Synopsis: This article explores the effects of generative artificial intelligence (genAI) in health coaching, highlighting its potential benefits and ethical challenges. While genAI tools like ChatGPT can assist health coaches in brainstorming nutrition and fitness ideas, they also risk encouraging practices outside scope of practice. We propose guidelines for health coaches to responsibly integrate genAI into their coaching practices, ensuring client safety and confidentiality while navigating the evolving landscape of technology in health and wellness.
AnSSongR. Effects of health coaching on behavioral modification among adults with cardiovascular risk factors: systematic review and meta-analysis. Patient Educ Counsel. 2020;103(10):2029-2038.
6.
ChenYEsmaeilzadehP. Generative AI in medical practice: in-depth exploration of privacy and security challenges. J Med Internet Res. 2024;26:e53008.
7.
DergaaISaadHBEl OmriA, et al.Using artificial intelligence for exercise prescription in personalised health promotion: a critical evaluation of OpenAI's GPT-4 model. Biol Sport. 2024;41(2):221-241. doi:10.5114/biolsport.2024.133661
8.
FormosaPKashyapBSahebiS. Generative AI and the Future of Democratic Citizenship. Digital Government: Research and Practice; 2024.
9.
FowlerGA. AI is Acting ‘Pro-Anorexia’ and Tech Companies Aren’t Stopping It. Wash Post, NA-NA. 2023.
10.
GianolaSBargeriSCastelliniG, et al.Performance of ChatGPT compared to clinical practice guidelines in making informed decisions for lumbosacral radicular pain: a cross-sectional study. J Orthop Sports Phys Ther. 2024;54(3):222-228.
11.
HaynesASherringtonCRamsayE, et al.“Sharing Success with Someone”: building therapeutic alliance in physiotherapist-delivered physical activity coaching for healthy aging. Physiother Theory Pract. 2021;38:2771-2787. doi:10.1080/09593985.2021.1946872
MauryaRK. A qualitative content analysis of ChatGPT’s client simulation role‐play for practising counselling skills. Counsell Psychother Res J. 2024;24(2):614-630.
15.
MengFJiangYYuP, et al.Effect of health coaching on blood pressure control and behavioral modification among patients with hypertension: a systematic review and meta-analysis of randomized controlled trials. Int J Nurs Stud. 2023;138:104406.
NiszczotaPRybickaI. The credibility of dietary advice formulated by ChatGPT: robo-diets for people with food allergies. Nutrition. 2023;112:112076. doi:10.1016/j.nut.2023.112076
18.
OewelBGuluzadeLZhuJHuangY. The potential of generative AI in personalized nutrition. 2024.
TorousJFirthJGoldbergSB. Digital mental health’s unstable dichotomy—wellness and health. JAMA Psychiatry. 2024;81(6):539-540.
21.
UrbinaJTVuPDNguyenMB. Disability ethics and education in the age of artificial intelligence: identifying ability bias in ChatGPT and Gemini. Arch Phys Med Rehabil. 2025;106(1):14-19. doi:10.1016/j.apmr.2024.08.014
22.
U.S. Department of Health and Human Services. Physical Activity Guidelines for Americans. 2nd ed.Washington, DC: U.S. Department of Health and Human Services; 2018.
23.
ZaleskiALBerkowskyRCraigKJTPescatelloLS. Comprehensiveness, accuracy, and readability of exercise recommendations provided by an AI-based chatbot: mixed methods study. JMIR Med Educ. 2024;10:e51308. doi:10.2196/51308
24.
ZhangPBoulosM. Generative AI in medicine and healthcare: promises, opportunities and challenges. Future Internet. 2023;15:286. doi:10.3390/fi15090286
25.
ZhangYLiYCuiL, et al.Siren’s song in the AI ocean: a survey on hallucination in large language models. ArXiv, abs/2309.01219. 2023. doi:10.48550/arXiv.2309.01219