scholarly journals Does the Modality Used in Health Coaching Matter? A Systematic Review of Health Coaching Outcomes

2020 ◽  
Vol Volume 14 ◽  
pp. 1477-1492
Author(s):  
Harjit K Singh ◽  
Gerard A Kennedy ◽  
Ieva Stupans

2014 ◽  
Vol 97 (2) ◽  
pp. 147-157 ◽  
Author(s):  
Kirsi Kivelä ◽  
Satu Elo ◽  
Helvi Kyngäs ◽  
Maria Kääriäinen


2017 ◽  
Vol 6 (1) ◽  
Author(s):  
Nadja Almondes ◽  
Denise Downie ◽  
Ayse B. Cinar ◽  
Derek Richards ◽  
Ruth Freeman




Author(s):  
Bradley D Gershkowitz ◽  
Conor J Hillert ◽  
Bradley H Crotty

Abstract Context In this systematic review, we focus on the clinical impact of digital tools for providing health coaching, education, and facilitating behavior in patients with prediabetes or type 2 diabetes. Our approach was designed to provide insights for clinicians and health care systems that are considering adopting such digital tools. Evidence Acquisition We searched the CINAHL, Scopus, and Ovid/MEDLINE databases using PRISMA guidelines for studies that reported digital coaching strategies for management and prevention of type 2 diabetes published from January 2014 to June 2019. Articles were reviewed by 2 independent blinded reviewers. Twenty-one articles met inclusion criteria. Evidence Synthesis We found that 20 of 21 studies in our analysis showed statistically significant improvements in at least one measure of diabetes control including HbA1c, weight loss, fasting blood glucose, and BMI. Studies that reported weight loss percentage from baseline at 1 year reported values ranging from −3.04% to −8.98%, similar to outcomes with traditional coaching in the Diabetes Prevention Program (N = 4). Additionally, all studies that included a comparison group of in-person or telephone-based coaching showed statistically better or similar outcomes in the digital coaching group (N = 5). Conclusions The evidence reported in this systematic review suggests that digital health coaching offers a promising strategy for long-term management and prevention of type 2 diabetes in diverse populations with similar benefits to in-person or telephone-based health coaching. We argue that, with the potential to treat large numbers of individuals in diverse geographic locations, digital coaching offers a promising solution to the rapid increase in diabetes prevalence.



2020 ◽  
Vol 103 (10) ◽  
pp. 2039-2060 ◽  
Author(s):  
Shuanglan Lin ◽  
Lily Dongxia Xiao ◽  
Diane Chamberlain ◽  
Peter Newman ◽  
Shiqi Xie ◽  
...  


Author(s):  
Roberta Bevilacqua ◽  
Sara Casaccia ◽  
Gabriella Cortellessa ◽  
Arlene Astell ◽  
Fabrizia Lattanzio ◽  
...  

Background: Despite the evidence on the positive role of self-management, the adoption of health coaching strategies for older people is still limited. To address these gaps, recent efforts have been made in the ICT sector in order to develop systems for delivering coaching and overcoming barriers relating to scarcity of resources. The aim of this review is to examine the efficacy of personal health coaching systems for older adults using digital virtual agents. Methods: A systematic review of the literature was conducted in December 2019 analyzing manuscripts from four databases over the last 10 years. Nine papers were included. Results: Despite the low number of studies, there was evidence that technology-integrated interventions can deliver benefits for health over usual care. However, the review raises important questions about how to maintain benefits and permanence of behavior change produced by short-term interventions. Conclusion: These systems offer a potential tool to reduce costs, minimize therapist burden and training, and expand the range of clients who can benefit from them. It is desirable that in the future the number of studies will grow, considering other aspects such as the role of the virtual coaches’ characteristics, social-presence, empathy, usability, and health literacy.



Author(s):  
Sofia Mendes Sieczkowska ◽  
Alisson Padilha de Lima ◽  
Paul Alan Swinton ◽  
Eimear Dolan ◽  
Hamilton Roschel ◽  
...  

ABSTRACT Health coaching has emerged as a potential supporting tool for health professionals to overcome behavioral barriers, but its efficacy in weight management remains unclear. We conducted a systematic review and meta-analysis to synthesize and evaluate the quality of evidence supporting the use of self-reported health coaching for weight loss. Seven electronic databases (PubMed, Web of Science, Scopus, Cochrane, Psyinfo, Virtual Health Library, and Scielo) were independently searched from inception to May 2020. This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and quality of evidence was assessed using the Grading of Recommendations, Assessment, Development and Evaluation recommendations. Any study that investigated a self-reported health coaching intervention with the goal of inducing weight loss in individuals of any age, health, or training status was considered for inclusion. Quantitative data were analyzed using multilevel hierarchical metaregression models conducted within a Bayesian framework. A total of 653 studies were screened and 38 were selected for inclusion. The quality of evidence supporting outcomes based on the entire evidence base was very low and studies were deemed to have high risk of bias. Meta-analysis of controlled studies provided evidence of an effect favoring coaching compared with usual care but was trivial in magnitude [effect size (ES)0.5: −0.09; 95% credible interval (CrI): −0.17, −0.02]. The multilevel extension of Egger's regression-intercept test indicated the existence of publication bias, whereas a sensitivity analysis based only on those studies deemed to be of high quality provided no evidence of an effect of coaching on weight loss (ES0.5: −0.04; 95% CrI: −0.12, 0.09). Considered collectively, the results of this investigation indicate that the available evidence is not of sufficient quality to support the use of self-reported health coaching as a health care intervention for weight loss. This trial was registered at Prospective Register of Systematic Reviews (PROSPERO) as CRD42020159023.



2019 ◽  
Vol 61 (11) ◽  
pp. 1259-1265 ◽  
Author(s):  
Tatiana Ogourtsova ◽  
Maureen O'Donnell ◽  
Wagner De Souza Silva ◽  
Annette Majnemer


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