The Effectiveness of Health Coaching for Frequent Attenders in the Primary Healthcare
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Health Behavior
- Sponsor
- University of Oulu
- Enrollment
- 110
- Primary Endpoint
- The health-related quality of life
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
The purpose of the study was to describe and evaluate the effectiveness of health coaching on health-related quality of life, adherence to health regimens, clinical health outcomes and lifestyle factors among frequent attenders in primary healthcare.
Detailed Description
The quasi-experimental research method evaluated the effectiveness of health coaching among frequent attenders in primary healthcare. The experimental group received the health coaching and the control group received the usual care. The data were collected with pre- and posttest 12-month follow-up via a questionnaire of FINRISKI2012, RAND-36 and ACDI and clinical health outcomes measured by health-coaching nurses. The data were analyzed by statistical methods.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients who had face-to-face visits to the physicians in the local primary healthcare centre at least seven times during a 12-month period
- •Aged 18 years or older
- •Able to read and understand Finnish
Exclusion Criteria
- •Patients´ visits due to pregnancy or delivery
- •Patients´ visits due to serial treatment for the same disease
- •An inability to give informed consent
- •Involving in another study intervention at the same time
Outcomes
Primary Outcomes
The health-related quality of life
Time Frame: 12 months
The health-related quality of life was measured using the validated Finnish version of the RAND 36-Item Health Survey 1.0 (RAND-36). The 36-item self-report instrument consists of eight separate scales of quality of life: (1) physical functioning (10 items), (2) physical role functioning (four items), (3) emotional role functioning (three items), (4) social role functioning (two items), (5) bodily pain (two items), (6) mental health (five items), (7) energy (four items) and (8) general health (five items). The scores were calculated in a two-step process using the instructions provided by Ware et al. (1994) in the user´s manual. First, all items were scored on a scale from 0 to 100. A higher score defines a better health or function. Second, items in the same scale were averaged together to create the eight scale scores. Scale scores represented the average for all items in the scale.
Adherence to health regimens
Time Frame: 12 months
Adherence was measured using the Adherence of People with Chronic Disease Instrument (ACDI) (Kyngäs, 1999), a 38-item self-report instrument that has been used to measure adherence to health regimens among people with chronic disease
Secondary Outcomes
- Lifestyle factors(12 months)