Macro Coach Behavioral Coaching and Adherence 1 Flashcards

A client has been perfectly hitting their macros Monday through Friday but consistently overeats on weekends. According to behavior change principles, what is the MOST effective first intervention?

Answer: Identify and address the specific environmental or social triggers occurring on weekends

Behavior change requires identifying root causes rather than adjusting targets around symptoms. Weekend overages are almost always driven by identifiable triggers — social settings, alcohol, reduced structure — and addressing those cues directly produces lasting change.

Which questioning technique from motivational interviewing is MOST appropriate when a client says, 'I know I should track my meals, but I just can't seem to do it'?

Answer: A reflective statement followed by an open-ended question exploring ambivalence

Motivational interviewing uses reflective listening and open-ended questions to help clients explore their own ambivalence. Jumping to solutions before the client feels heard undermines the therapeutic alliance and rarely produces sustained behavior change.

A client says, 'I've been tracking for two months straight and I feel like I have no life anymore.' What does this MOST likely indicate from a coaching perspective?

Answer: Tracking precision is overpowering psychological flexibility and sustainability

Long-term adherence requires balancing structure with psychological flexibility. When tracking becomes an all-consuming burden, it signals that the system needs adjustment — not the client's mindset. Sustainable coaching builds habits that fit into life, not the reverse.

During a check-in, a client expresses shame after eating off-plan at a birthday party. What is the coaching priority in this moment?

Answer: Normalize the experience and redirect focus toward identity and long-term patterns

Shame is one of the strongest predictors of disengagement from health behaviors. The coach's priority is to reduce shame, normalize the single event, and reinforce the client's broader identity as someone pursuing a healthy lifestyle — not to analyze or punish the deviation.

A client is highly adherent to protein and fat targets but chronically under-hits fiber. They report no awareness of the issue until check-ins. What behavioral strategy would BEST address this gap?

Answer: Add a fiber-specific tracking column and link it to an existing daily habit as a cue

Habit stacking — attaching a new behavior to an existing routine — is one of the most evidence-based methods for closing adherence gaps. Making fiber tracking salient and linking it to an established cue increases the likelihood the client notices and corrects the shortfall in real time.

A client in the early stages of macro coaching demonstrates high external motivation — they are tracking primarily to please their spouse. According to self-determination theory, what is the coach's BEST long-term strategy?

Answer: Gradually help the client connect tracking behaviors to their own personal values and intrinsic goals

Self-determination theory identifies internalized motivation as the strongest predictor of long-term adherence. A skilled coach progressively shifts clients from external motivators toward intrinsic ones — connecting behaviors to personal values, identity, and autonomous goals — which sustains adherence when external pressure fades.