Coaching patients to be active, informed partners in their health.

Bodenheimer, Thomas

doi:10.1037/fsh0000494

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…These cognitive-behavioural programmes aim to change beliefs and motivate workers to acquire and maintain preventive practices. They are personalised and take into account any obstacles to the application and maintenance of preventive practices, setting specific goals for each worker, and typically following up on their achievement [48]. Several studies vouch for the effectiveness of coaching in the clinical setting.…”

Section: Discussionmentioning

confidence: 99%

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Effectiveness of Workplace-Based Diet and Lifestyle Interventions on Risk Factors in Workers with Metabolic Syndrome: A Systematic Review, Meta-Analysis and Meta-Regression

et al. 2021

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Workplace health interventions are essential to improve the health and well-being of workers and promote healthy lifestyle behaviours. We carried out a systematic review, meta-analysis and meta-regression of articles measuring the association between workplace dietary interventions and MetS risk. We recovered potentially eligible studies by searching MEDLINE, the Cochrane Library, Embase, Scopus and Web of Science, using the terms “Metabolic syndrome” and “Occupational Health”. A total of 311 references were retrieved and 13 documents were selected after applying the inclusion and exclusion criteria. Dietary interventions were grouped into six main types: basic education/counselling; specific diet/changes in diet and food intake; behavioural change/coaching; physical exercise; stress management; and internet/social networks. Most programmes included several components. The interventions considered together are beneficial, but the clinical results reflect only a minimal impact on MetS risk. According to the metaregression, the interventions with the greatest impact were those that used coaching techniques and those that promoted physical activity, leading to increased HDL (effect size = 1.58, sig = 0.043; and 2.02, 0.015, respectively) and decreased BMI (effect size = −0.79, sig = −0.009; and −0.77, 0.034, respectively). In contrast, interventions offering information on healthy habits and lifestyle had the contrary effect, leading to increased BMI (effect size = 0.78, sig = 0.006), systolic blood pressure (effect size = 4.85, sig = 0.038) and diastolic blood pressure (effect size = 3.34, sig = 0.001). It is necessary to improve the efficiency of dietary interventions aimed at lowering MetS risk in workers.

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Section: Discussionmentioning

confidence: 99%

“…In three studies [27,31,38], coaching techniques were included in the interventions to improve participants' commitment and help them to maintain behavioural changes [48].…”

Section: Behavioural Changes or Motivational Coachingmentioning

confidence: 99%

Effectiveness of Workplace-Based Diet and Lifestyle Interventions on Risk Factors in Workers with Metabolic Syndrome: A Systematic Review, Meta-Analysis and Meta-Regression

et al. 2021

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“…IHC connects the coaching intervention with the individual’s personal values and sense of purpose [ 16 ]. Instead of being instructed on how to reach their goals, the coach provides the user, or person being coached, with the knowledge, skills, and confidence to perform autonomously [ 17 ]. These telehealth coaching programs combine multimodalities of digital technology to support people in achieving their lifestyle goals in a synchronous or asynchronous form.…”

Section: Introductionmentioning

confidence: 99%

Analysis of Patient Cues in Asynchronous Health Interactions: Pilot Study Combining Empathy Appraisal and Systemic Functional Linguistics

et al. 2022

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Background Lifestyle-related diseases are among the leading causes of death and disability. Their rapid increase worldwide has called for low-cost, scalable solutions to promote health behavior changes. Digital health coaching has proved to be effective in delivering affordable, scalable programs to support lifestyle change. This approach increasingly relies on asynchronous text-based interventions to motivate and support behavior change. Although we know that empathy is a core element for a successful coach-user relationship and positive patient outcomes, we lack research on how this is realized in text-based interactions. Systemic functional linguistics (SFL) is a linguistic theory that may support the identification of empathy opportunities (EOs) in text-based interactions, as well as the reasoning behind patients' linguistic choices in their formulation. Objective This study aims to determine whether empathy and SFL approaches correspond and complement each other satisfactorily to study text-based communication in a health coaching context. We sought to explore whether combining empathic assessment with SFL categories can provide a means to understand client-coach interactions in asynchronous text-based coaching interactions. Methods We retrieved 148 text messages sent by 29 women who participated in a randomized trial of telecoaching for the prevention of gestational diabetes mellitus (GDM) and postnatal weight loss. We conducted a pilot study to identify users' explicit and implicit EOs and further investigated these statements using the SFL approach, focusing on the analysis of transitivity and thematic analysis. Results We identified 164 EOs present in 42.37% (3478/8209) of the word count in the corpus. These were mainly negative (n=90, 54.88%) and implicit (n=55, 60.00%). We distinguished opening, content and closing messages structures. Most of the wording was found in the content (n=7077, 86.21%) with a declarative structure (n=7084, 86.30%). Processes represented 22.4% (n=1839) of the corpus, with half being material (n=876, 10.67%) and mostly related to food and diet (n=196, 54.92%), physical activity (n=96, 26.89%), and lifestyle goals (n=40, 11.20%). Conclusions Our findings show that empathy and SFL approaches are compatible. The results from our transitivity analysis reveal novel insights into the meanings of the users’ EOs, such as their seek for help or praise, often missed by health care professionals (HCPs), and on the coach-user relationship. The absence of explicit EOs and direct questions could be attributed to low trust on or information about the coach’s abilities. In the future, we will conduct further research to explore additional linguistic features and code coach messages. Trial Registration Australian New Zealand Clinical Trials Registry (ANZCTR) ACTRN12620001240932; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=380020

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Empathy ‘appraisal’ and Systemic Functional Linguistics for patient cues’ analysis in asynchronous health interactions: a new coding tool development (Preprint)

Velasco¹,

Pedersen²,

Skinner³

2022

Preprint

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BACKGROUND Lifestyle-related diseases are among the leading causes of death and disability. Their rapid increase worldwide has called for low-cost, scalable solutions to promote health behaviour changes. Digital health coaching has proved to be effective to this aim, with the rising use of text-based interventions. In order to guarantee coaching fidelity and effectivity, there is a need for research in the field of linguistics as a core element of these interventions. State-of-the-art research has considered wording but lacks grammar analysis and the meanings originated from the speaker’s linguistic choices. When investigated, these choices can disclose the speaker’s experiences of the world, their relationship with the receiver and the interpretation of their wording as a text message. Furthermore, empathy is associated with these meanings, and becomes pivotal during coaching for a successful coach-user relationship and positive patient outcomes. OBJECTIVE We aim to analyse user cues in a digital health intervention and contribute to future research on coach communication. METHODS We tested a combination of empathy and a linguistic approach to code 148 text messages sent by 29 women recruited in a randomized trial on tele-coaching for the prevention of gestational diabetes and postnatal weight loss. RESULTS We identified 143 empathic opportunities present in 42.37% of the word count in the corpus. These were mainly negative (82.2%) and implicit (60%). We distinguished opening, content and closing messages structures. Most of the wording was found in the content (86.2%) with a declarative structure (86.3%). Processes represented a 22.4% of the corpus, with half being material (10.7%) and related to food and diet (26.9%), physical activity (26.9%), and lifestyle goals (11.2%). CONCLUSIONS The combination of empathy and linguistic analysis showed promising results. Our findings reveal preliminary insights on the coach-user relationship. The absence of explicit empathic opportunities and direct questions could be attributed to a low trust or information on the coach's abilities. We will be conducting further research to explore additional linguistic features and code coach messages. CLINICALTRIAL Trial registered on the Australian New Zealand Clinical Trials Registry (ANZCTR) with registration number ACTRN12620001240932.

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Coaching patients to be active, informed partners in their health.

Cited by 3 publications

References 7 publications

Effectiveness of Workplace-Based Diet and Lifestyle Interventions on Risk Factors in Workers with Metabolic Syndrome: A Systematic Review, Meta-Analysis and Meta-Regression

Effectiveness of Workplace-Based Diet and Lifestyle Interventions on Risk Factors in Workers with Metabolic Syndrome: A Systematic Review, Meta-Analysis and Meta-Regression

Analysis of Patient Cues in Asynchronous Health Interactions: Pilot Study Combining Empathy Appraisal and Systemic Functional Linguistics

Empathy ‘appraisal’ and Systemic Functional Linguistics for patient cues’ analysis in asynchronous health interactions: a new coding tool development (Preprint)

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