Evaluating an insurer-based health coaching program: Impact of program engagement on healthcare utilization and weight loss
| Autor: | Wendy L Bennett, Natalie Reid, Kimberly A. Gudzune, Sarah Kachur, Jennifer Thrift, Janelle W. Coughlin |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Health coaching lcsh:Medicine 030209 endocrinology & metabolism Health Informatics Coaching 03 medical and health sciences Health insurance 0302 clinical medicine Weight loss Weight management medicine Health services research 030212 general & internal medicine Risk reduction behavior Multinomial logistic regression 2. Zero hunger business.industry lcsh:R Weight change Public Health Environmental and Occupational Health Regular Article 3. Good health Family medicine medicine.symptom business Body mass index |
| Zdroj: | Preventive Medicine Reports, Vol 12, Iss, Pp 343-348 (2018) Preventive Medicine Reports |
| ISSN: | 2211-3355 |
| Popis: | Insurers and employers are increasingly offering lifestyle and weight-loss coaching programs; however, few evaluations have examined their effectiveness. Our objectives were to determine whether level of program engagement was associated with differences in healthcare utilization and weight pre/post coaching. We conducted a retrospective evaluation of enrollees in an insurer-based telephonic health coaching program in Maryland (2013–2014). Our independent variables were program engagement benchmarks (≥3 and ≥6 sessions). Our dependent variables included change in outpatient and emergency department (ED) visits (more visits post program, fewer visits post, or no change pre-post) and associated costs (difference pre-post) using claims data. We calculated mean percent weight change from baseline. We used multivariate-adjusted linear and multinomial logistic regression, as appropriate, to examine the association between outcomes and engagement benchmarks. We included 225 enrollees with mean age 50.7 years, 81.3% women, and mean body mass index of 35.0 kg/m2. Most participants focused on weight management (75.6%) and improving general health (57.8%). Few individuals had outpatient or ED visits, and no significant changes in healthcare utilization were associated with program engagement. Among the weight management subgroup (n = 170), mean weight change was −2.1% (SD 5.1). Participants achieved significantly greater weight loss if they met the 6-session engagement benchmark (β −3.5%, p |
| Databáze: | OpenAIRE |
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