What Does a Health Coach Actually Do? An Honest Look Beyond the Hype

Health coach conducting a virtual coaching session at sunlit home office desk while taking notes and smiling warmly at laptop screen
Discover what it takes to become a certified health coach in 2024, from credentials and core competencies to building a thriving practice. Expert insights and proven strategies.

I’ve spent years watching the coaching industry evolve from cheerleaders to the forefront of patient support and care. But here’s what keeps me up at night: I see too many patients getting sucked into programs that promise transformation and individualized support but deliver little more than generic advice and programming wrapped in fancy marketing and idealistic results. This is the difference between some online “coaches” and trained professional Health and Well-Being Coaches. 

The Truth About Health Coaching (It’s Not What Instagram Shows You)

A legitimate coach isn’t someone who just posts workout videos or sells meal plans. Health Coaches are the trained professionals who help bridge the gap between medical advice and real-life implementation. Think of us as behavior change specialists who understand both the science and the struggle. I sometimes think we should rebrand as Wellness Consultants, but I’ll save that soap box for another day 🙂

What a Real Health Coach Actually Does:

  • Helps identify and remove barriers to change
  • Creates personalized, sustainable action plans
  • Provides accountability and support
  • Facilitates lasting behavior modification
  • Coordinates with other healthcare providers

The Science Behind Health Coaching

Research shows that people who work with qualified health coaches are 3.2 times more likely to maintain healthy changes after one year compared to those who try alone. But here’s the key word: qualified.

What Makes a Qualified Health Coach?

  • National Board Certification (NBC-HWC)
  • Evidence-based coaching methodologies
  • Understanding of behavior change psychology
  • Professional boundaries and ethics training
  • Ongoing education requirements

Signs You Might Need a Health Coach

You might benefit from health coaching if:

  • You know what to do but struggle with consistent execution
  • You feel overwhelmed by conflicting health information
  • You’re managing a chronic condition and need lifestyle support
  • You want to bridge the gap between medical advice and daily habits

The Gap Between Knowing and Doing

Here’s what nobody talks about: Most people already know what they should be doing for their health. The real challenge isn’t information – it’s implementation. That’s where qualified health coaches make all the difference.

How Health Coaches Bridge the Gap:

  • Breaking down overwhelming goals into manageable steps
  • Creating systems for consistency
  • Addressing underlying barriers to change
  • Building sustainable habits that stick

Red Flags to Watch For

Not all health coaches are created equal. Be wary of:

  • Promises of quick fixes or miracle solutions
  • Lack of proper certification or training
  • One-size-fits-all programs
  • Coaches who prescribe specific medical treatments
  • Those who can’t explain their methodology

Finding the Right Health Coach

Start by assessing your current health status and goals. A good first step is to complete a comprehensive health audit to identify your key areas for improvement.

Take Our Free Daily Health Audit

Making Health Coaching Work for You

Success with health coaching comes down to three key elements:

  • The right coach (properly certified and experienced)
  • The right timing (you’re ready for change)
  • The right approach (evidence-based and personalized)

Health Coaching is a key aspect of healthcare because it’s perfectly positioned to get patients to move make progress and create behavior change with their health. Without this, patients are left to depend on the medical system to maintain their health for them, rather than claiming autonomy themselves.

Taking Action

If you’re ready to explore health coaching, start with these steps:

  1. Complete our Daily Health Audit to establish your baseline
  2. Research coaches with proper credentials (NBC-HWC preferred)
  3. Schedule consultation calls with 2-3 potential coaches
  4. Ask about their methodology and success metrics

Remember: Real change happens in the gap between knowing and doing. A qualified health coach helps you bridge that gap with evidence-based strategies and genuine support.

Ready to start? Take our Free Daily Health Audit

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The Daily Health Audit

Fill out this self-assessment guide to help you identify what’s working well in your health habits and where there’s room for improvement.

How would you rate your health?

Sleep

The following questions are about your typical sleep patterns.
Are you satisfied with your sleep?*
Do you sleep between 6 and 8 hours per night?*
Do you spend less than 30 minutes awake during the night (falling asleep + awakenings)?*

Social Connection

The following questions are about how connected you feel to others.
I feel connected to people who care about me.*
I have at least one person I can turn to in times of need.*
I regularly spend quality time with friends, family, or community.*

Stress Management

The questions in this scale ask you about your feelings and thoughts during the last month.
In the last month, how often have you felt calm and in control?*
How often have you felt confident about handling your personal problems?*
How often have you felt that you can manage unexpected challenges effectively?*

Physical Activity

Please answer these questions based on your typical week.
Do you get at least 150 minutes of moderate or vigorous activity weekly? (where your heartbeat increases and you breathe faster (e.g. brisk walking, cycling as means of transport or as exercise, heavy gardening, running or recreational sports)*
Do you do muscle-strengthening exercises at least 2 times per week?*

Nutrition

The following questions are about your typical eating patterns.
I eat at least 5 servings of fruits or vegetables most days.*
I include whole grains and plant-based proteins in my meals regularly.*
I limit ultra-processed foods and sugary drinks.*

Avoidance of Risky Substances

Please answer the following questions based on the past 12 months.
I avoid tobacco and nicotine products.*
I avoid binge drinking (more than 4 drinks in a sitting).*
I do not misuse prescription or recreational drugs.*
Based on your previous responses, what area of your health do you believe has the biggest area for improvement?
What would be the next sign of progress for you with this area of your health?
What action do you need to take to create that change?