Coaching for behaviour change in chronic disease: A review of the literature and the implications for coaching as a self-management intervention

Lindner, Helen; Menzies, David; Kelly, Jill; Taylor, Sonya; Shearer, Marianne

doi:10.1071/py03044

Cited by 78 publications

(77 citation statements)

References 50 publications

(46 reference statements)

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“…Staff who rate their confidence as low will require extra support to facilitate the desired practice change. Former research suggests addressing mechanisms that make health coaching successful and ultimately facilitate its integration into routine health care through a wide range of health professional groups [29] .…”

Section: Discussionmentioning

confidence: 99%

Staff perceptions of implementing health coaching as a tool for self management in chronic disease: A qualitative study

Ervin

Jeffery²

2013

JNEP

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Introduction: Self management in chronic disease is the cornerstone of the Australian National Primary Health Care Strategy, with funding widely available to health services to facilitate staff training in self management strategies for clients. Changing care delivery models in management of chronic disease post training has proven difficult for staff.Method: Semi structured interviews were conducted with consenting staff who had been trained in client self management strategies, to explore barriers and enablers to implementing their training into practice in the primary care setting. Results:Staff recognise the value of client self management in chronic disease and perceive it as wholly relevant to their role, but identify many barriers to implementing it into practice. Confidence or self efficacy of staff in implementing the training into practice is repeatedly cited as a barrier.Discussion: Health care organisations should review their processes and infra structure to allow self management strategies to be easily incorporated into routine work practices and models of care delivery. Identifying and supporting staff who report low self efficacy or confidence is essential to facilitating self management strategies in chronic disease.

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Section: Discussionmentioning

confidence: 99%

Staff perceptions of implementing health coaching as a tool for self management in chronic disease: A qualitative study

Ervin

Jeffery²

2013

JNEP

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“…Behaviour change, goal setting and empowerment are essential features of coaching. We adopted Linder's definition of coaching: 17 A method of patient education that guides and prompts a patient to be an active participant in behaviour change. Coaching involves an interactive approach with the patient that helps to identify impediments to behaviour change, and methods of teaching and modelling behaviour that empower the patient to achieve and maintain improved health status.…”

Section: Methodsmentioning

confidence: 99%

Do people with existing chronic conditions benefit from telephone coaching? A rapid review

Dennis

Harris

Lloyd

et al. 2013

Aust. Health Review

104

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Objective. To examine the effectiveness of telephone-based coaching services for the management of patients with chronic diseases.Methods. A rapid scoping review of the published peer reviewed literature, using Medline, Embase, CINAHL, PsychNet and Scopus. We included studies involving people aged 18 years or over with one or more of the following chronic conditions: type 2 diabetes, congestive cardiac failure, coronary artery disease, chronic obstructive pulmonary disease and hypertension. Patients were identified as having multi-morbidity if they had an index chronic condition plus one or more other chronic condition. To be included in this review, the telephone coaching had to involve two-way conversations by telephone or video phone between a patient and a provider. Behaviour change, goal setting and empowerment are essential features of coaching.Results. The review found 1756 papers, which was reduced to 30 after screening and relevance checks. Most coaching services were planned, as opposed to reactive, and targeted patients with complex needs who had one or more chronic disease. Several studies reported improvements in health behaviour, self-efficacy, health status and satisfaction with the service. More than one-third of the papers targeted vulnerable people and telephone coaching was found to be effective for these people.Conclusions. Telephone coaching for people with chronic conditions can improve health behaviour, self-efficacy and health status. This is especially true for vulnerable populations who had difficulty accessing health services. There is less evidence for improvements in quality of life and patient satisfaction with the service. The evidence for improvements in health service use was limited. This rapid scoping review found that telephone-based coaching can enhance the management of chronic disease, especially for vulnerable groups. Further work is needed to identify what models of telephone coaching are most effective according to patients' level of risk and co-morbidity. What is known about the topic?With the increasing prevalence of chronic diseases more demands are being made of limited health services and resources. Telephone health coaching for people with or at risk of chronic diseases is seen as a means of supporting people to manage their health and reducing the burden on the healthcare system. What does this paper add? Telephone coaching interventions were effective for vulnerable people with chronic disease (s). Often the vulnerable populations had worse control of their chronic condition at baseline and demonstrated the greatest improvement compared with those with better control at baseline. Planned (i.e. weekly or monthly telephone calls to support the patients with chronic disease) and unscripted telephone coaching interventions appear to be most effective for improving self-management skills in people from vulnerable groups: the planned telephone coaching services had the advantage of regular contact and helping people develop their skills over time, whereas the u...

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“…Other authors [9,14] suggest further research to address mechanisms that make coaching successful and ultimately facilitate its integration into routine health care through a wide range of health professional groups. Recently, a report in the UK called for the need to explore clinicians' attitudes, behaviors and beliefs of self-management principles, if we hope to integrate it into routine health care [15] .…”

mentioning

confidence: 99%

“…Self-management is becoming recognised as a vital aspect to help manage chronic disease [6] with public health policy now having self-management as an intervention [7] . Numerous studies have investigated the benefits of self-management strategies aimed at improved health outcomes [8][9][10][11] . Investigating staff uptake, integration and delivery of self-management tools and training appears limited.…”

mentioning

confidence: 99%

Evaluating the implementation of health coaching in a rural setting

Ervin

Jeffery²,

Koschel³

2012

JHA

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Objective: The aim of this project was to explore the barriers and enablers to implementation of staff training in Health Coaching, a model of care employed in primary care to facilitate client self-management of chronic disease. Methods:Forty six staff members from five rural community health settings were recruited to undertake training in Health Coaching. A simple post training quantitative evaluation was conducted by surveying staff five months post training.Results: There was a 68% response rate to the surveys. Only 50% of staff trained in Health Coaching reported implementing it into practice. Enabling factors to implementing the training were reported as peer and organizational support. Conclusion:Effective models of self-management in chronic disease should not be aimed at staff training alone. This study suggests that implementation of new models of care requires a significant change in clinician practice which is not readily embraced by staff.

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Coaching for behaviour change in chronic disease: A review of the literature and the implications for coaching as a self-management intervention

Cited by 78 publications

References 50 publications

Staff perceptions of implementing health coaching as a tool for self management in chronic disease: A qualitative study

Staff perceptions of implementing health coaching as a tool for self management in chronic disease: A qualitative study

Do people with existing chronic conditions benefit from telephone coaching? A rapid review

Evaluating the implementation of health coaching in a rural setting

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