“Smile healthy to your diabetes”: health coaching-based intervention for oral health and diabetes management

Cinar, Ayse Basak; Oktay, İnci; Schou, Lone

doi:10.1007/s00784-013-1165-2

Cited by 18 publications

(39 citation statements)

References 24 publications

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“…Sample size calculation and methodology were explained in detail in earlier publications [22][23][24] . Danish participants were recruited from the electronic health records of the School of Dentistry in May 2012.…”

Section: Methodsmentioning

confidence: 99%

“…This research was approved by the Internal Review Board of University of Copenhagen. The sample size calculation was built on the expected difference between the pre-and post-coaching HbA1c level (glycated haemoglobin, measured primarily to identify the 3-month average plasma glucose concentration), according to our previous study in Turkey 22,23 . With a power of 0.9, a = 0.05 and an expected difference in HbA1c of 0.67% after 6 months, with a SD = 1.2 and a 95% confidence interval, the number of participants was calculated as 72 (paired t-test).…”

Section: Methodsmentioning

confidence: 99%

“…The two stages of the study (6-months initiationmaintenance phase, then 6 months follow-up), described in detail earlier [22][23][24] , were as follows:…”

Section: Interventionmentioning

confidence: 99%

“…Health Coaching (HC Intervention): The HC approach ( Table 1) in the present study is a dynamic and collaborative process between the coach and the patient to maintain and adopt healthy-lifestyles supported by empowerment of capacity building skills (self-efficacy, diabetes coping skills) [20][21][22][23][24] . The HC sessions, conducted by a professional health coach (AB Cinar) in both countries, focused on motivating and supporting the patients for maintenance and improvement of lifestyles with the aim of at least a 0.4-0.8% reduction in HbA1c (P < 0.05) in line with the earlier studies 15,33 .…”

Section: Initiation-maintenance Phasementioning

confidence: 99%

“…Telephone advice was supported by the educational brochures. The HE sessions were explained in detail earlier [22][23][24] . A 'thank you' letter and a brief summary following each assessment were provided to all participants in the HE group in order to minimise attrition over the 12 month study duration.…”

mentioning

confidence: 99%

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A new complementary approach for oral health and diabetes management: health coaching

Cinar

Freeman

Schou

2018

International Dental Journal

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Background: Health coaching (HC) is based on 'partnering with clients in a thought-provoking and creative process that inspires them to maximise their personal and professional potential' to adopt healthy lifestyles through 'building awareness and empowerment'. This study's objective is to assess, for the first time to our knowledge, the effectiveness of HC compared with health education (HE) using clinical and subjective measures among type 2 diabetes (DM2) patients in Turkey and Denmark. Methods: This stratified random prospective study selected type 2 diabetes patients in Turkey (n = 186) (TR) (2010)(2011)(2012) and in Denmark (n = 116) (DK) (2012)(2013)(2014). Participants were assigned to HC or HE groups. Selected outcomes were HbA1c, periodontal treatment need index (CPI), health behaviours and anthropometric measures. The study duration was 12 months (6 months initiation-maintenance, 6 months follow-up). Results: At baseline, there were no statistically significant differences between the HC and HE groups. Post-intervention, a reduction of HbA1c in the HC groups was observed (TR: 0.8%; DK: 0.4%, P < 0.01) but not in the HE groups. The HC patients had a higher reduction in CPI than the HE group (P < 0.01). Principal component analysis showed that HbA1c, CPI and 'behaviour change' compose one cluster in the HCTR and HETR groups. Three clusters were formed for the HCDK; respectively HbA1c and CPI, lean mass and body fat percentage, 'behaviour change'. Conclusions: The results indicate that HC has a greater impact on DM management and health outcomes. There is a need for common health promotion strategies with behavioural interventions such as health coaching for the management of type 2 diabetes that focus on multidisciplinary approaches including oral health.Key words: Health coaching, oral health, HbA1C, health education, diabetes type 2 INTRODUCTIONGlobally nearly 400 million people have diabetes and that prevalence will be 600 million by 2035 1 . Moreover 90% of adults living with diabetes have diabetes type 2 (DM2) 2 , associated with more unhealthy lifestyles. Diabetes is expected to be the 7th leading cause of death in 2030 2 . A recent meta-analysis showed that periodontal diseases (PDs) may influence poor metabolic control and its complications 3 . This work amongst others suggests that there is bidirectional association between DM2 and PD; DM2 increases the risk for and severity of PD 4 , individuals that have been diagnosed with PD are more likely to have DM2 and/or poor glycaemic control [5][6][7] . Additionally longitudinal observational studies report that severe periodontitis has a significant adverse effect on risk for poor glycaemic control 8,9 . DM2 and PDs share common pathophysiological mechanisms [10][11][12] that are influenced by lifestyle behaviours such as poor diet, tobacco use and lack of exercise 13,14 . International health organisations such as the WHO and International Diabetes Federation emphasise that oral health promotion focusing on behavioural interventions should be integ...

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

“…The two stages of the study (6-months initiationmaintenance phase, then 6 months follow-up), described in detail earlier [22][23][24] , were as follows:…”

Section: Interventionmentioning

confidence: 99%