbit, AliveCore, etc.

there are a number of these, don't think you have to be an expert in all of them. Just be aware of them and know that these can be powerful tools that you can leverage to better perform your craft and work with people.

Thanks again for joining me today, I'm Dr. Steve, good luck.

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Lesson 1.5: How Technology Helps You


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Welcome to Nudge University! This is Lesson 1.5 - How Technology Helps You.

I'm Dr. Steve Feyrer-Melk, and I'm the Director of Lifestyle Medicine and a Health Coach at the Optimal Heart Attack and Stroke Prevention Center.

I'm also the Chief Science Officer for Nudge, and a nationally recognized expert in Lifestyle MedicineBehavior Change, and Health Coaching.

I'm here to talk about the power of technology. I'm going to help you easily and effectively incorporate this technology.

Some of you may have already dabbled in it, and some of you may have already used some health technology and platforms, but I'm here to help you refine that and make it even more powerful.

So what we do here is we help you leverage your expertise, we help you integrate technology into your coaching methodology. We'll help save you time, and maximize your potential for financial gain, because we need to be paid for this great service we provide.

Now when it comes to the client/technology relationship the key to success is YOU, the health/fitness professional.

You see, we are that link between the utilization of technology and the client, and we help them interpret this information. And I can't tell you how many times I have clients and patients tell me that, "oh, I've got this wearable device, but I don't know what to do with the information."

That is where our value comes in.

So Nudge will empower you, it will make you even better at what you do. But what's required is the right hub, the right place to gather this information. That hub needs to be...

  • easy-to-use
  • powerful
  • patient or client-centered
  • an efficient management tool.
  • integrate a number of different technologies
  • provide the KEY data - it doesn't have to provide all the data, just usable data, data you can help others with
  • help you work better with your clients or patients

That's why Nudge Coach is what I'm recommending, a lifestyle Client Relationship Management (CRM) Tool - a way to help you maximize information that can be provided accurately from your clients and your patients to you, and that you can easily use.

So how will this impact you?

  • you'll become more efficient with your communication
  • have better collaboration with clients and patients - this is important for your success and the success of the clients you work with
  • it'll enhance your ability to guide and care for your clients

That's what its all about, a simple, powerful way to success. Nudge Coach is going to help you do this.

It is at the center of this triad. The health coach, the wearable or digital health technology, and the client.

Nudge Coach bridges that gap and allows you to leverage your abilities.

So in summary...

  • technology is a powerful tool
  • we want to leverage your expertise and save you time
  • maximize your potential
  • create a more powerful link between apps or wearables and your client
  • finding the right hub helps you gather information and communicate
  • Nudge Coach is one of those such hubs
  • you can more efficiently communicate, better collaborate, and provide enhanced guidance or your clients
  • it's simple, it's powerful, I cannot express how much this has impacted the work I have with the hundreds of patients and clients I work with, and I know that you'll find the same benefit

So that you so much for joining for Nudge University 1.5 - How Technology Help You. This is Dr. Steve, good luck.

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Lesson 1.6: Data Approach, Trends or Granular


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Welcome to Nudge University! This is Lesson 1.6 - Data Approach, Trends vs. Granular - you may not have any idea what that means yet, but this is a really important section.

I'm Dr. Steve Feyrer-Melk, and I'm the Director of Lifestyle Medicine and a Health Coach at the Optimal Heart Attack and Stroke Prevention Center.

I'm also the Chief Science Officer for Nudge, and a nationally recognized expert in Lifestyle MedicineBehavior Change, and Health Coaching.

Consider the average client when we're thinking about these different approaches. This isn't going to work for every single one. It's not cut and dry or black and white.

But if you look at the average client, you are going to find one side or the other for most of the people we work with.

And this is very important. Keep an open mind when we discuss this. Because to be an effective coach we have to understand the Granular Data Focus vs. the Trends Data Focus.

So let's look at the Granular Data Focus, it's very microscopic level, looking at the very minute details. And it means we're collecting those details.

There's going to be a significant amount of data when you're using the granular approach. It takes a significant amount of time for both the client we're working with - so you remember back when we were talking about wearable devices, if you haven't watched or listened to those I'd recommend going back and doing that - there's a significant amount of time involved with certain granular types of data collection.

And usually, I would say the vast majority of the time compliance with granular data is very low.

Because when you get incomplete information, the results can cause a negative cycle because you were not giving advice based on complete data and information that is helpful. This can also lead to losing your patients and clients and therefore reduced revenue obviously.

So let's look at the Trends Data Focus - the one that I subscribe to and believe is the best way for the majority of people I work with - is the best way to get information. You look at a macro level. You collect larger or broader categories of data. The big picture.

It's low to moderate amounts of data, so the time required is less, and the compliance is usually much higher because you're often times using [very simple or even] passively collected data information. So your clients don't have to spend a lot of time actively putting this information in.

So examples of a Granular Data Focus when it comes to nutrition would be looking at the molecular level, measuring in milligrams. Whereas the Trends Data Focus would be looking at serving sizes. We'd be looking at protein, vegetables, water servings - larger components.

And what I find with this, and I'm sure you will agree with me, is that clients and patients can understand this approach, and it's much more replicable in their every day life [to have them track their lifestyle this way] because they understand what it means when we talk about serving sizes.

When you're looking at the granular approach when it comes to physical activity you're looking at the exact number - the exact seconds, the exact minutes of movement, the exact heart rate to be at. Having your heart rate between 127 and 129 bpm to get the benefit.

When you're looking at physical activity with the trends approach, we look at activity in terms of intensity level - not saying the heart rate isn't important, but may be in more of a larger range or the feeling of what your heart rate is like.

Remember that we're talking about the average client you may be working with here.

It may be the minutes of movement, so it's more of a generalized approach, which the majority of patients and clients can understand.

A trends data focus does progressively become more specific. So when it's necessary to get some granular data that can always be gathered.

An example of that could be putting a heart rate monitor on someone and looking at the ranges their in. Or it could be having them input every single piece of food they put in their mouth in an app, and have it give us the exact amount of vitamins, minerals, macronutrients, protein, etc. all to the exact gram or milligram.

So, what data do we track?

We talked about the Granular Data Focus vs the Trends Data Focus, so when it comes to the granular focus it's...

  • the micro level
  • detailed data
  • takes a significant amount of time
  • compliance is usually low - for professionals as well because it takes a lot of time to filter through granular data, as well as for the client
  • don't get complete information very often which can lead to negative results

When it comes to the Trends Focus, which I do believe in and adhere to myself, it's...

  • more of a macro level
  • patients and clients understand it better - it's more interesting to them because it translates to their everyday life
  • it involves less time for us, and for our clients
  • and it has a higher compliance rate

Thank you so much for joining me for Nudge University 1.6 - The Data Approach: Trends or Granular. 

I'm voting for the Trends. This is Dr. Steve, good luck.

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Lesson 1.7: Data, The Big Four


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Welcome to Nudge University! This is Lesson 1.7 - Data, The Big Four.

I'm Dr. Steve Feyrer-Melk, and I'm the Director of Lifestyle Medicine and a Health Coach at the Optimal Heart Attack and Stroke Prevention Center.

I'm also the Chief Science Officer for Nudge, and a nationally recognized expert in Lifestyle MedicineBehavior Change, and Health Coaching.

As with previous presentations I've given please consider the average client or patient when you're thinking about these techniques, technologies, and behavior change theories because we want to get the biggest bang for our buck.

Yes, there is going to be some gray area, but please keep an open mind.

So what we do [as health coaches/professionals] is we guide, lead, direct, and nudge our clients over time. And we want behavior change over time for a number of reasons.

The most important is for success because if we build on positive experiences we can create an upward spiral, and if there's a relapse we can learn from those and we can have positive change as we move forward.

But the bottom line to much of this is how we handle this, how we develop it. Are we using more simplicity or complexity?

Simplicity, not complexity is what leads to success.

Think of the things you do in your life. You're more likely to do those things that are simple than if they're complex.

Same thing comes with the way we work with our client.

If we work with them in a more simple 'mode' if you will, we're more likely to work with them better and have longer term success.

Because id we have more complexity, then the compliance, the following of those suggestions or behavior changes is going to be low, and what I like to talk to my clients about is trying to make the smallest amount of change for the greatest benefit.

And that's where we as health experts come in. We have the training and this is where our value is.

We can help them make small changes that have significant benefit, and then we can build on those.

Now this doesn't mean they're not going to work out hard, or make some tough decisions when it comes to nutrition, or drastically changing sleeping habits, but we build on smaller changes to get that benefit.

When we look at the Trends Data Focus, we're working with low to moderate amounts of data, it's not going to require a lot of time on the behalf of the people we're working with [or ourselves], and our compliance will be very high because of that.

So what are THE BIG FOUR? What are we talking about? The big areas in the trends approach that you will want to consider to measure.

Again, there may be some granular things that an individual patient or client may need. But in general, for the vast majority - when it comes to getting as much information as you can that is accurate from clients the trends approach is going to be much better.

So what are The Big Four?

  1. Well one of them is Physical Activity. And you think about that in a number of different realms, from everyday lifestyle activity, to actual exercise type of activity, to work activity.
  2. Nutrition - positive nutrition, negative nutrition, high nutrient foods, low nutrient foods, amounts of nutrition, matching up nutrition to body composition, etc.
  3. Sleep - what about quality of sleep? A significant impact, one of the big four and a significant one of the big four.
  4. And Hydration. Being fully hydrated, drinking enough water, sustaining that over periods of time to fully hydrate so that you can perform optimally, both physically and mentally.

Those are The Big Four. Those are the main areas that I can promise you that if you address these with each and every client or patient, and slowly try to impact those you will have significant success personally, financially, and with your clients.

Nutrition. Sleep. Activity. Hydration.

You'll start to recognize this when you look at the Nudge App.

But the key is small change, and I always recommend that you just start with one, even when the patient or client comes to you highly motivated and excited, it's a high level of probability that they will fail if you introduce too many things at once.

I call this the New Years Resolution trend, where someone comes in, their excited, we throw a bunch of stuff at them, and then they leave, do one or two and they trend away.

Thank you so much for joining me for Nudge University 1.7 - Data - The Big Four. This is Dr. Steve, good luck.

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Lesson 1.8: The Best Data & Information

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Presenter Slides

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Lesson Transcript

Welcome to Nudge University! This is Lesson 1.8 - The Best Data and Information.

I'm Dr. Steve Feyrer-Melk, and I'm the Director of Lifestyle Medicine and a Health Coach at the Optimal Heart Attack and Stroke Prevention Center.

I'm also the Chief Science Officer for Nudge, and a nationally recognized expert in Lifestyle MedicineBehavior Change, and Health Coaching.

The question is, what is the best information? The best data that we should be getting from those that we work with?

What information do the patients or clients want to share? And we have to look at that because this is who we're gaining this map from.

  • so it has to simple and non-disruptive to the client
  • it has to take very little time on behalf of the client - it can't become something that becomes a thorn in your side, trying to get you this information
  • and and they have to see this information they are gathering and presenting to you, either passively or actively - which we will get to in a later discussion, they have to see this information as helping them

That is the bottom line. We want to help our clients and patients succeed.

When it comes to us, the health coach or health professional, what information do we want?

  • Well, it's very important that this information is complete

Getting incomplete information is terrible, and this has happened to me many times and I'm sure it's happened to you.Where you only get partial information from a patient or client and you're trying to piece it together, or you're asking them questions and they're saying how wonderful everything is, but you start drilling it down and a whole Pandora's Box opens up. And it's very difficult to lead them.

  • This information has to be accurate.

It has to be information that reflects the facts with valid data.

  • And it has to be actionable.

It has to be something that we can take action with. Information that we can actually use and transfer into our advice into something that our clients and patients understand, and more importantly that will help them make a decision that they incorporate into their actions.

So what is the best information? Well, the answer really is, the most complete information that you can get. That is the best information.

Consider this: Information assists your guidance of patients and clients over time. Therefore, you want that information to continue to flow, so for it to continue to flow it has to be a simple process for you to help guide your clients.

The complexity has to be low. If the complexity is high, then we know compliance will be low. And therefore, the accuracy and completeness of the information is gone.

As well as that change that you are asking for, the change in collecting that data, that change in the amount your asking from them has to be low in comparison to the benefit that they are going to get.

So the trends focus is the way to go when it comes to this.

So as a review, the low to moderate data, requires little time on the part of the client, and leads to higher compliance.

So when we look at The Big Four, we're trying to look at large ways of getting this complete data. Simply. And as complete as we can.

So what are the techniques that we can use to get those? And that is what we will talk about in the next session.

So clients want information sharing that is going to be helpful to them, that is not disruptive, that is simple for them to collect and takes little time.

Health coaches and health professionals like us want to gather information that is complete, accurate and actionable.

And we want the best information from those clients, and the best information we can get from them that is simple and easy for them, so that we do get that complete information from them.

And we want to focus on the areas in The Big Four. The physical activity, the nutrition, the sleep, the hydration.

If we can get complete data in those areas, on a stepped approach, in a simple fashion, then we will be much more successful and our clients will be much more successful.

And Nudge Coach and the Nudge App, which you will learn about in the next sessions will help you do this.

So thank you for joining for Nudge University 1.8 - The Best Data and Information. I'm Dr. Steve, good luck.

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