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A case study approach to the examination of a telephone-based health coaching intervention in facilitating behaviour change for adults with Type 2 diabetes

McGloin, Helen, Timmins, Fiona, Coates, Vivien and Boore, JRP (2015) A case study approach to the examination of a telephone-based health coaching intervention in facilitating behaviour change for adults with Type 2 diabetes. Journal of Clinical Nursing, 24 (9-10). pp. 1246-1257. [Journal article]

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URL: http://onlinelibrary.wiley.com/doi/10.1111/jocn.12692/full

DOI: 10.1111/jocn.12692

Abstract

Aims and objectivesThis study aims to examine the effectiveness of the use of telephone empowerment-based health coaching as a cost-effective alternative to changing health behaviours of adults with Type 2 diabetes.BackgroundGuidelines regarding lifestyle management to reduce the risk of complications in diabetes include changing patterns of eating, physical activity and smoking cessation. Traditional education/behavioural methods of support for behaviour change reveal mixed and mainly short-term effects.DesignA mixed method case study approach was used (n = 10).MethodsData were collected by means of physiological measurements survey and focus group interview both before and after telephone a coaching intervention.ResultsParticipants took greater responsibility for health and revealed high self-efficacy scores. Short-term benefits were seen in physiological variables at three months but these deteriorated with the cessation of the intervention indicating the need for continuous support.ConclusionTelephone coaching is a cost-effective approach to supporting health behaviour change for those with diabetes. It embraces the principles of empowerment and warrants further evaluation in supporting long-term behavioural changes. As such coaching emerges as a suitable proposition for this cohort.Relevance to clinical practiceHealth coaching has a positive impact on health behaviours for those with diabetes. Health coaching facilitates an increase in personal control of health and builds confidence in self-managing diabetes. Patients feel really supported and become motivated towards self-care.

Item Type:Journal article
Keywords:diabetes; education; empowerment; lifestyle; nursing
Faculties and Schools:Faculty of Life and Health Sciences > School of Nursing
Faculty of Life and Health Sciences
Research Institutes and Groups:Institute of Nursing and Health Research
Institute of Nursing and Health Research > Managing Chronic Illness Research Centre
ID Code:31498
Deposited By: Professor Vivien Coates
Deposited On:05 May 2015 10:03
Last Modified:06 Aug 2018 15:52

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