Health coaching in primary care: a feasibility model for diabetes care

Liddy, Clare; Johnston, Sharon; Nash, Kate; Ward, Natalie; Irving, Hannah

doi:10.1186/1471-2296-15-60

Cited by 43 publications

(33 citation statements)

References 37 publications

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“…Participants also improved their self-reported health behaviors, and goal setting skills ( Clark et al, 2016 ). Integrating wellness coaching within primary care practice has been found to be a feasible model for diabetes care which can be done without significant additional resources ( Liddy et al, 2014 ). It has also been shown to be well received by patients and physicians in primary care setting ( Neuner-Jehle et al, 2013 ).…”

Section: Introductionmentioning

confidence: 99%

Impact of a 12-week wellness coaching on self-care behaviors among primary care adult patients with prediabetes

DeJesus

Clark

Rutten

et al. 2018

Preventive Medicine Reports

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This single arm prospective study assessed the impact of individualized wellness coaching intervention for primary care patients with prediabetes on self-reported changes in physical activity level and food choices. Five hundred sixty adult patients 18 years and older with prediabetes, seen in primary care clinic, were invited to participate in 12 weeks wellness coaching sessions delivered by certified coaches. Responses from questionnaires at baseline, 6 and 12 weeks were analyzed. Of 168 consented patients, 99 completed at least one coaching session; majority was elderly, female, overweight or obese. At baseline, 50% had <60 min aerobic exercise/week. At 6 and 12 weeks, average aerobic exercise time significantly increased from 117 min to 166 and 199 min respectively. Effect was sustained at 24 weeks. Success in making healthy eating choices also statistically improved from baseline. Significant effects on both activity level and eating behavior persisted even after adjusting for age, sex and baseline glucose/A1c values. Secondary outcomes of self-efficacy and quality of life likewise showed significant improvement. Results suggest that integration of wellness coaching in primary care practice among individuals at high risk for diabetes is feasible and may be useful as part of diabetes prevention management strategies in target populations. Future randomized clinical trials are needed to further explore this issue.

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Section: Introductionmentioning

confidence: 99%

Impact of a 12-week wellness coaching on self-care behaviors among primary care adult patients with prediabetes

DeJesus

Clark

Rutten

et al. 2018

Preventive Medicine Reports

View full text Add to dashboard Cite

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“…Coaching as one component of the diabetes care team was proven feasible in a primary care setting. 17 As we move forward to develop the CC program, we will work to integrate CC with nutritional education and to structure it within the diabetic care team.…”

Section: Discussionmentioning

confidence: 99%

Innovation in Diabetes Care: Improving Consumption of Healthy Food through a “Chef Coaching” Program: A Case Report

Polak

Dill

Abrahamson

et al. 2014

Glob Adv Health Med

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Nutrition therapy as part of lifestyle care is recommended for people with type 2 diabetes. However, most people with diabetes do not follow this guideline. Changing eating habits involves obtaining knowledge and building practical skills such as shopping, meal preparation, and food storage. Just as fitness coaches use their specific knowledge base in fitness to enhance the effectiveness of their coaching, credentialed chefs trained as health coaches might combine their culinary expertise with coaching in order to improve clients' food choices and lifestyles.This report documents the case of a 55-year-old white male physician, single and living alone, who was recently diagnosed with type 2 diabetes and reported chronic stress, sedentary behavior, and unhealthy eating habits. He participated in a chef coaching program of 8 weekly one-on-one 30-minute coaching sessions via Skype delivered by a chef trained as a health coach. During the first five meetings, the patient's goals were primarily culinary; however, with his success in accomplishing these goals, the patient progressed and expanded his goals to include other lifestyle domains, specifically exercise and work-life balance. At the end of the program, the patient had improved both his nutritional and exercise habits, his confidence in further self-care improvement, and his health parameters such as HgA1c (8.8% to 6.7%; normal <6.5%).We conclude that chef coaching has the potential to help people with diabetes improve their practical culinary skills and implement them so that they eat better and, further, has the potential to help them improve their overall self-care. We intend to further develop chef coaching and assess its potential as we learn from its implementation.

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“…Primary strategies include patient-directed goal setting, guided self-discovery, self-monitoring, and expectations of accountability (69). There is evidence that health and wellness coaching is effective in helping people with chronic disease (70) and disabilities (71) to improve health outcomes, and is feasible in a medical setting (72). Furthermore, coaching studies provide evidence that remote coaching, primarily telephonic coaching, delivers efficacy comparable to face-to-face interventions (73,74).…”

Section: Behavioural Specialistsmentioning

confidence: 99%