BUILDING RAPPORT AND THE INITIAL INVESTIGATION STAGE CHAPTER 6
147 THINK IT THROUGH
Practice using and scoring the exercise-induced feelings inventory with a family member or trusted client. How would you modify your training approach based on what you learned?
In trying to improve the overall experience of the exerciser, the trainer can determine the variables that promote or discourage exercise and use this information to manipulate these variables to increase the likelihood of continuing with his or her exercise program. For example, if the client repeatedly “feels strongly” that the exercise session makes him or her feel “worn out” or “fatigued,” it would be appropriate to reduce the intensity of the exercise session, even if the exercise HR is within an acceptable range. If the client is not enjoying the exercise sessions, he or she is more likely to find excuses for skipping exercise sessions. There is a reason why only approximately 20% of U.S. adults meet the aerobic and resistance-training guidelines for exercise participation (Morbidity and Mortality Weekly Report, 2013). Many people do not enjoy exercise. Many are still haunted by the “no pain, no gain” signs hung around the school gymnasiums. The good news is that even a low-intensity workout will have a positive impact on overall health and well-being, without the “pain.”
APPLY WHAT YOU KNOW
A 35-YEAR-OLD MOTHER OF THREE Ana, a 35-year-old mother of three, is ready to do something for herself and make a lifestyle change. She has been unable to effectively engage in an exercise program since she had children and she is 25 pounds (11.4 kg) heavier than her pre- pregnancy (and current target) weight. She has finally made her health a priority and is starting a program with a personal trainer. She states that she is very nervous about starting a workout program and does not feel “fit” enough to exercise. She has not formally worked out in eight years, and when she did, she primarily engaged in group fitness activities. She says that she wants to lose at least 20 pounds (9.1 kg) and is eager to change the eating habits of her family, but admits that she needs help in identifying exactly what that means. She currently walks a couple of mornings each week with a friend and, while she tries to make healthy meals for her family, she struggles with breakfast and admits that they all snack too much most evenings. She has simply lost the energy to argue with her kids about making healthier choices. She states several times that she is ready to feel strong and healthy.
Based on this simple profile, what do you know about Ana and her needs in an exercise program? Try to fill in the information on a sample outline form (Figure 6-12). What other information would you like to have? What additional questions would you ask?