Concepts from behavioral theories can guide clinicians in coaching for behavior change. (January 2023)

• Record Type: Journal Article
• Authors: Sinaise, Megan Knutson; Tran, Abigail; Johnson, Heather M.; Vedder, Lisa Sullivan; Hoppe, Kara K.; Lauver, Diane
• Is Part Of: Patient education and counseling. Volume 106(2023)
• Page Start: 188
• Page End: 193
• Publication Date: 2023-01
• Subjects: From MeSH headings: Behavior -- Health promotion -- Disease -- Secondary prevention -- Psychosocial intervention -- Primary prevention; 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.2022.10.013
• Languages: English
• ISSNs: 0738-3991

Abstract

Abstract: Objectives: Many patients do not engage in health behaviors that can control common, chronic illnesses. Clinicians have opportunities to promote health behaviors yet may lack skills for coaching effectively about health behaviors. Our aims are to: present definitions of coaching, propose concepts for coaching about behavior change from two theories, share theory-guided research on behavior change relevant to ambulatory care settings, and delineate how concepts from these theories can guide coaching. Methods: In our discussion, we explain how two behavioral theories are complementary and applicable to coaching, present empirical support for these theories, and describe applications of these concepts for practice. Conclusions and practice implications: Self-determination theory can guide clinicians in how to interact with patients to meet patients' psychological needs, to promote health behaviors, and subsequent health status. Self-regulation theory can guide coaches in what concepts to address for behavior change. These complementary theories have been supported in rigorous research with adult populations in ambulatory care settings.