Long-term effectiveness of health coaching in rehabilitation and prevention: A systematic review

Dejonghe, Lea Anna Lisa; Becker, Jennifer; Froboese, Ingo; Schaller, Andrea

doi:10.1016/j.pec.2017.04.012

Cited by 66 publications

(57 citation statements)

References 42 publications

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“…This increases heterogeneity in intervention components and outcome assessments, as well as the challenge of synthesizing evidence in meta-analysis. Other systematic reviews report a similar heterogeneity (Dejonghe, Becker, Froboese, & Schaller, 2017;Hill, Richardson, & Skouteris, 2015;Wolever et al, 2013). While it was possible to establish whether studies included the key components of health coaching, intervention content was generally poorly reported.…”

Section: Discussionmentioning

confidence: 69%

Does health coaching improve health‐related quality of life and reduce hospital admissions in people with chronic obstructive pulmonary disease? A systematic review and meta‐analysis

Long

Howells

Peters

et al. 2019

British J Health Psychol

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Purpose To systematically review the evidence for health coaching as an intervention to improve health‐related quality of life (HRQoL) and reduce hospital admissions in people with chronic obstructive pulmonary disease (COPD). Methods We systematically searched MEDLINE, EMBASE, PsycINFO, and CINAHL from database inception to August 2018 to identify all randomized controlled trials (RCTs) of health coaching for people with COPD. Eligible health coaching interventions had to include three components: goal setting, motivational interviewing, and COPD‐related health education. Data were extracted on study characteristics and the effects of the intervention on HRQoL, hospital admissions, physical activity, self‐care behaviour, and mood. Study quality was appraised by two authors using the Cochrane tool for assessing the risk of bias in RCTs. Effect sizes (standardized mean differences [SMD] or odds ratios [OR]) with 95% confidence intervals (CIs) were calculated and pooled using random effects meta‐analyses. Results Of 1578 articles, 10 RCTs were included. Meta‐analysis showed that health coaching has a significant positive effect on HRQoL (SMD = −0.69, 95% CI: −1.28, −0.09, p = .02, from k = 4) and leads to a significant reduction in COPD‐related hospital admissions (OR = 0.46, 95% CI: 0.31, 0.69, p = .0001, from k = 5), but not in all‐cause hospital admissions (OR = 0.70, 95% CI: 0.41–1.12, p = .20, from k = 3). Three of four studies reported significant improvements to self‐care behaviours such as medication adherence and exercise compliance. Conclusions This is the first systematic review to show that health coaching may be a candidate intervention to improve HRQoL and reduce costly hospital admissions in people with COPD. What is already known on this subject? COPD is a leading cause of death worldwide and considerably reduces HRQoL. In turn, HRQoL is associated with a range of adverse health outcomes in COPD. Health coaching is a self‐management intervention for people with long‐term conditions such as COPD. Studies have examined whether health coaching improves HRQOL and other health outcomes in people with COPD, but no systematic review has been conducted. What does this study add? The first systematic review and meta‐analysis of RCTs of health coaching for people with COPD. Health coaching may be a candidate intervention for improving HRQoL and reducing COPD‐related hospital admissions in people with COPD. The need to establish the most effective health coaching components, delivery modality, and economic impact.

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Section: Discussionmentioning

confidence: 69%

Does health coaching improve health‐related quality of life and reduce hospital admissions in people with chronic obstructive pulmonary disease? A systematic review and meta‐analysis

Long

Howells

Peters

et al. 2019

British J Health Psychol

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“…Empirical research in Tele-Health Coaching delivered via telephone and online demonstrates it is a key intervention in health behavior change, goal setting and goal achievement. [1][2][3] My critical review of this article is in consonance with current research and recent empirical studies affirming that Telehealth intervention can facilitate goal achievement and have a beneficial effect on the overall mental health, physical health and behavioral health of several multimorbid patient populations. 1,[4][5][6][7][8] Article published January 26, 2018 in the following e-collection issue of the Journal of Medical Internet Research:…”

Section: Resultsmentioning

confidence: 61%

Intrapersonal variation in goal setting and achievement in health coaching: cross-sectional retrospective analysis

Garcia¹

2018

IJCAM

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“…Interventions that will be implemented in this study are based on effective health coaching components identified in a systematic review and meta-analysis conducted by the research team prior to this RCT study and other systematic reviews and studies on health coaching in chronic condition management [20,22,25,26]. A twostage intervention for the intervention group will be conducted as described in the following.…”

Section: Description Of the Interventionsmentioning

confidence: 99%

“…In this study, we adapt the definition of health coaching by Wolever and colleagues described as "a patient-centered approach wherein patients at least partially determine their goals, use self-discovery or active learning processes together with content education to work toward their goals, and self-monitor behaviors to increase accountability, all within the context of an interpersonal relationship with a coach" [18]. Although considerable evidence supports the effectiveness of health coaching on quality of life and activities of daily living in other chronic diseases [19][20][21][22][23], findings from the mentioned studies indicate that the effect on stroke survivor's health outcomes varies.…”

Section: Introductionmentioning

confidence: 99%

A nurse-led health coaching intervention for stroke survivors and their family caregivers in hospital to home transition care in Chongqing, China: a study protocol for a randomized controlled trial

Lin

Xiao

Chamberlain

2020

Trials

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Background: Hospital to home transition care is a most stressful period for stroke survivors and their caregivers to learn self-management of stroke-related health conditions and to engage in rehabilitation. Health coaching has been identified as a strategy to enhance self-management of poststroke care at home. However, interventions in this field that are informed by a health coaching framework are scarce. This study will address a gap in research by testing the hypothesis that a nurse-led health coaching intervention can improve health outcomes for stroke survivors and their family caregivers in hospital to home transition care. Methods: This is a single-blind, two-arm parallel randomized controlled trial of a nurse-led health coaching program versus routine care situated in two tertiary hospitals in Chongqing, China. Stroke survivors and their primary family caregivers will be recruited together as "participant dyads", and the estimated sample size is 140 (70 in each group). The intervention includes a 12-week nurse-led health coaching program in hospital to home transition care commencing at discharge from the hospital. The primary outcome is changes in self-efficacy of stroke survivors at 12 weeks from the baseline. The secondary outcomes are changes in stroke survivors' and quality of life, functional ability, stroke-related knowledge, the number of adverse events, and unplanned hospital admissions, and caregivers' self-efficacy and caregiver-related burden at 12 weeks from the baseline. The outcomes will be measured at 12 weeks and 24 weeks from the baseline. Discussion: This study will examine the effect of nurse-led health coaching on hospital to home transition care for stroke survivors and their caregivers. It is anticipated that findings from this trial will provide research evidence to inform policy, and resource and practice development to improve hospital to home transition care for stroke survivors and their caregivers.

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Long-term effectiveness of health coaching in rehabilitation and prevention: A systematic review

Abstract: It is of utmost importance to consider the sustainability already during planning of health coaching interventions. The involvement of the target group and the setting seems to be a promising strategy.

Cited by 66 publications

References 42 publications

Does health coaching improve health‐related quality of life and reduce hospital admissions in people with chronic obstructive pulmonary disease? A systematic review and meta‐analysis

Does health coaching improve health‐related quality of life and reduce hospital admissions in people with chronic obstructive pulmonary disease? A systematic review and meta‐analysis

Intrapersonal variation in goal setting and achievement in health coaching: cross-sectional retrospective analysis

A nurse-led health coaching intervention for stroke survivors and their family caregivers in hospital to home transition care in Chongqing, China: a study protocol for a randomized controlled trial

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