The Effects of Health Coaching for Frequent Attenders

Not Applicable

Completed

• Conditions: Health Behavior
• Interventions: Other: The nurse-led health coaching program

• Registration Number: NCT04134858
• Lead Sponsor: University of Oulu

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.

Study Timeline

• Study Start: 2014-10-01
• Primary Completion: 2016-02-01
• Study Completion: 2016-12-31
• Study First Submitted: 2019-09-16
• Status Verified: 2019-10
• Study First Submitted QC: 2019-10-21
• Last Update Submitted: 2019-10-21
• Study First Posted: 2019-10-22
• Last Update Posted: 2019-10-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 110

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
The health coaching group	The nurse-led health coaching program	The experimental group (n = 52) consisted of frequent attenders who had chosen the health-coaching program. The intervention was based on the customized nurse-led health-coaching program. The program consisted of an individual health-coaching nurse, health-coaching sessions and a written action plan according to each participant´s individual needs.

Primary Outcome Measures

Name	Time	Method
The health-related quality of life	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	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 Outcome Measures

Name	Time	Method
Lifestyle factors	12 months	The secondary outcomes were lifestyle factors. The baseline and follow-up questionnaires gathered data on the frequent attenders' alcohol consumption, smoking behaviour, and physical activity. They were based on a customized variant of the national FINRISK 2012 questionnaire