EHR521 Supporting Clients in Clinical Exercise (8)

When working with individuals from diverse backgrounds and circumstances, effective communication and support strategies are critical in establishing client-practitioner collaborations in clinical settings that enable client exercise adherence and independence. In this subject, students will apply various psychological, ethical, and culturally appropriate principles and strategies to facilitate lifestyle modification and support exercise behaviour change in clients with a range of chronic conditions and their families. Such strategies include analysing client readiness for change in sensitive, empathetic, inclusive and nonjudgmental ways, negotiating with clients to help them articulate goals for exercise, and using appropriate language, communication and counselling skills to facilitate and support client autonomy and long-term self-management. These skills will be assessed through responses to case studies, a mock motivational interview and a comprehensive final exam. The learning experiences employed to complete the assessment tasks include: online modules; independent readings; case studies; audio-visual demonstrations; authentic scenarios that apply cultural competence and ethical practice in clinical exercise settings; the psychology of living with chronic conditions; models of behaviour change and exercise psychology strategies; health counselling strategies; and facilitating long-term client self-management.


Session 1 (30)
Bathurst Campus

Continuing students should consult the SAL for current offering details: EHR521. Where differences exist between the Handbook and the SAL, the SAL should be taken as containing the correct subject offering details.

Subject Information

Grading System



One session


School of Exercise Science, Sport and Health

Enrolment Restrictions

Master of Clinical Exercise Physiology students

or as approved by the Course Director.

Learning Outcomes

Upon successful completion of this subject, students should:
  • be able to critically analyse information and documents related to cultural competence and ethics in an exercise physiology setting;
  • be able to demonstrate their understanding of how cultural competence and ethics material can be applied in order to provide an inclusive space and foster client rapport in an exercise physiology setting;
  • be able to demonstrate empathy and awareness of the psychology of living with chronic conditions within the context of client-practitioner interactions;
  • be able to apply models of behaviour change and exercise psychology strategies to support exercise and physical activity behaviour change;
  • be able to apply health counselling strategies, such as motivational interviewing, to analyse client readiness for change, negotiate client goals for exercise and facilitate client autonomy.


This subject will cover the following topics:
  • Distinguishing between ethical and unethical practices;
  • Practitioner-client power relations;
  • The importance of ethical conduct for Accredited Exercise Physiologists;
  • The ESSA ethics charter and professional behaviour;
  • Promoting ethical diversity in the workplace regard to respectful, culturally appropriate and non-judgmental dialogue;
  • Defining cultural competence;
  • Exploring personal values, biases and beliefs about people from culturally diverse backgrounds;
  • Collaborating for positive outcomes in trans-cultural contexts;
  • The application of cultural competence in the Accredited Exercise Physiology setting;
  • Understanding cultural competence as a lifelong journey;
  • Chronic conditions and psychosocial status;
  • The role of exercise in reducing psychological/emotional distress;
  • Psychosocial, socio-cultural and economic factors affecting long-term compliance to exercise and self-management strategies;
  • Introduction to cognitive behavioural therapy (CBT) and motivational interview (MI) techniques;
  • Client-centred approaches vs practitioner-centred approaches;
  • Client-practitioner collaboration model and managing "challenging" clientele in exercise settings.

Indicative Assessment

The following table summarises the assessment tasks for the online offering of EHR521 in Session 1 2020. Please note this is a guide only. Assessment tasks are regularly updated and can also differ to suit the mode of study (online or on campus).

Item Number
Value %
Cultural competence and ethics case studies
Mock client interview
Take home test/exam

The information contained in the CSU Handbook was accurate at the date of publication: May 2021. The University reserves the right to vary the information at any time without notice.