Coaching for behaviour change in chronic disease: A review of the literature and the implications for coaching as a self-management intervention

2003 ◽  
Vol 9 (3) ◽  
pp. 177 ◽  
Author(s):  
Helen Lindner ◽  
David Menzies ◽  
Jill Kelly ◽  
Sonya Taylor ◽  
Marianne Shearer
Keyword(s):  
Chronic Illness ◽  
Health Professional ◽  
Behaviour Change ◽  
Professional Support ◽  
Self Management ◽  
Chronic Obstructive ◽  
Review Of The Literature ◽  
Adherence To Medication ◽  
Wide Range

Self-management is a necessary aim in the treatment of chronic illnesses, such as diabetes, heart disease, arthritis, lupus, and chronic obstructive pulmonary disease. Although effective treatments are available for these serious conditions, the rate of adherence to medication, dietary changes, physical activity, blood monitoring, or attendance to regular medical screenings is reported to be approximately only 50%. The role of health professional support in effective self-management of chronic illness has been recently acknowledged. Furthermore, numerous studies on professional support for self-management of chronic illness have focused on the health professional as a ?coach?. Coaching has been defined as an interactive role undertaken by a peer or professional individual to support a patient to be an active participant in the self-management of a chronic illness. A review of the literature revealed a limited number of empirical studies on coaching, with these focusing on one of three areas: disease-related education; behaviour change strategies; or, psychosocial support. Due to the small number of research investigations, only tentative support can be given to the efficacy of the different coaching approaches. However, it was apparent that education-based interventions have a significant role in self-management, but that these were not sufficient by themselves. The role of behaviour change-focused coaching was also shown to be an important factor. However, not all patients are ready for change, and therefore the need for coach interactions that move a patient to a stage of action were evident, as was the need to consider the emotional state of the patient. The challenges for future research is to investigate the relative strengths of these coaching approaches for the support of patient self-management of chronic illness, and the means to effectively integrate these approaches into routine health care, through a wide range of health professional groups.

scholarly journals How do facilitators of group programmes for long-term conditions conceptualise self-management support?

2018 ◽  
Vol 16 (2) ◽  
pp. 104-118
Author(s):  
Stephen Hughes ◽  
Sophie Lewis ◽  
Karen Willis ◽  
Anne Rogers ◽  
Sally Wyke ◽  
...  
Keyword(s):  
Health Professional ◽  
Goal Setting ◽  
Behaviour Change ◽  
Self Management ◽  
Chronic Obstructive ◽  
Management Support ◽  
Structured Interviews ◽  
Lifestyle Behaviour ◽  
Long Term Conditions

Objectives Increasing self-management skills in people with long-term conditions is widely advocated in policies and guidelines. Group programmes are a common format; yet, how self-management support objectives are enacted in their delivery is poorly understood. Our aim is to explore the perspectives of group programme facilitators. Methods We undertook thematic analysis of transcribed data from in-depth semi-structured interviews with health professional facilitators (n = 13) from six diverse self-management support group programmes (of obesity, diabetes and chronic obstructive pulmonary disease). Results Facilitators viewed group programmes as responses to health system pressures, e.g. high patient demand. They focussed on providing in-depth education and instruction on physical health, risks and lifestyle behaviour change and emphasised self-responsibility for behaviour change whilst minimising goal setting and support amongst group participants. There were tensions between facilitators’ professional identity and group leader role. Discussion Group self-management support programmes may not be realising the broader aspirations advocated in long-term condition policy to support medical, emotional and social aspects of long-term conditions by minimising shared learning, problem solving, building of self-efficacy and goal setting. This suggests a disconnect at implementation. Increasing understandings of theoretical and practical self-management support in group programmes across both implementation and health professional (HCP) training will further the professional skills in this format.

scholarly journals Behaviour change and social blinkers? The role of sociology in trials of self‐management behaviour in chronic conditions

2014 ◽  
Vol 36 (2) ◽  
pp. 226-238 ◽  
Author(s):  
Bie Nio Ong ◽  
Anne Rogers ◽  
Anne Kennedy ◽  
Peter Bower ◽  
Tom Sanders ◽  
...  
Keyword(s):  
Behaviour Change ◽  
Chronic Conditions ◽  
Self Management ◽  
Management Behaviour

Who's in charge? The role of responsibility attribution in self-management among people with chronic illness

2010 ◽  
Vol 81 (1) ◽  
pp. 94-100 ◽  
Author(s):  
Åsa Audulv ◽  
Kenneth Asplund ◽  
Karl-Gustaf Norbergh
Keyword(s):  
Chronic Illness ◽  
Self Management ◽  
Responsibility Attribution

scholarly journals Self-regulation as a Mediator of Mindfulness and Physical Activity: A Narrative Review

Spectrum ◽  
2021 ◽  
Author(s):  
Aaron Boyle ◽  
Amber Mosewich
Keyword(s):  
Physical Activity ◽  
Behaviour Change ◽  
Self Regulation ◽  
Narrative Review ◽  
Activity Participation ◽  
Potential Mechanism ◽  
Review Of The Literature ◽  
Physical Activity Guidelines ◽  
Mechanisms Of Mindfulness

Mindfulness is gaining increased attention as a means of increasing physical activity (PA) participation. Given that only 15.4% of adult Canadians currently meet the Canadian Physical Activity Guidelines (Colley et al., 2011), it is imperative to find ways to increase PA among adults. One way to do this is to promote self-regulation skills as self-regulation is among the top predictors of PA participation (Teixeira et al., 2015).  The purpose of this narrative review was to further understand the role of self-regulation as a potential mechanism by which mindfulness may be related to PA participation. Initially, 160 papers were identified by title for this review. After reading abstracts, 37 papers were identified as possibly relating to the topic of interest. Following full readings, 26 papers were included in the final review. Likely due to the novelty of this topic, there is limited research on the mechanisms by which mindfulness may be related to physical activity. Review of the literature suggests that self-regulation appears to be a promising mechanism by which mindfulness could improve physical activity participation (Shapiro et al., 2006; Samdal et al., 2017), as self-regulation has been shown to play an important role in behaviour change, however, other alternative mechanisms include improved self-efficacy, as well as improved satisfaction (Neace et al., 2020; Tsafou et al., 2016). The authors conclude that more research on the mechanisms of mindfulness on PA, specifically self-regulation as a mechanism, could foster more knowledgeable intervention practices, and consequently improve mindfulness-based interventions efficacy.

Self-management of chronic illness: the role of ‘habit’ versus reflective factors in exercise and medication adherence

2016 ◽  
Vol 39 (6) ◽  
pp. 1076-1091 ◽  
Author(s):  
L. Alison Phillips ◽  
Joshua Cohen ◽  
Edith Burns ◽  
Jessica Abrams ◽  
Steffi Renninger
Keyword(s):  
Medication Adherence ◽  
Chronic Illness ◽  
Self Management
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