CHC CHC Health Coaching Business & Program Development 2 — Questions and Answers
Question 1: Under HIPAA, when is a health coach who works independently (not affiliated with a covered entity) typically required to comply with its regulations?
- Always, regardless of setting
- Only when they handle protected health information on behalf of a covered entity as a business associate (Correct answer)
- Never, because coaches are not licensed clinicians
- Only when coaching clients with chronic disease
Correct answer: Only when they handle protected health information on behalf of a covered entity as a business associate
Independent health coaches are generally not covered entities under HIPAA, but become subject to HIPAA obligations as a business associate if they handle PHI for a hospital, insurer, or other covered entity.
Question 2: Which outcome measurement tool is most commonly used in health coaching programs to track client self-efficacy?
- Body mass index (BMI) scale
- General Self-Efficacy Scale (GSE) (Correct answer)
- VO2 max testing
- Fasting glucose lab values
Correct answer: General Self-Efficacy Scale (GSE)
The General Self-Efficacy Scale measures a client's belief in their ability to handle challenges and is a reliable predictor of behavior change outcomes.
Question 3: A health coach wants to track program effectiveness over time. Which metric best demonstrates behavior change progress?
- Number of coaching sessions sold
- Client's self-reported adherence to agreed-upon wellness actions between sessions (Correct answer)
- Coach's personal satisfaction score
- Number of social media followers gained
Correct answer: Client's self-reported adherence to agreed-upon wellness actions between sessions
Tracking adherence to between-session actions directly reflects whether the coaching process is translating into real-world behavior change.
Question 4: Which strategy best supports client retention in a health coaching practice?
- Offering steep discounts after the first session
- Consistently celebrating small wins and maintaining accountability between sessions (Correct answer)
- Focusing solely on dramatic health outcomes
- Reducing session frequency to lower client commitment
Correct answer: Consistently celebrating small wins and maintaining accountability between sessions
Acknowledging incremental progress and maintaining accountability between sessions builds momentum, trust, and long-term engagement with the coaching program.
Question 5: What is the main purpose of using a 'session recap' or follow-up note after each coaching session?
- To bill insurance companies for services rendered
- To document the client's goals, action steps, and progress for continuity and accountability (Correct answer)
- To share the client's health data with their physician automatically
- To replace the need for future sessions
Correct answer: To document the client's goals, action steps, and progress for continuity and accountability
Session recaps reinforce accountability, document progress, and ensure both coach and client share a clear record of commitments made.
Question 6: A health coach is developing an online group coaching program. Which platform feature is MOST important for maintaining client confidentiality?
- High-definition video quality
- Password-protected access and secure data storage (Correct answer)
- Public sharing options for session recordings
- Integration with social media platforms
Correct answer: Password-protected access and secure data storage
Password-protected access and secure data storage prevent unauthorized parties from accessing confidential health information shared in group sessions.
CHC CHC Health Coaching Business & Program Development 2
Under HIPAA, when is a health coach who works independently (not affiliated with a covered entity) typically required to comply with its regulations?