1
|
Abstract
Poor mental well-being has been associated with negative student success outcomes among college students. Health and wellness coaching programs have been implemented in college campuses to address gaps in well-being support services. This pilot study evaluated a health and wellness coaching program at a large, urban university. A total of 499 students expressed interest in the program with 120 responding to a retrospective survey about their experience. Findings revealed that most students attended coaching for issues related to time and stress management or factors that commonly influence stress. Overall, students who participated in coaching were successful at improving their self-efficacy toward behavior change, changing their behavior, and achieving their goals. Students reported attending an average of four sessions with number of sessions attended being associated with increased confidence and motivation. In addition, autonomy, competence, and relatedness felt within the relationship with the coach were correlated with increased motivation, confidence, and readiness for behavior change. There was some relapse in terms of goal attainment observed with 17.4% of students who met their goals being unable to maintain progress. The program participants appeared to have enjoyed the process with 96% of students saying they would recommend the program to a friend. Health and wellness coaching programs may alleviate the burden of stress and other subclinical mental health concerns as well as decrease the number of students requiring services from more intensive mental health resources on campus.
Collapse
Affiliation(s)
| | | | | | - Amy Gatto
- University of South Florida, Tampa, FL, USA
| |
Collapse
|
2
|
Fullen MC, Smith JL, Clarke PB, Westcott JB, McCoy R, Tomlin CC. Holistic Wellness Coaching for Older Adults: Preliminary Evidence for a Novel Wellness Intervention in Senior Living Communities. J Appl Gerontol 2023; 42:427-437. [PMID: 36307916 DOI: 10.1177/07334648221135582] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
Abstract
Although resident wellness is increasingly a priority in senior living communities, there are few programs that promote holistic wellness in later life. A total of 79 residents (ages 71 to 97; M = 84.27, SD = 6.46) from eight senior living communities completed a pilot study of a novel, staff-led wellness coaching program consisting of resident-driven goals and individual and group coaching sessions. Participants completed surveys at three time points (pre-program, post-program, and 1-month follow-up). Repeated measures ANOVAs revealed positive changes in resident health satisfaction, physical quality of life (QOL), psychological QOL, loneliness, relatedness, competence, and sense of purpose. Some of these results (i.e., psychological QOL, loneliness) persisted at follow-up. Residents reported high satisfaction with the program. These findings have implications for the application of holistic wellness frameworks in later life, as well as the development and implementation of wellness coaching programs with older adults.
Collapse
Affiliation(s)
| | | | - Philip B Clarke
- Department of Counseling, 8676Wake Forest University, Winston-Salem, NC, USA
| | | | - Regina McCoy
- 14616University of North Carolina at Greensboro, Greensboro, NC, USA
| | | |
Collapse
|
3
|
Gao N, Solomon P, Clay Z, Swarbrick P. A pilot study of wellness coaching for smoking cessation among individuals with mental illnesses. J Ment Health 2023; 32:183-189. [PMID: 33999729 DOI: 10.1080/09638237.2021.1922630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
BACKGROUND Smoking continues to be a major health concern among persons with mental illnesses. AIMS This pilot study compared smoking outcomes between wellness-coaching for smoking cessation and a control group. METHODS Thirty-one individuals were enrolled in an educational group on smoking cessation and 23 completed an eight-session manualized education. Following this educational group, 11 of 23 participants were randomly assigned to wellness coaching for four months and 12 to a control condition. ANCOVAs were used to compare group differences in smoking outcomes. RESULTS Fagerström Nicotine Dependence Index (FTND) score of the participants who received the wellness coaching intervention decreased significantly as compared to the control group, indicating a lower level of nicotine dependence. The outcomes of average number of cigarettes smoked daily and breath carbon monoxide level showed tendencies towards reductions for wellness coaching, although not statistically significant compared to the control condition. CONCLUSIONS Suggestions are shared about the feasibility of wellness coaching as well as barriers and challenges learned in implementing such an intervention to assist individuals with mental illnesses in quitting or reducing smoking.
Collapse
Affiliation(s)
- Ni Gao
- Department of Psychiatric Rehabilitation and Counseling Professions, School of Health Professions, Rutgers University. Piscataway, NJ, USA
| | - Phyllis Solomon
- School of Social Policy & Practice, University of Pennsylvania, Philadelphia, PA, USA
| | - Zakia Clay
- Fairleigh Dickinson University, School of Pharmacy and Health Sciences, Florham Park, NJ, USA
| | - Peggy Swarbrick
- Wellness Institute Director Collaborative Support Programs of New Jersey, Freehold, NJ, USA.,Center of Alcohol & Substance Use Studies, Graduate School of Applied and Professional Psychology, Piscataway, NJ, USA
| |
Collapse
|
4
|
Westervelt K, Rose GL, Avery S, Celley A, Cho J, Donoghue R, Goodrich B. Employee Group Coaching Program for University and Hospital Employees During COVID-19: A Feasibility Study. Glob Adv Integr Med Health 2023; 12:27536130231207856. [PMID: 37868691 PMCID: PMC10588399 DOI: 10.1177/27536130231207856] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/06/2022] [Revised: 09/18/2023] [Accepted: 09/26/2023] [Indexed: 10/24/2023]
Abstract
Background Workplace wellbeing programs can be beneficial but range widely in approach. A group coaching model offers numerous benefits. Objective To evaluate feasibility of group coaching for employees during COVID-19. Methods Employees (n = 29) at a university and university hospital underwent a 12-week group coaching program. Measurements of feasibility -- including enrollment, attendance at sessions goal attainment and satisfaction -- and exploratory outcomes including perceived physical and mental health and stress were administered at beginning, middle, and end of the program, plus 2 follow-ups. Results Twenty-six of the 29 program enrollees (96% women; 65% university employees) opted to complete surveys at 1 or more time points, and 9 individuals completed surveys at all 5 time points. Median attendance was 9 sessions. Participants opted to focus on movement, nutrition and mind/body goals and all participants reported making progress toward their goal during the program. Exploratory wellness outcomes showed meaningful improvements in perceived physical and mental health and reduced stress during the program, with return to near baseline 12 weeks after program completion. Perceptions of workplace wellness culture varied by employer. Conclusion Despite pandemic-related disruptions to life, work, and health, online group coaching is feasible and acceptable to participants. The program should be replicated to evaluate whether the improvements in exploratory wellness outcomes observed during the program are statistically significant. The apparent return to baseline levels by 24 weeks suggests that post-program maintenance support may be helpful.
Collapse
Affiliation(s)
- Karen Westervelt
- Osher Center for Integrative Health, University of Vermont, Burlington, VT, USA
- Department of Rehabilitation and Movement Science, University of Vermont, Burlington, VT, USA
| | - Gail L. Rose
- Osher Center for Integrative Health, University of Vermont, Burlington, VT, USA
- Department of Psychiatry, University of Vermont, Burlington, VT, USA
| | - Scott Avery
- Department of Rehabilitation and Movement Science, University of Vermont, Burlington, VT, USA
| | - Alisha Celley
- Department of Rehabilitation and Movement Science, University of Vermont, Burlington, VT, USA
| | - Josh Cho
- Department of Rehabilitation and Movement Science, University of Vermont, Burlington, VT, USA
| | - Rory Donoghue
- Department of Rehabilitation and Movement Science, University of Vermont, Burlington, VT, USA
| | - Brennan Goodrich
- Department of Rehabilitation and Movement Science, University of Vermont, Burlington, VT, USA
| |
Collapse
|
5
|
Rethorn ZD, Bezner JR, Pettitt CD. From expert to coach: health coaching to support behavior change within physical therapist practice. Physiother Theory Pract 2021; 38:2352-2367. [PMID: 34620046 DOI: 10.1080/09593985.2021.1987601] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Background: Negative health behaviors are a significant risk factor for non-communicable diseases (NCDs) and are responsible for 40-50% of the burden of disease in the US population. Physical therapists (PTs) have the capacity to effect behavior change in their patients to reduce their risk of disease and promote health. Competence in health behavior change is recommended for physical therapists. One way to achieve this competence is by learning and adopting a health coaching approach. Objectives: To provide a theoretical and practical approach to applying a health coaching approach in physical therapist clinical practice. Methods: 1) Describe a health coaching approach to facilitating behavior change; 2) present behavior change theories, communication strategies, and models underpinning health coaching; and 3) provide suggestions for ways PTs can integrate health coaching in clinical practice. Results: Health coaching is a dynamic and collaborative approach to health behavior change that harnesses the patient's or client's values and strengths to realize their goals for health. Conclusion: Adopting a health coaching approach may enhance adherence to physical therapists' recommendations as well as improve health outcomes.
Collapse
Affiliation(s)
- Zachary D Rethorn
- Doctor of Physical Therapy Division, Duke University, Durham, NC, USA.,Rocky Mountain University of Health Professions, Provo, UT, USA
| | - Janet R Bezner
- Department of Physical Therapy, Texas State University, 601 University Dr, Round Rock, TX, USA
| | - Cherie D Pettitt
- Rocky Mountain University of Health Professions, Provo, UT, USA.,WGU Academy, Western Governors University, Salt Lake City, Ut, USA
| |
Collapse
|
6
|
Cairo J, Williams L, Bray L, Goetzke K, Perez AC. Evaluation of a Mobile Health Intervention to Improve Wellness Outcomes for Breast Cancer Survivors. J Patient Cent Res Rev 2020; 7:313-322. [PMID: 33163551 DOI: 10.17294/2330-0698.1733] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
Purpose Breast cancer survivors are at increased risk of cancer recurrence, second malignancies, and other comorbid conditions. This study examined if use of a convenient, commercially available, $65 per month app that gives breast cancer survivors access to a health and wellness coach is more effective than a self-guided toolkit and one-time health education session at achieving the following goals: 1) improving adherence to a plant-based diet, 2) increasing physical activity, 3) assisting with weight loss and reduction in body mass index, 4) reducing elevated depression and fatigue scores, and 5) leading to sustained adherence to lifestyle and wellness plan at and beyond 6 months. Methods A nonrandomized 2-group control study design with pre-post repeated measures (N=127 subjects) was utilized. Women 18 years of age or older, with curative-intent breast cancer, were included in the study. App users received a survivorship care plan and enrolled in a 6-month subscription to the health app. A control group received the same information but, instead of access to the app, were given a self-guided toolkit. Results At 6 months, more patients in the app group experienced weight loss and had a significantly greater reduction in overall body mass index (P<0.01). The app group also demonstrated statistically significant improvements in "strenuous" physical activity (P=0.04) and had significant improvement in their dietary patterns (P<0.001), as compared to the self-guided group. The app group had greater reduction in fatigue and improvement in depression, but these changes were not statistically significant. At 12 months, none of the app users were still using the app, but many were still following their wellness plan and had maintained their weight loss. Outliers in both groups and low rate of response made evaluation of results difficult. Conclusions The results of this advanced practice provider-led study demonstrated that a live health coaching app that provides wellness coaching can offer motivated breast cancer survivors and cancer programs a modality that offers convenient, effective support at a reasonable cost.
Collapse
Affiliation(s)
- Jamie Cairo
- Aurora Cancer Care, Advocate Aurora Health, Milwaukee, WI
| | | | - Lisa Bray
- Aurora Cancer Care, Advocate Aurora Health, Milwaukee, WI
| | | | - Ana Cristina Perez
- Advocate Aurora Research Institute, Advocate Aurora Health, Milwaukee, WI
| |
Collapse
|
7
|
Perlman AI, Abu Dabrh AM. Health and Wellness Coaching in Serving the Needs of Today's Patients: A Primer for Healthcare Professionals. Glob Adv Health Med 2020; 9:2164956120959274. [PMID: 33014630 PMCID: PMC7509728 DOI: 10.1177/2164956120959274] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2020] [Revised: 05/06/2020] [Accepted: 05/26/2020] [Indexed: 11/17/2022] Open
Abstract
The past six decades have been marked by leaps and bounds in medical advances, while concurrently clinical outcomes and the quality of life continued to lag or decline. There is a need for more comprehensive approaches to delivering healthcare to patients that address illness and wellness within and outside healthcare settings. Mounting evidence shows that making sustainable changes in healthcare requires approaching patients'/individuals' care as a continuum-within and outside healthcare settings-while addressing their capacity (ie ability) and workload (ie demands) and incorporating their values and preferences. Health and Wellness Coaching (HWC) has been proposed as a solution to create partnerships to empower individuals to take ownership, leadership, and accountability of their well-being, using nondirective, empathic, and mindful conversations that employ motivational-interviewing and evidence-based approaches. Insufficient clarity exists among healthcare professionals in understanding the definition, roles, and types of HWC. This primer summarizes HWC concepts and history and compares HWC types and its potential role in promoting, supporting, and improving the well-being, clinical outcomes, and quality of life of the pertinent stakeholders. This primer also highlights current and potential areas of application of HWC within different subpopulations and healthcare-related settings.
Collapse
Affiliation(s)
- Adam I Perlman
- Integrative Medicine and Health, General Internal Medicine, Mayo Clinic Florida, Jacksonville, Florida
| | - Abd Moain Abu Dabrh
- Integrative Medicine and Health, General Internal Medicine, Mayo Clinic Florida, Jacksonville, Florida.,Department of Family Medicine, Mayo Clinic Florida, Jacksonville, Florida
| |
Collapse
|
8
|
DeJesus RS, Clark MM, Rutten LJF, Hathaway JC, Wilson PM, Link SM, Sauver JS. Wellness Coaching to Improve Lifestyle Behaviors Among Adults With Prediabetes: Patients' Experience and Perceptions to Participation. J Patient Exp 2018; 5:314-319. [PMID: 30574554 PMCID: PMC6295805 DOI: 10.1177/2374373518769118] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
Background: Health and Wellness Coaching has been shown to enhance treatment outcomes in the primary care setting. However, little is known about the experience and perceptions of patients who worked with a wellness coach as an integrated member of their primary health-care team. Objective: This project assessed patients’ experience and obtained their perceptions on barriers and facilitators to participation in a primary care–based wellness coaching program. Method: A survey was mailed to 99 primary care patients with prediabetes who participated in a 12-week wellness coaching program. Results: Sixty-two (63%) completed the survey; responders felt that participation in the wellness coaching program helped move them toward healthier lifestyle behavior and created a personal vision of wellness. Major themes associated with participation were supportive coaching relationship, increased self-accountability, increased goal-setting, and healthy behavior strategies. No significant barrier to participation was reported. Conclusion: Participants reported highly positive experience with the program; how to best integrate health and wellness coaching into the primary care setting needs to be explored.
Collapse
Affiliation(s)
- Ramona S DeJesus
- Robert D and Patricia E Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA.,Division of Primary Care Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN, USA
| | - Matthew M Clark
- Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA
| | - Lila J Finney Rutten
- Robert D and Patricia E Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA.,Division of Epidemiology, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA
| | - Julie C Hathaway
- Office of Patient Education and Consulting Services, Mayo Clinic, Rochester, MN, USA
| | - Patrick M Wilson
- Division of Biomedical Statistics and Informatics, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA
| | - Sara M Link
- Dan Abrahams Healthy Living Center, Mayo Clinic, Rochester, MN, USA
| | - Jennifer St Sauver
- Robert D and Patricia E Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA.,Division of Epidemiology, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA
| |
Collapse
|
9
|
Abstract
Most chronic illnesses in developed nations are largely preventable. Lifestyle Medicine adds tremendous value to traditional methods for the delivery of healthcare by focusing on preventing, reversing and treating chronic illness. By helping individuals focus on nutrition, physical activity, stress management, quality sleep, mental health and purposeful living, the risk and incidence of chronic illness decreases dramatically. This article describes the team approach to preventive health care including the value of Wellness Coaching and how the Group Visit model of health care improves access to care and quality outcomes.
Collapse
Affiliation(s)
| | - Margaret Moore
- Lee Health, Fort Myers, Florida (SL)
- Wellcoaches Corporation, Wellesley, Massachusetts (MM)
- McLean Hospital, Boston, Massachusetts (MM)
- Lee Health, Cape Coral, Florida (SM)
| | - Sarah Mitchell
- Lee Health, Fort Myers, Florida (SL)
- Wellcoaches Corporation, Wellesley, Massachusetts (MM)
- McLean Hospital, Boston, Massachusetts (MM)
- Lee Health, Cape Coral, Florida (SM)
| |
Collapse
|
10
|
Howard EP, Schreiber R, Morris JN, Russotto A, Flashner-Fineman S. COLLAGE 360: A Model of Person-Centered Care To Promote Health Among Older Adults. ACTA ACUST UNITED AC 2016; 1:21-30. [PMID: 28989995 DOI: 10.14302/issn.2474-7785.jarh-16-1123] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
Health care leaders and providers have introduced the assumption the typical elder, even in the presence of complex, chronic disease and prevailing illness, is capable of assuming greater personal responsibility for their health care, with a shift from provider-centered to a person-centered model of care. For older adults who often and repeatedly face challenges managing and maintaining their health status, guidance and support is needed. In this study, COLLAGE 360, a comprehensive assessment system and wellness coaching program that focuses on prevention and wellness, care coordination and self-management of health care was implemented in one continuing care retirement community. Following completion of two assessment tools via directed conversation with a wellness coach, older adults developed an individualized vitality plan that outlined life goals, supporting goals and action plans for goal achievement. Results from this program suggest engagement in the assessment and wellness coaching process via the COLLAGE 360 program translated into sample older adults sensing that they live in a more supportive environment when compared with elders not receiving any wellness coaching. In addition, the older adults had positive effects in the areas of mood, loneliness, social interaction, health status, and life satisfaction. Strategies to improve health and well being need an extended focus beyond the older adult's medical conditions and consider psychological, spiritual and social needs with personal preferences being paramount. These issues are foundational to a person-centered, health promotion approach needed among this population.
Collapse
Affiliation(s)
- Elizabeth P Howard
- Northeastern University School of Nursing, 360 Huntington Avenue, Boston, MA 02115
| | - Robert Schreiber
- Institute for Aging Research, Hebrew SeniorLife, 1200 Centre Street, Boston, MA 02131
| | - John N Morris
- Institute for Aging Research, Hebrew SeniorLife, 1200 Centre Street, Boston, MA 02131
| | - Aline Russotto
- Orchard Cove, Hebrew SeniorLife, One Del Pond Drive, Canton, MA 02021
| | | |
Collapse
|
11
|
Abstract
The increasing demand for health coaches and wellness coaches in worksite health promotion and the marketplace has resulted in a plethora of training programs with wide variations in coaching definitions, content, attributes, and eligibility of those who may train. It is in the interest of public awareness and safety that those in clinical practice take the lead in this discussion and offer a reasonable contrast and comparison focusing on the risks and responsibilities of health coaching in particular. With the endorsement of the American Association of Occupational Health Nurses (AAOHN), the National Society of Health Coaches, whose membership is primarily nurses, discusses the issue and states its position here.
Collapse
|
12
|
Abstract
Background: Tobacco abuse is a well-recognized scourge on health and healthcare costs. Attempts to facilitate tobacco cessation are rarely better than marginally effective. Primary Objective: To describe an observational trial of an existing and highly successful tobacco cessation program featuring health coaching as the primary intervention. Core components of program design and data are presented and may serve as a model for other public health settings. Methods: Health coaching and three complementary program components (auriculotherapy, alpha-electrical stimulation, and relaxation techniques) are presented. Quit rates at 6 months for 161 patients over 3 years are provided featuring 30-day point prevalence smoke free and intent-to-treat values. Comparisons for telephonic vs in-clinic health coaching, free choice vs mandated participation, and program costs are provided. Results: Point prevalence quit rate was 88.7% while the more conservative intent-to-treat quit rate was 51.6%. Telephonic and in-clinic health coaching were not significantly different at any time point. Smoke-free rates at 6 and 12 months were 76.9% and 63.2%, respectively. Conclusions: Two cost-effective smoking cessation models featuring health coaching are presented. Point prevalence (30-day) above 80% and an enduring effect was seen. Personal and societal burdens (health and financial) of tobacco use might be greatly impacted if such programs were successfully implemented on a larger scale.
Collapse
Affiliation(s)
- Gary A Sforzo
- Department of Exercise & Sport Sciences, Ithaca College Ithaca, New York (Dr Sforzo), United States
| | - Miranda Kaye
- Department of Exercise & Sport Sciences, Ithaca College Ithaca, New York (Dr Kaye), United States
| | - Gale D Ayers
- Mercy Corporate Health & Wellness, Springfield, Missouri (Ms Ayers), United States
| | - Betina Talbert
- Mercy Corporate Health & Wellness, Springfield, Missouri (Ms Talbert), United States
| | - Marilyn Hill
- Mercy Corporate Health & Wellness, Springfield, Missouri (Ms Hill), United States
| |
Collapse
|
13
|
Abstract
Health coaching (HC) is a process holding tremendous potential as a complementary medical intervention to shape healthy behavior change and affect rates of chronic lifestyle diseases. Empirical knowledge of effectiveness for the HC process, however, is lacking. The purposes of this paper are to present the study protocol for the Ithaca Coaching Project while also addressing research design, methodological issues, and directions for HC research. This is one of the first large-scale, randomized control trials of HC for primary prevention examining impact on physical and emotional health status in an employee population. An additional intent for the project is to investigate self-determination theory as a theoretical framework for the coaching process. Participants (n=300) are recruited as part of a campus-wide wellness initiative and randomly assigned to one of three levels of client-centered HC or a control with standard wellness program care. Repeated measures analyses of covariance will be used to examine coaching effectiveness while path analyses will be used to examine relationships between coaching processes, self-determination variables, and health outcomes. There is a great need for well-designed HC studies that define coaching best practices, examine intervention effectiveness, provide cost:benefit analysis, and address scope of practice. This information will allow a clearer definition of HC to emerge and determination of if, and how, HC fits in modern-day healthcare. This is an exciting but critical time for HC research and for the practice of HC.
Collapse
Affiliation(s)
- Gary A Sforzo
- Department of Exercise and Sport Sciences, Ithaca College, United States
| |
Collapse
|
14
|
Armstrong C, Wolever RQ, Manning L, Elam R, Moore M, Frates EP, Duskey H, Anderson C, Curtis RL, Masemer S, Lawson K. Group health coaching: strengths, challenges, and next steps. Glob Adv Health Med 2014; 2:95-102. [PMID: 24416678 PMCID: PMC3833535 DOI: 10.7453/gahmj.2013.019] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
There is great need for cost effective approaches to increase patient engagement and improve health and well-being. Health and wellness coaching has recently demonstrated great promise, but the majority of studies to date have focused on individual coaching (ie, one coach with one client). Newer initiatives are bringing a group coaching model from corporate leadership development and educational settings into the healthcare arena. A group approach potentially increases cost-effective access to a larger number of clients and brings the possible additional benefit of group support. This article highlights some of the group coaching approaches currently being conducted across the United States. The group coaching interventions included in this overview are offered by a variety of academic and private sector institutions, use both telephonic and in-person coaching, and are facilitated by professionally trained health and wellness coaches as well as trained peer coaches. Strengths and challenges experienced in these efforts are summarized, as are recommendations to address those challenges. A working definition of “Group Health and Wellness Coaching” is proposed, and important next steps for research and for the training of group coaches are presented.
Collapse
Affiliation(s)
- Colin Armstrong
- Vanderbilt Dayani Center for Health and Wellness & Department of Psychiatry, Vanderbilt University, Nashville, Tennessee, United States
| | - Ruth Q Wolever
- Duke Integrative Medicine, Duke Department of Psychiatry & Behavioral Sciences, Durham, North Carolina, United States
| | - Linda Manning
- Vanderbilt Center for Integrative Health & Department of Psychiatry, Vanderbilt University, United States
| | - Roy Elam
- Vanderbilt Center for Integrative Health, United States
| | - Margaret Moore
- Wellcoaches Corp, Wellesley, Massachusetts, United States
| | | | - Heidi Duskey
- Harvard Vanguard Medical Associates, Newton, Massachusetts, United States
| | | | | | - Susan Masemer
- Abbott Northwestern Hospital, Minneapolis, Minnesota, United States
| | - Karen Lawson
- University of Minnesota Center for Spirituality and Healing, Minneapolis, United States
| |
Collapse
|