Health Coaching Techniques: Applications for TB 2021 Virtual Pacific Islands Tuberculosis Controllers Association (PITCA) Conference November 16–19/15–18, 2021 1 Health Coaching Techniques: Applications for TB 2021 VIRTUAL PACIFIC ISLANDS TUBERCULOSIS CONTROLLERS ASSOCIATION CONFERENCE NOVEMBER 16, 2021 1
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Meet Reyna• 56-year-old Filipina woman living in Guam
• Has diabetes and asthma
• Her nephew was recently diagnosed with TB disease and listed her as a household contact
• Upon testing, Reyna was found to have LTBI
• You called to encourage her to seek treatment
“I never should have gotten that test. I feel fine! What would be the point of taking a medication for something that’s not a problem? Besides, my nephew told me those medications make you feel sick.”
Reyna says, “Look, I get that my nephew needs medicines. I’m the one who made him go to the doctor, and he hates doctors. And I got the test like they asked me to. But I just don’t know about taking medications for months.”
Reyna says, “You know, I work in a hotel, and I can’t do my job if I’m feeling sick to my stomach. Besides, aren’t there all these things you can’t eat or drink when you are on medications?”
Reyna says, “My doctor was saying that it was important to get treatment for TB since I have diabetes. And I would hate to pass this on to my mother or sister.”
What do you say to Respond to Reyna by summarizing her thoughts or offering new information?
Reyna says, “Well I’m really glad my nephew is getting help. My uncle died from TB when I was a kid, and it was awful. But if I’m not sick at all, doesn’t it mean that my body is fine? Why take something that makes me feel sick and turns my sweat orange? That doesn’t seem natural!
After you share new information, what question might you ask?