Effectiveness of a nurse-led, face-to-face health coaching intervention in enhancing activation and secondary outcomes of primary care users with chronic conditions
Author
Moreno-Chico, Cibeles
Publication date
2021ISSN
0160-6891
Abstract
Prevalence of chronic diseases and multimorbidity is rising, and it remains unclear what the best strategy is for activating people with chronic conditions in their self-care. We designed a two-group quasi-experimental time series trial to examine the effectiveness of a nurse-led, face-to-face, individually-tailored health coaching (HC) intervention in improving patient activation and secondary outcomes (self-efficacy, quality of life, anxiety and depression symptoms, medication adherence, hospitalization and emergency visits) among primary care users with chronic conditions. A total of 118 people with chronic conditions were recruited through a primary care center and allocated to either the intervention group (IG) (n = 58) or control group (CG) (n = 60). The IG received a nurse-led individually-tailored HC intervention involving 4–6 face-to-face multicomponent sessions covering six core activation topics. The CG received usual primary care. Data were collected at baseline, after the intervention (6 weeks after baseline for controls) and at 6 and 12 months from baseline. Compared with controls, the IG had significantly higher patient activation scores after the intervention (73.29 vs. 66.51, p = .006). However, this improvement was not maintained at follow-up and there were no significant differences in secondary outcomes across the study period. HC may be an effective strategy for achieving short-term improvements in the activation of primary care users with chronic conditions. Further studies with different methodological approaches are needed to elucidate how HC may improve and sustain changes in patient activation.
Document Type
Article
Document version
Published version
Language
English
Subject (CDU)
61 - Medical sciences
614 - Public health and hygiene. Accident prevention
Keywords
Malaltia crònica
Coaching sanitari
Multimorbiditat
Infermeria
Activació del pacient
Atenció primària
Autocura
Enfermedad crónica
Coaching de salud
Multimorbilidad
Enfermería
Activación del paciente
Atención primaria de salud
Autocuidado
Chronic disease
Health coaching
Multimorbidity
Nursing
Patient activation
Primary healthcare
Self care
Pages
15
Publisher
John Wiley & Sons
Collection
44;3
Is part of
Research in Nursing & Health
Citation
Moreno-Chico, Cibeles; Roy, Callista; Monforte-Royo, Cristina [et al.]. Effectiveness of a nurse-led, face-to-face health coaching intervention in enhancing activation and secondary outcomes of primary care users with chronic conditions. Research in Nursing & Health, 2021, 44(3), p. 458-472. Disponible en: <https://onlinelibrary.wiley.com/doi/10.1002/nur.22132>. Fecha de acceso: 17 ene. 2024. DOI: 10.1002/nur.22132
This item appears in the following Collection(s)
- Ciències de la Salut [725]
Rights
© 2021 Wiley Periodicals LLC