My approach
Listen first. Build support. Measure what changes.
A health plan has to fit a person’s life. I start by asking what makes participation difficult: time, access, confusing steps, or support that is hard to reach. Accountability means agreeing on the next step and who will help.
- +Let people shape the plan.Ask patients, caregivers, staff, or coaching clients where it breaks down. Use their feedback to change the experience.
- +Make support specific.Agree on a manageable action, a person to contact, and a time to check in. Make the handoff clear when someone else needs to help.
- +Use numbers and lived experience.Track attendance, completed steps, or tool use against the starting point. Ask what the numbers miss, then adjust the plan together.
The research behind my approach
I draw on Cialdini’s commitment and consistency, and unity principles: chosen commitments and a sense of shared identity.
A meta-analysis of 138 studies found that progress monitoring improved goal attainment on average, with larger effects when progress was recorded or reported. Results vary by person, goal, and context.
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