Telephone Coaching

2020 ◽  
pp. 2227-2227
Keyword(s):  
Telephone Coaching

scholarly journals Peer support program (P-SUP) to strengthen self-management in patients with chronic conditions

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Giesen ◽  
H Könnecke ◽  
M Redaèlli ◽  
D Simic ◽  
M Heßbrügge ◽  
...  
Keyword(s):  
Peer Support ◽  
Support Groups ◽  
Chronic Conditions ◽  
Primary Outcome ◽  
Hospital Admissions ◽  
Self Management ◽  
Artery Disease ◽  
Telephone Coaching

Abstract Background Chronic care programmes (CCPs) ensure a standardised, evidence based and structured patient care. In Germany, CCPs are successful in improving quality of care and making care more patient-centred. Regarding self-management support, however, the programs only feature patient education and shared decisions on treatment goals. Peer support has proven to be a successful component in outpatient care to enhance self-management. The aim of this study is to support patients with type 2 diabetes and coronary artery disease in conducting successful self-management through a multimodal program. Methods This randomized controlled trial (RCT) is set up for 27 months and will include a study population of approximately 1800 patients, beginning in summer 2020. The primary outcome (PO) is the reduction of hospital admissions. In addition to the PO, secondary outcomes include motivational and knowledge-based aspects. Furthermore, health-competitive and health-economic data will be collected. The formative evaluation will review the processes for implementation. The central element of the intervention will be peer support groups, in which the group will participate in physical activities and educational lectures on nutrition, exercise or disease related knowledge. Additionally, a specially designed online platform, personalized feedback for patients on medical outcomes from their family doctors, and regular telephone coaching to increase intrinsic motivation and activation will be provided. Results In addition to the primary outcome (reduction of hospital admissions), increased motivation levels, improved quality of life and increased health literacy are expected. Conclusions This project, funded by the Federal Joint Committee (establishment of statutory health insurance funds and medical providers in Germany), can serve as a blueprint for future implementations of public health approaches and accessible care models for patients with chronic conditions. Key messages Peer support as a successful method to enhance self-management in patients with type 2 diabetes and coronary artery disease. A multimodal program, consisting of peer support groups, an online platform, personalized medical feedback and telephone coaching, aiming to improve quality of life in patients with chronic conditions.

Cardiovascular Disease Prevention Preferences of a Sample of Urban American Indians

2011 ◽  
Vol 23 (6) ◽  
pp. 428-434 ◽  
Author(s):  
Kathryn S. Keim ◽  
Janyce Cagan Agruss ◽  
Ellen M. Williams ◽  
Louis Fogg ◽  
Ann Minnick ◽  
...  
Keyword(s):  
Physical Activity ◽  
American Indians ◽  
Healthy Eating ◽  
Community Health Center ◽  
Healthy Foods ◽  
Program Delivery ◽  
Existing Problems ◽  
Human Contact ◽  
Telephone Coaching ◽  
Barriers To Physical Activity

This study identified program delivery preferences and barriers to physical activity and healthy eating. Ninety-nine urban dwelling American Indians completed a questionnaire at powwows, community events, and a community health center. Most frequently selected program delivery preferences were coaching or other human contact, with fewer willing to use computer or telephone coaching. Fifty-six selected attending 8, 12, or 16 sessions. Most frequently selected barriers to physical activity were lack of time ( n = 48) and pain from existing problems ( n = 33). Frequently identified barriers to eating healthy foods included expense ( n = 42), uncertainty regarding what foods are healthy ( n = 25), extra time needed for preparation ( n = 22), and lack of knowledge of how to prepare healthy food ( n = 22). Findings showed the need for programs to focus on decreasing the barriers of time for physical activity and healthy eating and encourage doing organized physical activity (not necessarily exercise) with others to increase physical activity.

scholarly journals Baseline Psychological Treatment Reduces the Effect of Coaching in a Randomised Trial of a Depression Self-Care Intervention

2016 ◽  
Vol 62 (1) ◽  
pp. 67-72 ◽  
Author(s):  
Jane McCusker ◽  
Martin Cole ◽  
Sylvie Lambert ◽  
Mark Yaffe ◽  
Antonio Ciampi ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Psychological Treatment ◽  
Randomised Trial ◽  
Self Care ◽  
Mental Health Outcomes ◽  
Control Group ◽  
Low Intensity ◽  
Care Intervention ◽  
Telephone Coaching

Objective: To explore the effects of baseline psychological and antidepressant medication treatment in a trial of lay telephone coaching in a low-intensity, supported depression self-care intervention. Method: A single blind, individually randomised, pragmatic trial was conducted among primary care adults with chronic physical conditions and comorbid depressive symptoms. Eligible subjects were randomised to receive a depression self-care toolkit with (intervention group) or without (control group) telephone coaching provided by trained lay coaches. For this brief communication, a secondary analysis of the trial data focused on the effects of baseline psychological and antidepressant treatments on mental health outcomes (Patient Health Questionnaire 9 [PHQ-9], SF-12 Mental Component Summary [MCS], Generalized Anxiety Disorder 7 [GAD-7]) and satisfaction with the intervention. Results: In total, 223 patients were randomised, and 165 (74.0%) completed both 3- and 6-month follow-ups. There were 2 significant interactions of baseline treatment and study group for 6-month mental health outcomes. A significant benefit of coaching on 6-month PHQ-9 was seen only among participants who were not receiving baseline psychological treatment. A smaller interaction was found for baseline antidepressant medications and 6-month mental health. There was a significant main effect for baseline psychological treatment and lower 6-month satisfaction. Conclusions: Depressed patients receiving baseline psychological treatment may not benefit from lay coaching offered as part of a low-intensity depression self-care intervention.

scholarly journals Effect of a Home-Based Exercise Intervention of Wearable Technology and Telephone Coaching on Walking Performance in Peripheral Artery Disease

JAMA ◽  
2018 ◽  
Vol 319 (16) ◽  
pp. 1665 ◽  
Author(s):  
Mary M. McDermott ◽  
Bonnie Spring ◽  
Jeffrey S. Berger ◽  
Diane Treat-Jacobson ◽  
Michael S. Conte ◽  
...  
Keyword(s):  
Peripheral Artery Disease ◽  
Exercise Intervention ◽  
Wearable Technology ◽  
Peripheral Artery ◽  
Home Based ◽  
Walking Performance ◽  
Artery Disease ◽  
Telephone Coaching

Suicidality, Self-Injurious Behavior, and Eating Disorders

2017 ◽  
pp. 79-94
Author(s):  
Leslie K. Anderson ◽  
April Smith ◽  
Scott Crow
Keyword(s):  
Eating Disorders ◽  
Suicidal Ideation ◽  
Dialectical Behavior Therapy ◽  
Contingency Management ◽  
Evidence Based ◽  
Self Monitoring ◽  
Specific Diagnosis ◽  
Chain Analysis ◽  
Self Harm ◽  
Telephone Coaching

Regardless of specific diagnosis, individuals with eating disorders have strikingly high rates of self-injurious behavior and suicidal ideation. It is essential that clinicians working with individuals who have eating disorders conduct regular and thorough assessments of suicidality and self-harm in their patients and understand a variety of strategies for intervention with these problems. This chapter outlines evidence-based approaches to assessment and intervention with suicidality and self-harm. It discusses the literature on lethality assessment, no-suicide contracts, involving family, hospitalization, and means restriction. It also focuses on strategies from dialectical behavior therapy for managing both self-harm and suicide risk, such as contingency management, diary card self-monitoring, telephone coaching, and behavioral chain analysis.

scholarly journals Total Lifestyle Coaching: A Pilot Study Evaluating the Effectiveness of a Mind–Body and Nutrition Telephone Coaching Program for Obese Adults at a Community Health Center

2018 ◽  
Vol 7 ◽  
pp. 216495611878490 ◽  
Author(s):  
Emma Chad-Friedman ◽  
Melanie Pearsall ◽  
Kathleen M Miller ◽  
Amy E Wheeler ◽  
John W Denninger ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Weight Loss ◽  
Community Health ◽  
Health Center ◽  
Perceived Stress ◽  
Community Health Center ◽  
Cohen’S D ◽  
Coaching Intervention ◽  
Cohen's D ◽  
Telephone Coaching

Background Stress and obesity are interrelated and common among low-income adults. Mind–body interventions have been shown to reduce psychological distress and have been incorporated into many weight loss interventions. However, few of these programs have incorporated a telephone coaching component. Objective We designed and piloted a novel weight loss telephone coaching intervention for this population and examined its effectiveness on weight loss and improvements in health behaviors in obese community health center patients. Methods This was a 6-month, single-arm, prospective, pre–post pilot study. The study took place at a community health center near Boston, Massachusetts. Participants were 27 overweight and obese community health center patients. The intervention consisted of one in-person intake with the registered dietitian, trained in mind–body approaches, and approximately 1 phone coaching session every 2 weeks for 6 consecutive months. Anthropometric data consisted of weight, body mass index (BMI), and blood pressure. Questionnaires consisted of the Perceived Stress Scale-10 item, the CIGNA Healthy Eating Survey, Section H: Behavioral Eating, a physical activity questionnaire, and a nutritional habits questionnaire. We used paired samples t tests to assess pre–post changes in weight, BMI, blood pressure, perceived stress, behavioral eating, and physical activity. We also conducted semistructured exit interviews to learn about participants’ experiences in this program. Results There was a trend toward weight reduction ( P < .1, Cohen’s d = 0.33) and significant improvements in systolic blood pressure ( P = .001, Cohen’s d = 0.72), perceived stress ( P = .001, Cohen’s d = 0.75), and behavioral eating ( P = .009, Cohen’s d = 0.54). Improvements in weight were sustained 6 months after completion of the intervention. Conclusion Results suggest that a telephone nutrition health coaching intervention is feasible and may facilitate weight loss in obese community health center patients. Future randomized-controlled studies are warranted to better understand these improvements. Clinicaltrials.gov registration NCT03025217

They Came, But Will They Come Back? An Observational Study of Re-Enrollment Predictors for the Oklahoma Tobacco Helpline

2019 ◽  
Vol 34 (3) ◽  
pp. 261-268
Author(s):  
Laura A. Beebe ◽  
Lindsay M. Boeckman ◽  
Paola G. Klein ◽  
Jessie E. Saul ◽  
Stephen R. Gillaspy
Keyword(s):  
Multinomial Logistic Regression ◽  
Service Selection ◽  
Chi Square ◽  
Enrollment Patterns ◽  
Additional Service ◽  
Telephone Coaching ◽  
First Time ◽  
Tobacco Settlement ◽  
E Mail

Purpose: Although quitlines reach 1% to 2% of tobacco users annually, additional efforts are needed to increase their impact. We hypothesized that offering less intensive services would increase the rate of re-enrollment in any service, as well as re-enrollment in more intensive services. This study describes the enrollment patterns and identifies re-enrollment predictors for Oklahoma Tobacco Helpline (OTH) participants. Design: This study used a comparative observational design. Setting: The setting for this study was the OTH, a telephone-based cessation program funded by the Oklahoma Tobacco Settlement Endowment Trust. The OTH participants could select either a multicall telephone-based cessation program (MC) or one or more individual services (IS), including a 2-week nicotine replacement therapy (NRT) starter kit, e-mail or text-based support, and a printed quit guide. Participants: A total of 35 648 first-time adult OTH participants eligible for the multicall program from October 2015 through September 2018 were included. Measures: Demographic and tobacco use variables and initial quitline service selection were collected at intake. Additional service utilization was tracked for 6 months following initial registration. Analysis: Pearson chi-square and t tests were used to test for significant differences between groups. Multinomial logistic regression was used to examine predictors of re-enrollment. Results: Individual services were more frequently selected (n = 17 266) than MC (n = 14 326), despite all users being eligible for MC. A much higher proportion of IS registrants re-enrolled than MC registrants (16% vs 3%, P < .0001) Among the IS cohort, those who received an NRT follow-up call were 14.7 times more likely to re-enroll in IS, and 7.8 times more likely to re-enroll in MC, than those who were not reached by phone. Conclusions: Access to free NRT without a telephone-coaching requirement is a draw for tobacco users, especially those with lower income and the uninsured. The results suggest the value of increasing use of nonphone services in an effort to increase interest in quitting and reach.

Sign in / Sign up

Export Citation Format

Share Document