Supporting Sustainable Health Behavior Change: The Whole is Greater Than the Sum of Its Parts.

Autor:	Matthews JA; College of Health Sciences, Point Loma Nazarene University, San Diego, CA.; Department of Family Medicine, Centers for Integrative Health, UC San Diego Health, San Diego, CA., Matthews S; Lifestyle Medicine and Health Research Centre, Avondale University, Cooranbong, Australia.; Wellcoaches School of Coaching, Wellesley, MA., Faries MD; Family & Community Health, Texas A&M AgriLife Extension, College Station, TX.; Texas A&M School of Medicine and School of Public Health, College Station, TX., Wolever RQ; Department of Physical Medicine and Rehabilitation, Vanderbilt Health Coaching, Vanderbilt University Medical Center, Nashville, TN.; Vanderbilt University School of Nursing, Nashville, TN.
Jazyk:	angličtina
Zdroj:	Mayo Clinic proceedings. Innovations, quality & outcomes [Mayo Clin Proc Innov Qual Outcomes] 2024 May 18; Vol. 8 (3), pp. 263-275. Date of Electronic Publication: 2024 May 18 (Print Publication: 2024).
DOI:	10.1016/j.mayocpiqo.2023.10.002
Abstrakt:	Behavior change is the foundation for effective lifestyle prescriptions, yet such change is individualized, nonlinear and typically requires ongoing support. Health and wellness coaching (HWC) is a behavior change intervention with rapidly accruing evidence of positive impact on health behaviors such as exercise, nutrition and stress management. Furthermore, HWC enhances prevention and mitigates exacerbation of chronic lifestyle diseases, at least in the short-term (up to 6 months post intervention). Although the impact on long-term stability of behavior change remains unclear, it is evident that effective partnering with patients using key communication strategies, autonomy promotion, and flexible permissiveness can empower patients to develop healthy lifestyles. This partnership can be cultivated by clinicians as well as clinical team members including nationally board-certified coaches. Although much research is needed regarding the ongoing maintenance of lifestyle changes beyond 6 months, this article seeks to equip clinicians with current evidence, theoretical insights and practical strategies from a "coach approach" to foster more intrinsic forms of motivation which, in turn, empowers patients to adopt and maintain health-promoting behaviors. Competing Interests: Dr Jessica Matthews serves as a volunteer board member and vice chair of the National Board for Health and Wellness Coaching and volunteer board member of the American College of Lifestyle Medicine. Mr Matthews serves as lead coach of Wellcoaches Australia. Dr Faries declares no conflicts of interest. Dr Wolever serves as a volunteer board member and chair of the certification commission of the National Board for Health and Wellness Coaching and as a volunteer science advisor for the Institute of Coaching; she also has grants or contract funding from the Coalition for Better Health, Meharry Medical College, and the National Institute of Diabetes and Digestive and Kidney Disease (NIDDK) and has received consultancy fees from Sharecare, Wondr, and Fullfill in the past 3 years for coach-related training and advisory roles. (© 2024 The Authors.)
Databáze:	MEDLINE
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