2020
DOI: 10.1177/0890117119900588
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Impact of Physician Referral to Health Coaching on Patient Engagement and Health Risks: An Observational Study of UPMC’s Prescription for Wellness

Abstract: Purpose: Evaluate impact of physician referral to health coaching on patient engagement and health risk reduction. Design: Four-year retrospective, observational cohort study with propensity-matched pair comparisons. Setting: Integrated delivery and finance system in Pittsburgh, Pennsylvania. Sample: 10 457 adult insured members referred to health coaching by their physician; 37 864 other members identified for health coaching through insurer-initiated outreach. Intervention: Practice-based, technology-support… Show more

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Cited by 9 publications
(12 citation statements)
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“…Long-term healthy habit improvement and adoption are most likely when incremental small steps are introduced, achieved, and reinforced (82). Other important factors to increase successful engagement include clinician modeling of desired behaviors and a clinical systems approach using multi-disciplinary teams, the "prescription" of lifestyle behaviors, and support which elevates the importance of their therapeutic use and impact as embodied in "exercise as medicine" (81,83).…”
Section: Molecular Cellular and Aging Mechanismsmentioning
confidence: 99%
“…Long-term healthy habit improvement and adoption are most likely when incremental small steps are introduced, achieved, and reinforced (82). Other important factors to increase successful engagement include clinician modeling of desired behaviors and a clinical systems approach using multi-disciplinary teams, the "prescription" of lifestyle behaviors, and support which elevates the importance of their therapeutic use and impact as embodied in "exercise as medicine" (81,83).…”
Section: Molecular Cellular and Aging Mechanismsmentioning
confidence: 99%
“…and psychological (perceived stress, resilience, social support) should be included. By incorporating these additional outcomes, future work can improve the tendency of public health research to increase weight stigma by focusing solely on weight loss outcomes in research ( Parkinson et al, 2020 ).…”
Section: Discussionmentioning
confidence: 99%
“…Michael D. Parkinson, MD, Tracy Hammonds, PhD, Donna J. Keyser, PhD, MBA, Jennie R. Wheeler, MBA, Pamela B. Peele, PhD. 8…”
Section: Editors’ Picks Papers Of the Year For 2020 (Volume 34)mentioning
confidence: 99%