National Training and Education Standards for Health and Wellness Coaching: The Path to National Certification

Jordan, Meg; Wolever, Ruth Q.; Lawson, Karen; Moore, Margaret

doi:10.7453/gahmj.2015.039

Cited by 40 publications

(43 citation statements)

References 24 publications

(32 reference statements)

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“…While there was no national certification at the time of the study, both coaches would have qualified to sit for the newly established national certification examination for health and wellness coaches. 36 …”

Section: Methodsmentioning

confidence: 99%

Integrative health coaching: a behavior skills approach that improves HbA1c and pharmacy claims-derived medication adherence

Wolever

Dreusicke

2016

BMJ Open Diab Res Care

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ObjectiveMedication adherence requires underlying behavior skills and a supporting mindset that may not be addressed with education or reminders. Founded in the study of internal motivation and health psychology, integrative health coaching (IHC) helps patients gain insight into their behaviors and make long-term, sustainable lifestyle changes. The purpose of the study is to determine whether IHC improves oral medication adherence, glycated hemoglobin (HbA1c), and psychosocial measures, and to assess whether adherence changes are sustained after the intervention.MethodsUsing a prospective observational design, participants (n=56) received 14 coaching calls by telephone over 6 months. Medication possession ratio (MPR) was calculated for time intervals before, during, and after the intervention. HbA1c and patient-reported psychosocial outcomes were obtained to test interactions with MPR.ResultsMedication adherence (MPR) increased from 0.74±0.197 to 0.85±0.155 during coaching, and was sustained at 0.82±0.175 during a 6-month period after the study. Better adherence correlated with a greater decrease in HbA1c. HbA1c decreased from 8.0±1.92% to 7.7±1.70% over the 6-month intervention. All psychosocial measures showed significant improvement. In addition to discussing medication adherence strategies with their coach, patients discussed nutrition and exercise (86.9% of calls), stress management (39.8%), and social support and relationships (15.4%).ConclusionsIHC targets internal motivation and supports behavior change by facilitating patients’ insight into their own behaviors, and it uses this insight to foster self-efficacy. This approach may yield sustainable results for medication adherence and warrants further exploration for health-related behavior change.

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Section: Methodsmentioning

confidence: 99%

Integrative health coaching: a behavior skills approach that improves HbA1c and pharmacy claims-derived medication adherence

Wolever

Dreusicke

2016

BMJ Open Diab Res Care

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“…Ärzte und Angehörige anderer Gesundheitsberufe (hauptsäch-lich Pflegepersonen) zählen dabei zu den Hauptakteuren. Um die nötigen Kompetenzen zu erlangen, sind spezielle Schulungen unerlässlich [8,10,22,38]. Diesbezüglich gibt es allerdings eine sehr große Bandbreite der Intensität.…”

Section: Diskussionunclassified

Coaching aus der Perspektive der Allgemeinmedizin

Niebuhr¹,

Wilfling²,

Hahn³

et al. 2018

Präv Gesundheitsf

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“…The goal is to help steer families down a particular path while allowing them to determine the pace. In essence, "Successful coaching takes place when coaches apply clearly defined knowledge and skills so that clients mobilize internal strengths and external resources for sustainable change" (Jordan et al, 2015).…”

Section: Combining Lifestyle Medicine and Coaching For Behavior Changementioning

confidence: 99%

familyPower: A Referral-Based Pediatric Obesity Treatment Program that Connects Clinic to Family

Moscetti¹,

Haws²,

Malm³

et al. 2016

NAM Perspectives

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Overweight and obesity, and their negative sequelae, have become the focus of policy makers, business leaders, health care systems, and the general public in the United States and globally. Currently, one in three children and adolescents in the United States is either overweight or obese (Ogden et al., 2014). Children who are overweight or obese tend to remain as such into adulthood, increasing their risk of developing associated chronic conditions, such as type 2 diabetes, cardiovascular disease, nonalcoholic fatty liver disease, and other cardio-metabolic problems (Slomski, 2014). Further, more research is suggesting an important link between physical and mental health, with similar risk factors between obesity and chronic disease (e.g., unhealthy diet, physical inactivity, poor sleep) and many mental disorders, such as depression, anxiety, and attention deficit hyperactivity disorder (ADHD). Obesity is a major driver of current health care expenditures. Current estimates range from $147 billion to nearly $210 billion per year (Cawley and Meyerhoefer, 2012). Medical costs are often higher for patients who are overweight or obese. For example, costs for providing emergency room care to a patient presenting with chest pains are 28 percent higher for obese patients and 22 percent higher for overweight patients compared to those of normal weight (Peitz et al., 2014). During the past 2 decades, the prevalence of obesity among children steadily increased (Fryar et al., 2014). From 1976 to 1980, the prevalence of obesity was 5 percent among 2-to 5year-olds, 6.5 percent among 6-to 11-year-olds, and 5 percent among 12-to 19-year-olds. A decade later, in 1999-2000, prevalence more than doubled for all age groups to 10.3 percent, 15.1 percent, and 14.8 percent, respectively. Another 10 years later, in 2009-2010, the prevalence of obesity continued to increase, albeit at a slower rate, to 12 percent for 2-to 5year-olds, 18 percent for 6-to 11-year-olds, and 18.4 percent for 12-to 19-year-olds. Recent national surveys, however, have indicated that obesity prevalence may be leveling off among certain age groups, in particular young children ages 2 to 5 years of age. Recently, the Centers for Disease Control and Prevention (CDC) reported that 18 states and 1 territory experienced statewide declines in the prevalence of obesity among low-income children ages 2-5 years between 2008 and 2011 (CDC, 2013). Less promising, this progress has come at the same time as an increased prevalence among both male and female adolescents ages 12 to 19. However, despite the overwhelming recognition of obesity as a critical economic and public health issue, and the top child health concern of parents (C.S. Mott Children's Hospital, 2015), researchers, policy makers, and public health and health care practitioners continue to search for the most effective and sustainable interventions to address the issue. A variety of sectors have a stake in solving the obesity epidemic. As such, solutions will require engagement from a wide range of actors, s...

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National Training and Education Standards for Health and Wellness Coaching: The Path to National Certification

Cited by 40 publications

References 24 publications

Integrative health coaching: a behavior skills approach that improves HbA1c and pharmacy claims-derived medication adherence

Integrative health coaching: a behavior skills approach that improves HbA1c and pharmacy claims-derived medication adherence

Coaching aus der Perspektive der Allgemeinmedizin

familyPower: A Referral-Based Pediatric Obesity Treatment Program that Connects Clinic to Family

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