Client Perspectives on Health Coaching: Insight for Improved Program Design

2020 ◽  
Vol 44 (5) ◽  
pp. 591-602
Author(s):  
Amy McQueen ◽  
Molly L. Imming ◽  
Tess Thompson ◽  
Rachel Garg ◽  
Timothy Poor ◽  
...  
Keyword(s):  
Medical Education ◽  
Content Analysis ◽  
Health Coaching ◽  
Health Coach ◽  
Directed Content Analysis ◽  
Insurance Type ◽  
Health Coaches ◽  
Life Context ◽  
Medicaid Beneficiaries

Objective: In this paper, we examine client perspectives of health coaching programs and differences by insurance type. Methods: We used descriptive coding and directed content analysis to analyze semi-structured qualitative in-person interviews that assessed preferred health coach qualifications and experience, desirable attributes for coaches, and interest in having a coach. We recruited participants (N = 140 adults: 61 commercial insurance, 79 Medicaid) without consideration of prior health coaching experience. Results: Participants viewed physicians as the experts on health and valued coaches as supporters of behavior-change efforts that could take a patient's life context into account. Empathetic coaches were expected to motivate and hold patients accountable without taking too much time or being too "pushy." Participants preferred some in-person interaction and differed in preferences for program referral and enrollment approaches. Medicaid beneficiaries had less prior exposure to health coaching, more interest in having a coach, and preferred coaches to provide medical education. Conclusions: Irrespective of prior coaching experience or insurance type, participants agreed on many preferred characteristics of coaches and coaching programs. Understanding client preferences and expectations can help refine the role of health coaches, making them more effective and shaping the way they are presented to potential participants to enhance their appeal and use.

Facilitating Lifestyle Change and Health Coaching

2018 ◽  
pp. 100-113
Author(s):  
Kathy Steele ◽  
Judy L. Wagner
Keyword(s):  
Health Coaching ◽  
Behavior Changes ◽  
Health And Wellness ◽  
Health Coach ◽  
Health And Wellbeing ◽  
Current Trends ◽  
Coaching Strategies ◽  
Optimal Health ◽  
Health Coaches

This chapter focuses on the role of the health coach in supporting individuals in achieving meaningful, lasting behavior changes that promote optimal health and wellbeing throughout the lifespan. Variations in the types and definitions of coaching within the health and wellness industry are discussed, as well as key differences between health coaching and therapy and/or counseling. Key concepts of behavior change are reviewed and how the health coach can utilize powerful, learned techniques that assist individuals in recognizing personal habits that may be preventing them from achieving personal goals. Finally, this chapter discusses current trends in using health coaches in healthcare and offers simple coaching strategies that nurses can be use during every patient interaction.

Narratives of Integrative Health Coaching

2019 ◽  
pp. 418-437
Author(s):  
Jennifer Lynne Bird ◽  
Eric T. Wanner
Keyword(s):  
Physical Therapy ◽  
Health Education ◽  
Goal Setting ◽  
Health Coaching ◽  
Healthy People ◽  
Health Coach ◽  
Integrative Health ◽  
Setting Process ◽  
Health Coaches

Integrative health coaching incorporates vision and values into the goal setting process in order for change to occur. While health coaches frequently work with healthy people who want to make changes in their lives such as finding time to exercise or getting more sleep, this narrative focuses on the role of a health coach when working with physical therapy patients at a hospital. Health coaching, a new addition to the field of health education, provides a missing link in the healing journeys of patients.

Narratives of Integrative Health Coaching

2016 ◽  
pp. 171-190
Author(s):  
Jennifer Lynne Bird ◽  
Eric T. Wanner
Keyword(s):  
Physical Therapy ◽  
Health Education ◽  
Goal Setting ◽  
Health Coaching ◽  
Healthy People ◽  
Health Coach ◽  
Integrative Health ◽  
Setting Process ◽  
Health Coaches

Integrative health coaching incorporates vision and values into the goal setting process in order for change to occur. While health coaches frequently work with healthy people who want to make changes in their lives such as finding time to exercise or getting more sleep, this narrative focuses on the role of a health coach when working with physical therapy patients at a hospital. Health coaching, a new addition to the field of health education, provides a missing link in the healing journeys of patients.

scholarly journals Barriers to and Facilitators of Weight Management in Adults Using a Meal Replacement Program That Includes Health Coaching

2019 ◽  
Vol 10 ◽  
pp. 215013271985164
Author(s):  
Hope D. Kleine ◽  
Lacey A. McCormack ◽  
Alyson Drooger ◽  
Jessica R. Meendering
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Weight Management ◽  
Health Coaching ◽  
Program Participation ◽  
Health Coach ◽  
Meal Replacement ◽  
Initial Weight Loss ◽  
Social Settings ◽  
Health Coaches

Purpose: The Academy of Nutrition and Dietetics supports meal replacement (MR) programs as an effective diet-related weight management strategy. While MR programs have been successful promoting initial weight loss, weight regain has been as high as 50% 1 year following MR program participation. The purpose of this article is to identify barriers to and facilitators of weight loss (WL) and weight loss maintenance (WM) among individuals participating in a MR program. Methods: Sixty-one MR program clients participated in focus groups (WL = 29, WM = 32). Barriers and facilitators were discussed until saturation of themes was reached. Focus group transcriptions were coded into themes to identify the barriers to and facilitators of weight management that emerged within each phase. Queries were run to assess frequencies of references to each theme. Results: The primary barriers within the WL phase included program products, physical activity, and social settings. WM phase participants referenced nutrition, lack of health coach knowledge, and physical activity as barriers. Personal benfits, ability to adhere to the program, and family support emerged as leading facilitators for WL phase participants. Personal benefits, health coach support, and physical activity emerged as facilitators by WM phase participants. Conclusions: Health coaches have the unique opportunity to use perceived facilitators to improve participant success, and help participants address their personal barriers in order to progress through successful, long-term weight management. Current health coaching models used in MRP should aim to identify participants’ specific barriers and develop steps to overcome them.

scholarly journals VARIATIONS IN SUSTAINING IMPLEMENTATION OF STAR-VA: THE ROLE OF KNOWLEDGE RESERVOIRS AND OTHER FACTORS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S632-S632
Author(s):  
Jennifer L Sullivan ◽  
Kim Curyto ◽  
Omonyêlé l adjognon ◽  
Jacqueline Pendergast ◽  
Laura O Wray ◽  
...  
Keyword(s):  
Content Analysis ◽  
Information Sharing ◽  
Work Culture ◽  
Team Members ◽  
Directed Content Analysis ◽  
Successful Program ◽  
Community Living Centers ◽  
Facilitators And Barriers ◽  
Program Sustainment

Abstract Variation in STAR-VA sustainability across 20 trained VA Community Living Centers was explored using prospective qualitative methods utilizing the knowledge reservoirs framework including seven domains: People, Routines, Artifacts, Relationships, Information space, Culture, and Structure. We conducted directed content analysis of transcripts to identify facilitators and barriers of successful program sustainment. We found that people, usual routines, information sharing, and team relationships were the most often mentioned facilitators by CLC staff. Common reported barriers were people, team relationships, and work culture. Overlap was found in knowledge reservoirs acting as both facilitators and barriers at the same site, most often for people/teams, team relationships, and work culture. Results will be used to develop a sustainability intervention focused on addressing reported barriers. Most notably, a focus on having the appropriate team members, positive team relationships, usual routines, and a supportive work culture are critical for STAR-VA sustainability efforts.

Narratives of Health Coaching

2020 ◽  
pp. 73-100
Author(s):  
Jennifer Lynne Bird ◽  
Eric T. Wanner
Keyword(s):  
Physical Therapy ◽  
Health Education ◽  
Health Coaching ◽  
Healthy People ◽  
Emotional Needs ◽  
Health Coach ◽  
Integrative Health ◽  
Setting Process ◽  
Health Coaches ◽  
Recent Addition

Health coaching, a recent addition to the field of health education, provides a missing link in the healing journeys of patients. Integrative health coaching incorporates vision and values into a person's goal setting process. While health coaches frequently work with healthy people who want to make changes in their lives such as finding time to exercise or getting more sleep, this narrative focuses on a health coach working with the emotional needs of physical therapy patients in a hospital.

scholarly journals Stakeholders’ perspectives of comprehensive sexuality education in Iranian male adolescents

2020 ◽  
Author(s):  
keshvar samadaee gelehkolaee ◽  
Raziyeh Maasoumi ◽  
Seyed Ali Azin ◽  
Saharnaz Nedjat ◽  
Moslem Parto ◽  
...  
Keyword(s):  
Content Analysis ◽  
Sexuality Education ◽  
Professional Competence ◽  
Structured Interviews ◽  
Behavioral Skills ◽  
Comprehensive Sexuality Education ◽  
Male Adolescents ◽  
Directed Content Analysis ◽  
Intervention Preferences

Abstract Background: A coherent sexuality education program for adolescents is part of their sexual and reproductive rights and can help them have a healthier future. Therefore, the aim of this study was to explore the perspectives and intervention preferences of Iranian stakeholders regarding comprehensive sexuality education (CSE) in male adolescents based on the IMB model (Information, Motivation, Behavioral skills). Methods: This study was a qualitative study that was analyzed through a directed content analysis approach. Individual interviews and focused group discussions (FGDs) were used for data collection. The data were collected through in-depth semi-structured interviews with stakeholders in two schools and the Education Department in Sari and the Ministry of Health and Ministry of Education in Tehran from March 2019 to August 2019. Data saturation was achieved after 28 interviews and 1 FGDs with 9 participants. Finally, two sets of data were coded and analyzed using directed content analysis. Results: In this study, five themes emerged as (1) role of institutions; (2) role of organizations; (3) need for stakeholder’s partnership; (4) need for adolescent sexuality socialization management; and (5) need for enhancing the teachers’ professional competence, which seemed to influence the implementation of CSE in male adolescents. Participants also expressed a number of intervention preferences for CSE. The most important of these was the change in macro policies, helping to create a culture against all forms of violence and breaking the taboo of sexuality education for children and adolescents.Conclusions: The results of this study revealed the need for a CSE program for adolescents' sexuality socialization. The finding showed that teachers required training to enhance their professional competence about sexuality issues. Therefore, it is necessary to design and implement culture-appropriate skill based programs to enhance the teachers’ professional competence regarding the adolescents’ sexual health.

Health coaching: the role of the practice nurse

2021 ◽  
Vol 32 (2) ◽  
pp. 70-73
Author(s):  
Catherine Best
Keyword(s):  
Change Management ◽  
Goal Setting ◽  
Practice Nurse ◽  
Health Coaching ◽  
Management Theory ◽  
Active Listening ◽  
Evidence Based ◽  
Health Coach ◽  
Strong Position

Health coaching can be used to improve the health of patients. Catherine Best looks at the theory behind health coaching and how the nurse can play a role Health coaching is a concept which focuses on evidence-based clinical interventions, such as motivational interviewing, goal setting, active listening and change management theory, with the aim that patients are supported to self-manage their own health. Health coaching is patient-centred and empowers individuals to make healthcare choices based on what personally matters to them. The practice nurse is in a strong position to utilise their skills, many of which can be attributed to the role of a health coach.

Perceptions of Health Coaching for Behavior Change Among Medicaid and Commercially Insured Adults

2018 ◽  
Vol 21 (2) ◽  
pp. 288-297
Author(s):  
Amy McQueen ◽  
Matthew Kreuter ◽  
Molly Loughran ◽  
Tess Thompson ◽  
Tim Poor
Keyword(s):  
Disease Management ◽  
Qualitative Interviews ◽  
Health Coaching ◽  
Health Coach ◽  
Future Health ◽  
Coaching Relationship ◽  
Early Evidence ◽  
Wide Variability ◽  
Health Coaches ◽  
Sources Of Health Information

Use of health coaching to help individuals make and sustain changes in health behavior and disease management is increasing, and early evidence about its effects is promising. However, few studies assess participants’ preferences and expectations about health coaches, the use of the term health coach, and the coaching relationship. To help inform the design of future health coaching programs, we conducted qualitative interviews with 50 U.S. adults (25 with Medicaid, 25 commercially insured) to assess their (1) sources of health information; (2) familiarity with, preferences for, and associations with 32 terms that could describe “someone who uses experience and one-on-one communication to help others change behaviors to improve their health;” and (3) perceptions of how well different terms apply across different health behaviors and for nonhealth concerns (e.g., financial, career). Results showed wide variability in preferences for different coaching terms and mental models of coaching that differed by insurance type. Commercially insured participants made a distinction between experts and supporters as different categories of coaches. Medicaid participants associated coach with sports and viewed the term as less professional. All participants preferred terms such as advisor and specialist, and all wanted content experts who could also appreciate the broader context of their life.

scholarly journals Stakeholders’ perspectives of comprehensive sexuality education in Iranian male adolescences

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Keshvar Samadaee Gelehkolaee ◽  
Raziyeh Maasoumi ◽  
Seyed Ali Azin ◽  
Saharnaz Nedjat ◽  
Moslem Parto ◽  
...  
Keyword(s):  
Content Analysis ◽  
Sexuality Education ◽  
Professional Competence ◽  
Structured Interviews ◽  
Behavioral Skills ◽  
Comprehensive Sexuality Education ◽  
Male Adolescents ◽  
Directed Content Analysis ◽  
Intervention Preferences

Abstract Background A coherent sexuality education program for adolescents is part of their sexual and reproductive rights and can help them have a healthier future. Therefore, the aim of this study was to explore the perspectives and intervention preferences of Iranian stakeholders regarding comprehensive sexuality education (CSE) in male adolescents based on the IMB model (information, motivation, behavioral skills). Methods This study was a qualitative study that was analyzed through a directed content analysis approach. Individual interviews and focused group discussions (FGDs) were used for data collection. The data were collected through in-depth semi-structured interviews with stakeholders in two schools and the Education Department in Sari and the Ministry of Health and Ministry of Education in Tehran from March 2019 to August 2019. Data saturation was achieved after 28 interviews and 1 FGDs with 9 participants. Finally, two sets of data were coded and analyzed using directed content analysis. Results In this study, five themes emerged as (1) role of institutions; (2) role of organizations; (3) need for stakeholder’s partnership; (4) need for adolescent sexuality socialization management; and (5) need for enhancing the teachers’ professional competence, which seemed to influence the implementation of CSE in male adolescents. Participants also expressed a number of intervention preferences for CSE. The most important of these was the change in macro policies, helping to create a culture against all forms of violence and breaking the taboo of sexuality education for children and adolescents. Conclusions The results of this study revealed the need for a CSE program for adolescents' sexuality socialization. The finding showed that teachers required training to enhance their professional competence about sexuality issues. Therefore, it is necessary to design and implement culture-appropriate skill based programs to enhance the teachers’ professional competence regarding the adolescents’ sexual health.

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