A case study approach to the examination of a telephone-based health coaching intervention in facilitating behaviour change for adults with Type 2 diabetes
| Autor: | Vivien Coates, Fiona Timmins, Jennifer R.P. Boore, Helen McGloin |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Health coaching Cost-Benefit Analysis media_common.quotation_subject medicine.medical_treatment Health Behavior Coaching Behavior Therapy Intervention (counseling) medicine Humans Longitudinal Studies Empowerment Life Style General Nursing media_common Motivation business.industry General Medicine Middle Aged Focus group Telemedicine Telephone Lifestyle management Traditional education Self Care Diabetes Mellitus Type 2 Smoking cessation Female business Clinical psychology |
| Zdroj: | Journal of Clinical Nursing. 24:1246-1257 |
| ISSN: | 0962-1067 |
| DOI: | 10.1111/jocn.12692 |
| Popis: | Aims and objectives This study aims to examine the effectiveness of the use of telephone empowerment-based health coaching as a cost-effective alternative to changing health behaviours of adults with Type 2 diabetes. Background Guidelines regarding lifestyle management to reduce the risk of complications in diabetes include changing patterns of eating, physical activity and smoking cessation. Traditional education/behavioural methods of support for behaviour change reveal mixed and mainly short-term effects. Design A mixed method case study approach was used (n = 10). Methods Data were collected by means of physiological measurements survey and focus group interview both before and after telephone a coaching intervention. Results Participants took greater responsibility for health and revealed high self-efficacy scores. Short-term benefits were seen in physiological variables at three months but these deteriorated with the cessation of the intervention indicating the need for continuous support. Conclusion Telephone coaching is a cost-effective approach to supporting health behaviour change for those with diabetes. It embraces the principles of empowerment and warrants further evaluation in supporting long-term behavioural changes. As such coaching emerges as a suitable proposition for this cohort. Relevance to clinical practice Health coaching has a positive impact on health behaviours for those with diabetes. Health coaching facilitates an increase in personal control of health and builds confidence in self-managing diabetes. Patients feel really supported and become motivated towards self-care. |
| Databáze: | OpenAIRE |
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