Health coaching for healthcare employees with chronic disease: A pilot study

Edman, Joel S.; Galantino, Mary Lou; Jodi, Hutchinson; Greeson, Jeffrey M.

doi:10.3233/wor-192907

Cited by 12 publications

(10 citation statements)

References 25 publications

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“…35 There were also two nonrandomised studies 36 37 and four pre-evaluations and postevaluations with no comparison group. [38][39][40][41] Participants In total, 3309 participants (of those 2085 participated in RCTs) were included in the 18 worksite PA interventions: six in the USA, 24 26-28 35 41 two in the UK, 30 38 two in Australia 33 39 and one each in Taiwan, 37 Japan, 36 Poland, 29 the Netherlands, 22 25 Switzerland, 34 Canada, 31 Sweden 32 and Italy. 40 Five interventions were delivered in academic institutions, 24 29 31 33 35 four in hospitals or medical centres 25 28 40 41 and four were delivered to factory employees.…”

Section: Monthsmentioning

confidence: 99%

Supporting active ageing before retirement: a systematic review and meta-analysis of workplace physical activity interventions targeting older employees

et al. 2021

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ObjectiveWith the growing representation of older adults in the workforce, the health and fitness of older employees are critical to support active ageing policies. This systematic review aimed to characterise and evaluate the effects on physical activity (PA) and fitness outcomes of workplace PA interventions targeting older employees.DesignWe searched Medline, PreMedline, PsycInfo, CINAHL and the Cochrane Controlled Register of Trials (CENTRAL) for articles published from inception to 17 February 2020. Eligible studies were of any experimental design, included employees aged ≥50 years, had PA as an intervention component and reported PA-related outcomes.ResultsTitles and abstracts of 8168 records were screened, and 18 unique interventions were included (3309 participants). Twelve studies were randomised controlled trials (RCTs). Seven interventions targeted multiple risk factors (n=1640), involving screening for cardiovascular disease risk factors, but had a non-specific description of the PA intervention. Four interventions targeted nutrition and PA (n=1127), and seven (n=235) focused only on PA. Interventions overwhelmingly targeted aerobic PA, compared with only four interventions targeting strength and/or balance (n=106). No studies involved screening for falls/injury risk, and only two interventions targeted employees of low socioeconomic status. Computation of effect sizes (ESs) was only possible in a maximum of three RCTs per outcome. ESs were medium for PA behaviour (ES=0.25 95% CI −0.07 to 0.56), muscle strength (ES=0.27, 95% CI −0.26 to 0.80), cardiorespiratory fitness (ES=0.28, 95% CI −22 to 0.78), flexibility (ES=0.50, 95% CI −0.04 to 1.05) and balance (ES=0.74, 95% CI −0.21 to 1.69). Grading of Recommendations Assessment, Development and Evaluation criteria-rated quality of evidence was ‘low’ due to high risk of bias, imprecision and inconsistency.ConclusionsThe lack of high-quality effective workplace PA interventions contrasts the importance and urgency to improve the health and fitness in this population. Future interventions should incorporate strength and balance training and screening of falls/injury risk in multi risk factors approaches.PROSPERO registration numberCRD42018084863. (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=84863).

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Section: Monthsmentioning

confidence: 99%

Supporting active ageing before retirement: a systematic review and meta-analysis of workplace physical activity interventions targeting older employees

et al. 2021

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“…Since survivorship is on the rise, mitigating the burden of cancer and its treatment through the modi cation of lifestyle factors is imperative to improving health outcomes [8]. HWC has been shown to have positive effects on many of the outcomes considered in this study in other populations [23,40,41].…”

Section: Discussionmentioning

confidence: 85%

“…Sessions are tailored to the client and utilize techniques such as motivational interviewing, goal setting, and creating accountability within a nonjudgmental environment [21]. HWC has been found to be effective in the general adult population for changing a variety of health behaviors such as increasing physical activity, improving nutrition intake, weight loss, and sleep improvements which subsequently reduces risk factors for various chronic diseases [22,23]. Clients often experience a sense of empowerment and increase in self-e cacy towards self-management techniques [20].…”

Section: A Healthy Lifestylementioning

confidence: 99%

Preliminary Feasibility Study of a Community-Based Wellness Coaching for Cancer Survivors Program

Berzins¹,

MacKenzie²,

Galantino³

et al. 2021

Preprint

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Purpose: In the United States, there are almost 17 million cancer survivors who often have poorer health outcomes and an increased risk for developing a second cancer and other chronic illnesses. Evidence suggests substantial cancer burden may be prevented through lifestyle modifications. The purpose of this study was to determine the feasibility of health coaching for the improvement of health, fitness, and overall well-being of cancer survivors in a community setting. Methods: Participants were recruited from community-based cancer agency locations. Health coaching was provided to people diagnosed with cancer anywhere along the cancer survivorship continuum. Coaches provided six individual sessions to each participant. Surveys were sent pre- and post-intervention on topics including fitness, eating habits, perceived stress, anxiety, depression, and quality of life. Results were analyzed using repeated measures multilevel modeling. Results: 48 participants completed an average of 85% of health coaching sessions. Coaching participants noted significant improvements in weekly physical activity, including moderate-vigorous physical activity. Small significant increases were found in healthy eating behavior. Participants reported moderate change in the quality of their sleep and smaller significant changes in sleep duration and sleep efficiency. Moderate significant reductions were found in perceived stress and anxiety, with small but significant decreases in depression. Importantly, participants reported improved quality of life, particularly in areas of physical and emotional well-being. Smaller increases were found in functional and total well-being. Conclusion: Preliminary findings indicate real behavior change in the measured outcomes and suggests health coaching may be an important tool for cancer survivorship.

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“…Recent evidence has shown that employees with multiple comorbid conditions account for the large percentage of employer health care costs. 9,12 Therefore, future research is needed to examine how a risk-stratified THBC program can improve the health of employees with multiple comorbid conditions.…”

Section: Significancementioning

confidence: 99%

Exploring Sex Differences in the Effectiveness of Telehealth-Based Health Coaching in Weight Management in an Employee Population

et al. 2020

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Purpose: To explore a telehealth-based lifestyle therapeutics (THBC) program on weight loss (WL) and program satisfaction in an employer population. Design: This study was a collaboration between inHealth Lifestyle Therapeutics and a large national employer group including 685 participants (296 women [64% obese] and 389 men [62% obese]). Measures: Percent WL and subjective rating (Perceived Program Value measured by a questionnaire) were assessed. Intervention: Average number of visits was 3.1 ± 0.4; each visit ranged between 20 and 45 minutes. Analysis: This study utilized a 2 × 2 block design using analysis of variance techniques based on sex (male and female) and initial body mass index (BMI) category (overweight and obese) tested at P ≤ .05. Results: There was no statistical difference in %WL between by sex ( F 1,681 = 0.398, P = .528) nor an interaction between sex and BMI ( F 1,681 = 0.809, P = .369). There was a statistically significant difference in %WL from pre to post program across initial BMI category ( F 1,681 = 13.707, P ≤ .001) with obese participants losing an average of 1.1% (0.5%-1.6%) more than overweight participants (overweight 2.5% [2.1%-3.0%] vs obese 3.6% [3.2%-3.9%]). Obese participants were 1.15 (1.07-1.25) times more likely to lose weight compared to overweight participants. Analysis of variance power analysis indicated sufficient power on minimum factor combination n = 106 ( Effect Size = 0.282). Conclusion: Results support the efficacy THBC in supporting WL with no reported differences between men and women, while having a high perceived value for employee participants.

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Health coaching for healthcare employees with chronic disease: A pilot study

Cited by 12 publications

References 25 publications

Supporting active ageing before retirement: a systematic review and meta-analysis of workplace physical activity interventions targeting older employees

Supporting active ageing before retirement: a systematic review and meta-analysis of workplace physical activity interventions targeting older employees

Preliminary Feasibility Study of a Community-Based Wellness Coaching for Cancer Survivors Program

Exploring Sex Differences in the Effectiveness of Telehealth-Based Health Coaching in Weight Management in an Employee Population

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