Patient Satisfaction and Perceived Success with a Telephonic Health Coaching Program: The Natural Experiments for Translation in Diabetes (NEXT-D) Study, Northern California, 2011

Adams, Sara R.; Goler, Nancy; Sanna, Rashel S.; Boccio, Mindy; Bellamy, David; Brown, Susan D.; Neugebauer, Romain; Ferrara, Assiamira; Wiley, Deanne; Schmittdiel, Julie A.

doi:10.5888/pcd10.130116

Cited by 20 publications

(26 citation statements)

References 23 publications

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“…From a limited pool of qualitative studies, participant perceptions and experience of coaches to provide support and monitoring, build rapport and provide nonjudgemental advice were identified as important in achieving lifestyle modifications. 11,12,21 As with a real-world diabetic telephone health coaching program 22 , the majority of participants reported positive GHS experiences (satisfaction), which helped them to achieve their health-related goals. Maintaining selfmonitoring and motivation were identified as barriers to weight loss and physical activity 23 , and the positive experiences of most participants were underpinned by coaches' knowledge and professionalism.…”

Section: Discussionmentioning

confidence: 99%

Participant perspectives of a 6-month telephone-based lifestyle coaching program

McGill¹,

O’Hara²,

Phongsavan³

2018

Public Health Res Pr

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Key points •This research adds to limited qualitative research relating to participant expectations and experiences of a telephonebased lifestyle intervention in a real-world context• Coach support was the most valued aspect of the participants' experience and, despite high attrition rates, participants were primarily positive about their coaching experience• Redesigning the service to increase flexibility in follow-up and using alternative communication methods such as text messaging to arrange follow-up calls could improve participant completion rates AbstractObjectives and importance of study: Low program completion rates can undermine the public health impact of even the most effective program. Participant experiences with lifestyle programs are not well reported, but are important for program improvement and retention. The purpose of this study was to understand participant perceptions of the Get Healthy Information and Coaching Service (GHS), a 6-month telephone-based health coaching program to promote lifestyle change. We were particularly interested in participants' initial expectations, their actual experience, and, for those who did not complete the program, what influenced their withdrawal. Study type:The study included qualitative semistructured interviews and a quantitative sociodemographic survey.Methods: A random sample of GHS participants (n = 59) was recruited to take part in semistructured interviews about their perceptions and experiences of the coaching program. Researchers conducted independent thematic analysis of the interview transcripts. Sociodemographic details were obtained from a quantitative survey of all GHS participants. experience. Service structure or individual circumstances, rather than the program itself, were the main reasons for withdrawal. ResultsDiscussion: A positive coaching experience was underpinned by good participant-coach rapport, which facilitated participant adherence and motivation to achieve their goals and complete the program. It is possible that participants who start to achieve their goals are motivated to continue with the program, and that their motivation moves from relying on their coach to being more intrinsically motivated. Reasons for high attrition provide insights into the coaching structure and process, and suggest that ensuring an individualised coaching approach and flexibility with follow-up calls (including alternative communication methods) are changes that could be used to improve practice and retain more participants for the duration of the program.Conclusions: Notwithstanding high attrition rates, participants were mostly positive about their coaching experience. Barriers to participants completing the program could be used to shape service redesign.

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Section: Discussionmentioning

confidence: 99%

Participant perspectives of a 6-month telephone-based lifestyle coaching program

McGill¹,

O’Hara²,

Phongsavan³

2018

Public Health Res Pr

View full text Add to dashboard Cite

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“…Health coaching, in which dedication towards one's health is fostered via professional support and motivational interviewing, is generally well received and offers another approach to promote lifestyle changes 15. To increase and improve PA promotion within the healthcare system, a methodical structure should exist that motivates healthcare professionals to prioritise exercise, allows for realistic modifications and has strong advocacy from medical experts, leading scientific organisations and policy makers to endorse research and large-scale changes 16.…”

Section: Primary Preventionmentioning

confidence: 99%

Physical activity in the prevention of coronary heart disease: implications for the clinician

Varghese

Schultz

McCue

et al. 2016

Heart

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Cardiovascular disease (CVD) continues to be a leading cause of death worldwide. Because regular physical activity (PA) independently decreases the risk of coronary heart disease (CHD) while also having a positive, dose-related impact on other cardiovascular (CV) risk factors, it has increasingly become a focus of CHD prevention. Current guidelines recommend 30 min of moderate-intensity PA 5 days a week, but exercise regimens remain underused. PA adherence can be fostered with a multilevel approach that involves active individual participation, physician counselling and health coaching, community involvement, and policy change, with incorporation of cardiac rehabilitation for patients requiring secondary prevention. Viewing exercise quantity as a vital sign, prescribing PA like a medication, and using technology, such as smartphone applications, encourage a global shift in focus from CVD treatment to prevention. Community-wide, home-based and internet-based prevention initiatives may also offer a developing pool of resources that can be tapped into to promote education and PA compliance. This review summarises the underlying rationale, current guidelines for and recommendations to cultivate a comprehensive focus in the endorsement of PA in the primary and secondary prevention of CHD.

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“…16,17 Wellness coaching is a covered benefit offered at no cost to the approximately 2 million adult KPNC members who are made aware of the program through referrals by KPNC providers and staff, partnerships with employers, and direct patient outreach. The program is staffed by wellness coaches who are Master’s level clinical health educators extensively trained in MI, a patient-centered counseling style for addressing the common problem of ambivalence about change.…”

Section: Methodsmentioning

confidence: 99%

Telephone-Based Coaching

et al. 2016

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Purpose Many Americans continue to smoke, increasing their risk of disease and premature death. Both telephone-based counseling and in-person tobacco cessation classes may improve access for smokers seeking convenient support to quit. Little research has assessed whether such programs are effective in real-world clinical populations. Design Retrospective cohort study comparing wellness coaching participants with two groups of controls. Setting Kaiser Permanente, Northern California (KPNC), a large integrated health care delivery system. Subjects 241 patients who participated in telephonic tobacco cessation coaching from 1/1/2011–3/31/2012, and two control groups: propensity-score matched controls, and controls who participated in a tobacco cessation class during the same period. Wellness coaching participants received an average of two motivational interviewing based coaching sessions that engage the patient, evoke their reason to consider quitting and help them establish a quit plan. Measures Self-reported quitting of tobacco and fills of tobacco cessation medications within 12 months of follow-up. Analysis Logistic regressions adjusting for age, gender, race/ethnicity, and primary language. Results After adjusting for confounders, tobacco quit rates were higher among coaching participants vs. matched controls (31% vs. 23%, P<0.001) and comparable to class attendees (31% vs. 29%, P=0.28). Coaching participants and class attendees filled tobacco-cessation prescriptions at a higher rate (47% for both) than matched controls (6%, P<0.001). Conclusions Telephonic wellness coaching was as effective as in-person classes and was associated with higher rates of quitting compared to no treatment. The telephonic modality may increase convenience and scalability for health care systems looking to reduce tobacco use and improve health.

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Patient Satisfaction and Perceived Success with a Telephonic Health Coaching Program: The Natural Experiments for Translation in Diabetes (NEXT-D) Study, Northern California, 2011

Cited by 20 publications

References 23 publications

Participant perspectives of a 6-month telephone-based lifestyle coaching program

Participant perspectives of a 6-month telephone-based lifestyle coaching program

Physical activity in the prevention of coronary heart disease: implications for the clinician

Telephone-Based Coaching

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