Practice Guides, Worksheets and Program Tools

* HCA is happy for individual practitioners or organizations to use these worksheets as long as they are printed with the HCA logos and copyright information intact. If you wish to dual brand these worksheets with your own logo, please contact us for further information.

Please note: all of the following documents use American-spelling and are formatted in letter-size paper. For A4 English-spelling versions of these resources, please click here to visit the Health Change Australia site.

General Overview of the HCA Model

• Gale, J (2010). The HCA Model: An integrated model of health behavior change for chronic disease prevention and chronic disease self-management. Download (PDF 144kb)
• 1- page overview of the HCA Model of health behavior change. This can be used as a summary to describe health coaching to other practitioners. Download (US version)  Download (UK version) (PDF 57kb)
• Health Change Spectrum. Find out where health coaching sits in the spectrum of health change.  Download (US version) Download (UK version) (PDF 48kb)

Health Change Session Recording, Reporting & Program Evaluation

Resource Name	Type	Size	Download
HCA Consultation Record		24kb	download
HCA Consultation Record - Instructions		85kb	download
HCA Review Consultation Record		23kb	download
HCA Review Consultation Record - Instructions		85kb	download
HCA Data Recording Guide		76kb	download
HCA Program Results Reporting Template		104kb	download
HCA Sample Letter to GP		18kb	download

Health Coaching Skills Development Exercises

Click here for health coaching skills development tips and exercise tools

HCA Practice Guides & Flowcharts

A. HCA Model Flowcharts & Diagrams:

Resource Name	Type	Size	Download
HCA 10 Step Framework - NEW wording		223kb	(download)
HCA 10 Step Framework - former wording		39kb	download
HCA Pathway to Better Health		24kb	download
HCA Model Context Diagram		378kb	download
HCA Order of Use of Techniques		39kb	download

B. Other Practice Guides:

Resource Name	Type	Size	Download
HCA RICk Principle (RICk Rules)		99kb	download
HCA Review Session Guidelines		53kb	download
HCA Program Options Menu		57kb	download
HCA Decisional Balance Sample Phrasing		42kb	download
HCA Decisional Balance Prompt Sheet		45kb	download

HCA Menus of Options (Goal Hierarchies)

Resource Name	Type	Size	Download
Managing Waist & Weight		25kb	download
Eating Healthily		24kb	download
Being More Active		25kb	download
Reducing Risk of CVD & Diabetes		25kb	download
Managing Stress		27kb	download
Managing Alcohol Intake		25kb	download
Reducing or Quitting Smoking		26kb	download
Energy & Sleep Management		58kb	download
Reducing Cancer Risk		58kb	download
Healthy Pregnancy		48kb	download
Managing Arthritis		46kb	download
Pain Management - donated by Physiotherapist Karine Hales		26kb	N/A
Pain Management 2 - donated by Psychologist Dr Joel Obeso (USA)		12b	download

Worksheets

In this section:

A. Agenda Setting Tools

B. Goal Setting & Action Planning Tools

C. Tracking & Monitoring Tools

D. Cognitive Change Tools

E. Decisional Balance Tools

A. Agenda Setting Tools:

Resource Name	Type	Size	Download
HCA Personal Self-Management Plan		41kb	download
HCA Sample Phrasing Template Steps 1-3		15kb	download
HCA Agenda Setting Pictorial Worksheet - Blank		149kb	download
What Can You Do To Be Healthier - Pictorial Worksheet		733kb	download
HCA Agenda Setting Pictorial Worksheet - Dental		195kb	download
HCA Agenda Setting - Pain Management		187kb	download
HCA Health Profile - Importance & Confidence		239kb	download
HCA Health Profile - Importance & Satisfaction		139kb	download

B. Goal Setting & Action Planning Tools:

Resource Name	Type	Size	Download
HCA Personal Goal & Action Plan		50kb	download
HCA Healthy Goals Action Plan		50kb	download

C. Tracking & Monitoring Tools:

Resource Name	Type	Size	Download
HCA Medication Diary		54kb	download
HCA Daily Health Diary - General		34kb	download
HCA Daily Health Diary - Diabetes		27kb	download
HCA Habit Change Diary		45kb	download
HCA Habit Change Diary - Example		54kb	download
HCA Personal Goals Tracking Sheet		44kb	download

D. Cognitive Change Tools:

Resource Name	Type	Size	Download
Turn Your ANNTs into PETs Worksheet		21kb	download

E. Decisional Balance Tools:

Resource Name	Type	Size	Download
HCA Decision Balance Quadrant Worksheet		38kb	download
HCA to Change or Not to Change Worksheet		42kb	download

Client Handouts

Resource Name	Type	Size	Download
HCA Messy Head Syndrome Cartoon		266kb	download
HCA Goal Mountain Cartoon		165kb	download
HCA The Perfect Composite Poem		114kb	download
HCA Trial & Error		42kb	download

Worksheets & Information Donated by Other Practitioners

Resource Name	Donated by	Type	Size	Download
Non-Hungry Eating	Rick Kausman		24kb	download
Hydration Reminder Sheet	Laura Schilling		89kb	download
Performance Profile	Andrew Dawson		52kb	download
Personal Time Study Worksheets	Jo Basri		83kb	download
Promoting Physical Activity in Primary Care	Jo Basri		1.23mb	download
Weekly Meal Shopping Planner	Jo Basri		25kb	download
Promoting Movement in Stages	Jo Basri		48kb	download
Health Coaching Model vs Traditional Care Model	Jo Basri		153kb	download
The Activity Pyramid - with gentle exercise for older clients	Sophie Morris		839kb	download