Evaluation of a Diabetes Coach Program Aimed to Improve the Care of Children and Youth With Type 1 Diabetes and With Compromised Control

Luca, Paola De; Haugrud, Bodiel; Husband, Allison; Dawrant, Jonathan; Pacaud, Danièle

doi:10.1016/j.jcjd.2018.01.005

Cited by 4 publications

(8 citation statements)

References 13 publications

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“…Twenty-five of the 28 studies examined in this review reported 1 or more outcome(s) sustained to some degree or improved, excluding only 3 45,54,57 (see Table 3). Sixteen of the studies analyzed in this review examined follow-up outcomes at 6 months or longer after the end of the coaching interventions, a period equal to the “maintenance” stage of the TTM, 7 and 14 of these found 1 or more outcome(s) sustained to some degree or improved, excluding only 2.…”

Section: Discussionmentioning

confidence: 99%

“…Sixteen of the studies analyzed in this review examined follow-up outcomes at 6 months or longer after the end of the coaching interventions, a period equal to the “maintenance” stage of the TTM, 7 and 14 of these found 1 or more outcome(s) sustained to some degree or improved, excluding only 2. 45,57 Janssen et al suggest that after a coaching intervention, clients “may need ongoing attention and guidance, for example, in the form of (Internet) booster sessions, as long-term consolidation of changes is arduous.” 44(p308) However, other research reports that transitional support did not impact maintenance of gains. 36(p7) Four studies 28-31 we initially identified for inclusion—but did not include in our analysis—included a formal “maintenance” period or “post-core” period in which a reduced amount of coaching or different ongoing approach to client support was provided (the Sforzo et al study 32 also included an arm with this configuration).…”

Section: Discussionmentioning

confidence: 99%

“…We were surprised to note that only 3 of the 28 studies analyzed in this review found no gains at all sustained from the post-intervention period to a later follow-up. 45,54,57 These studies varied in the duration of coaching (6 months 54,57 and 16 months 45 ), and the duration of follow-up (3 months, 54 6 months, 57 and 28.8 months 45 ). Of note, it was primarily improvements in physiological variables that were not sustained during the follow-up in these studies, though 2 behavioral variables were not sustained in 1 study.…”

Section: Changes In Study Outcomesmentioning

confidence: 99%

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Health and Wellness Coaching and Sustained Gains: A Rapid Systematic Review

Ahmann,

Saviet,

Conboy

et al. 2023

American Journal of Lifestyle Medicine

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The Transtheoretical Model of Change identifies key stages in behavior change, including a maintenance stage occurring when a behavior has been upheld for at least 6 months. Health and wellness coaching has demonstrated support for health behavior change, but maintenance of gains has received little attention. Our rapid systematic literature review characterizes both the research exploring sustained gains with health and wellness coaching and what is known about sustained gains after the completion of a health and wellness coaching engagement. Guided by The Cochrane Rapid Reviews Methods Group “Interim Guidance,” we drew 231 studies from the 2018 and 2020 Sforzo et al “Compendium of the health and wellness coaching literature,” and “Addendum…” appendices. Initial screening and coding for inclusion and exclusion criteria yielded 28 studies for data extraction. We examined studies across outcome categories (physiological, behavioral, psychological, and health risk assessment) to determine whether outcome measures were: not sustained; partially sustained; fully sustained; or improved from immediate post-intervention to a later follow-up period. Twenty-five of the 28 studies reviewed demonstrated partially, or fully, sustained or improved outcomes in one or more variables studied, with sustained gains demonstrated across outcome categories, strengthening confidence in HWC as a facilitator of lasting change.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Changes In Study Outcomesmentioning

confidence: 99%

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Health and Wellness Coaching and Sustained Gains: A Rapid Systematic Review

Ahmann,

Saviet,

Conboy

et al. 2023

American Journal of Lifestyle Medicine

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“…23 Twenty diabetes studies reported HWC session duration averaging 35-40 minutes (M = 36.40; SD = 14.77) and ranging from 10 15 to 60 minutes. 16,24,25 Session duration could vary throughout the study. For example, a longer session duration might have been utilized initially with shorter sessions following.…”

Section: Diabetesmentioning

confidence: 99%

Dosing of Health and Wellness Coaching for Obesity and Type 2 Diabetes: Research Synthesis to Derive Recommendations

Sforzo

Kaye

Faber

et al. 2022

American Journal of Lifestyle Medicine

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Health and wellness coaching (HWC) is an effective intervention for lifestyle disease such as obesity and type 2 diabetes. The evolving HWC profession needs recommendations to guide clinical practice, particularly the appropriate dose of coaching. The purpose of this paper was to systematically review and synthesize HWC literature to derive HWC programming recommendations. Of 102 papers retrieved, 88 were retained with data extracted determining HWC session number, frequency, duration, program length, and total coaching load. Differential analysis yielded no statistical difference in programming variables for randomized control trials and other designs, nor for studies with significant findings v. those not finding statistical significance, allowing these data to be pooled. The HWC intervention for obesity was slightly more intense (15 sessions over 7-8 mo) than the diabetes programming (12 sessions over 9-10 mo). On average, HWC programming applied in the peer-reviewed literature was 12-15 sessions of 35-40 min duration over 7-9 months. These recommendations for HWC programming variables are put forth as initial practice guidelines and should be examined with comparative effectiveness study for optimization. HWC best practice guidelines for other patient groups (e.g., heart disease, cancer, and chronic pain) should also be studied once an adequate literature data base is available.

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“…When observing a family that lives with a child with DM1, it is clear that not only does the child feel the challenges of managing the disease, but also all the people who make up their personal network start to experience this new reality (3) . The family usually changes its activities, aiming to maximize the well-being of the child with diabetes.…”

Section: Introductionmentioning

confidence: 99%

Explanatory models of families of children with type 1 diabetes mellitus

et al. 2020

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Objectives: to analyze how children with type 1 diabetes mellitus and their families explain the pathology, based on their understanding of the factors related to the discovery of diabetes, the etiology, treatment, and prognosis of the disease. Methods: qualitative methodological approach, based on medical anthropology and the narrative method. In-depth interviews were conducted with 12 families of children with type 1 diabetes mellitus attending follow-up consultations at a specialized center. The statements were subjected to inductive thematic analysis. Results: the explanatory models identified describe the families search for the clarification of the signs and symptoms that the child had. Faced with the disease, families reorganized themselves to meet new health care needs of children, such as adequate nutrition, physical exercise, and blood glucose monitoring. Final Considerations: knowing the explanatory models allows the understanding of how families give meaning to the child’s illness, favoring daily nursing care and an effective control of the disease.

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Evaluation of a Diabetes Coach Program Aimed to Improve the Care of Children and Youth With Type 1 Diabetes and With Compromised Control

Cited by 4 publications

References 13 publications

Health and Wellness Coaching and Sustained Gains: A Rapid Systematic Review

Health and Wellness Coaching and Sustained Gains: A Rapid Systematic Review

Dosing of Health and Wellness Coaching for Obesity and Type 2 Diabetes: Research Synthesis to Derive Recommendations

Explanatory models of families of children with type 1 diabetes mellitus

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