Peer health coach experiences promoting a nondiet approach in a university health coaching program

• Published in: Health education (Bradford, West Yorkshire, England) West Yorkshire, England), 2024-05, Vol.124 (1/2), p.102-118
• Main Authors: Lee, Saemi, Lima Fogaca, Janaina, Papini, Natalie, Joseph, Courtney, Squires, Nikole, Clifford, Dawn, Lee, Jonathan
• Format: Article
• Language: English
• Subjects: Autonomy; Behavior change; Behavior Modification; Campuses; Challenges; Clients; Coaching; Coding; College campuses; College students; Colleges & universities; Diet; Educational Change; Educational programs; Group supervision; Health behavior; Health education; Health promotion; Independent Study; Interpretative phenomenological analysis; Interviews; Lifelong Learning; Motivational interviewing; Nutrition research; Peer Teaching; Peers; Self Concept; Semi Structured Interviews; Social media; Stress Management; Student Attitudes; Supervision; Supervisors; Teaching Methods
• ISSN: 0965-4283; 1758-714X
• DOI: 10.1108/HE-03-2023-0036

PurposeResearch shows peer health education programs on university campuses can support students in pursuing sustainable health-related behavior changes. However, few programs deliver peer health education through a nondiet, weight-inclusive framework. Research shows that health educators who challenge the status quo of diet culture and weight-focused health interventions may face unique challenges when sharing this perspective with others. Thus, the purpose of this study was to examine the experiences of peer educators who provided critical health education by introducing a nondiet, weight-inclusive approach to health.Design/methodology/approachFive health coaches from a university health coaching program at a mid-sized southwestern university participated in a semi-structured interview. The data were analyzed through interpretative phenomenological analysis.FindingsPeer educators faced numerous challenges when introducing nondiet, weight-inclusive approaches such as lacking credibility as a peer to challenge weight-centric messages, feeling conflicted about honoring clients’ autonomy when clients are resistant to a weight-inclusive approach and feeling uncomfortable when discussing client vulnerabilities. Peer educators also identified several strategies that helped them navigate these challenges such as being intentional with social media, using motivational interviewing to unpack clients’ concerns about weight, and seeking group supervision.Originality/valueGiven the reality that health coaches will face challenges sharing weight-inclusive health approaches, educators and supervisors should explicitly incorporate strategies and training methods to help peer health coaches prepare for and cope with such challenges. More research is also needed to examine effective ways to introduce weight-inclusive approaches to college students.