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

Abstract

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...

Evaluation of a Nurse-Led Educational Telephone Intervention to Support Self-Management of Patients With Chronic Obstructive Pulmonary Disease: A Randomized Feasibility Study

“…Th e review by Dennis et al (16) of telephone interventions concluded that unscripted (patient-centred) interventions appeared to be most eff ective for improving self-management skills in people from vulnerable groups and that planned (scheduled) calls helped promote relationships between patients and their health service provider. Th us the telephone support was both scheduled to occur at certain pre-determined time points and was also unscripted, i.e., individualized to the patient.…”

Telephone coaching for depression

“…Telefoncoaching scheint laut einer australischen Studie bei chronischen Krankheiten wie Typ-2-Diabetes, Herzinsuffizienz, koronarer Herzkrankheit, chronisch obstruktiver Lungenkrankheit und Bluthochdruck Gesundheitsverhalten, Selbstwirksamkeit und den Gesundheitszustand zu verbessern [7]. Zum Nachweis des klinischen Nutzens bei Depression bedarf es weiterer Forschung [8][9][10][11].…”

“…Auch die Debeka Krankenversicherung berichtete über positive Ergebnisse eines Telefoncoachings, das in Zusammenarbeit mit einem professionellen Dienstleister durchgeführt wurde [19]. Somit können neben den von Dennis et al [7] in ihrem Review berücksichtigten somatischen chronischen Krankheiten auch depressiv Kranke von einem Telefoncoaching profitieren [12]. Weitere Studien sind unterwegs [9][10][11].…”

Barriers to Enrollment in a Pharmacist-Led Fitness, Nutrition, and Weight Management Coaching Program

“…This may be a simple and effective option to improve flexibility for some patients within WHPPs. 16,17 Our survey also showed that patients may desire general diet and weight management coaching over fitness related coaching within this FNWM coaching program. The topic of vitamins and supplements was also popular among respondents.…”

“…People may not be aware of the potential improvement in self-efficacy and health outcomes associated with health coaching. 16,18 Additionally, when examining successful WHPPs, those with comprehensive interventions, such as utilizing various wellness methods together, have increased participation and better outcomes. 19 Educating patients on the potentially synergistic benefits of multilevel approaches, such as using a coaching program along with other wellness methods, could help overcome this barrier to participation.…”