Long-term effectiveness of health coaching in rehabilitation and prevention: A systematic review. Issue 9 (September 2017)

• Record Type: Journal Article
• Authors: Dejonghe, Lea Anna Lisa; Becker, Jennifer; Froboese, Ingo; Schaller, Andrea
• Is Part Of: Patient education and counseling. Volume 100:Issue 9(2017)
• Page Start: 1643
• Page End: 1653
• Publication Date: 2017-09
• Subjects: BMI body mass index -- CBT cognitive behavioral therapy -- CCM collaborative care model -- CG control group -- d day -- DPP diabetes prevention program -- DS Delphi score -- h hour -- HbA1c glycated hemoglobin -- HC health coaching -- HDL high-density lipoprotein -- HE health education -- ICD international classification of diseases -- IG intervention group -- LDL low-density lipoprotein -- MDD major depression disorder -- MI motivational interviewing -- min minute -- mo month -- n.s. not significant -- PMT protection motivation theory -- PICO population, intervention, comparator, outcome -- PRISMA preferred reporting items for systematic reviews and meta-analyses -- PST problem solving technique -- RA rheumatoid arthitis -- RCT randomized controlled trials -- SCT social cognitive theory -- T2DM type II diabetes -- we/wk week; Health coaching -- Effectiveness -- Long-term -- Randomized controlled trials -- Systematic review; Patient education -- Periodicals; Health counseling -- Periodicals; Health education -- Periodicals; Counseling -- Periodicals; Patient Education -- Periodicals; Éducation des patients -- Périodiques; Counseling -- Périodiques; Éducation sanitaire -- Périodiques; 615.5071
• DOI: 10.1016/j.pec.2017.04.012
• Languages: English
• ISSNs: 0738-3991

Abstract

Highlights: This review describes the long-term effectiveness of health coaching interventions. Out of 90 RCTs, 14 studies were included. The high number of studies underlines the relevance of this approach. Six studies proved statistically significant long-term effectiveness. A research gap exists in regard to the long-term effectiveness of health coaching. Abstract: Objective: This systematic review aims to evaluate the long-term effectiveness of health coaching interventions in rehabilitation and prevention. Methods: Databases and a manual search were used to identify randomized controlled trials (RCTs) in English through to June 2015. Studies were included if: (1) the target population were people of employment age, (2) the intervention addressed either people suffering from a diagnosed disease or healthy people, (3) the intervention included health coaching to influence health-related outcomes and/or processes and (4) the study had a follow-up of at least 24 weeks after the end of the intervention period. Results: Out of 90 RCTs, 14 studies were selected using the inclusion criteria: seven were designed for the rehabilitative setting and seven for the preventive setting. Three studies of each setting found statistically significant long-term effectiveness. Conclusions: The high number of studies evaluating health coaching underlines the relevance of this approach. Despite the increasing popularity of health coaching, a research gap exists in regard to its long-term effectiveness. Practice implications: It is of utmost importance to consider the sustainability already during planning of health coaching interventions. The involvement of the target group and the setting seems to be a promising strategy.