Efficacy of Health Coaching and an Electronic Health Management Program: Randomized Controlled Trial

Eun Kyo Kang, Sang Min Park, Kiheon Lee, Eun Bong Lee, Jae Joon Yim, Jihye Lee, Soojeong Kim, Ye Eun Rhee, Young Ho Yun

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Background: For chronic disease management, self-management strategies are essential to achieve sustained improvement. Objective: Our study evaluated the efficacy of health coaching and a self-management strategy–based electronic program on self-management strategies for patients with osteoporosis, chronic respiratory disease, or arthritis. Design: Three-arm randomized controlled trial, pilot study Participants: Fifty-four participants Interventions: The first intervention group (n = 53) received a self-management strategy–based electronic program and 12 weeks of health coaching (20 sessions). The second intervention group received the information and communications technology (ICT) program; the control group received usual care and an educational booklet about self-management of chronic diseases. Main Measures: The primary outcome was the difference in the change of the mean of self-management strategy scores. Secondary outcomes included depression (PHQ-9), physical activity (Godin Leisure Exercise Questionnaire), and health habit maintenance (transtheoretical model) after 12 weeks in the program. Key Results: The combination of health coaching and ICT was superior to control group (change 18.5 vs. − 2.6, adjusted difference = 24.5, p < 0.001); however, the ICT alone group was not superior to the control group (change 8.0 vs. − 2.6, adjusted difference = 8.0, p = 0.156). As a result of evaluating the change in the percentage of people with positive stage changes in the transtheoretical model of health habits, regular exercise (p = 0.008), a balanced diet (p = 0.005), helping others (p = 0.001), and living with loved ones (p = 0.038) showed significant differences. There was no significant difference in the changes in percentage of patients with depressive symptoms in comparison with control group; however, there was in comparison with control group among groups (p = 0.033). Compared to the control group, the proportion of patients who achieved an exercise amount of 12.5 MET or higher was significantly higher (p = 0.028) in the health coaching and ICT group. Conclusions: The combination of ICT + health coaching led to improvement in self-management as well as in increasing exercise, and several healthy behaviors. Trial Registration: https://clinicaltrials.gov/ct2/show/NCT03294057

Original languageEnglish
Pages (from-to)2692-2699
Number of pages8
JournalJournal of General Internal Medicine
Volume36
Issue number9
DOIs
StatePublished - Sep 2021

Keywords

  • ICT program
  • chronic disease
  • health coaching
  • self-management
  • strategy

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