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- Title
Patient Engagement in Health Coaching and Self-Management Abilities in Chronic Obstructive Pulmonary Disease.
- Authors
Benzo, Maria V.; Kelpin, Sydney S.; Werneburg, Brooke; Hoult, Johanna; Clark, Matthew M.; Novotny, Paul; Benzo, Roberto
- Abstract
Objective : Health coaching has the potential to improve self-management abilities (SM) in patients with Chronic Obstructive Pulmonary Disease (COPD). Patient engagement with health care providers has a beneficial effect on patient outcomes. We examined the association of patient engagement with the health coach on SM abilities in patients with COPD. Methods : We analyzed the association between the degree of engagement measured by the Working Alliance Inventory (WAI-SR) and the SM measured by the Self-Management-Ability-Scale-30 (SMAS-30) at the end of a COPD health coaching intervention. Results : The cohort included 146 moderate to severe COPD patients. The WAI-SR total score was 85% of the maximum possible scores indicating a high degree of engagement between the health coach and the patients. The WAI-SR Task and Bond domains were positively associated with SM abilities after adjusting for lung function (FEV1 %) and depression symptoms (PHQ-2). Conclusion : The degree of engagement between a health coach and patients is associated with the perception of SM abilities in patients with COPD. Our results may inform self-management intervention and clinical practice.
- Subjects
HEALTH education; HOME environment; MINDFULNESS; PATIENT participation; SELF-management (Psychology); COMMUNICATIVE competence; MOTIVATIONAL interviewing; BREATHING exercises; MEDICAL care; REGRESSION analysis; HELPLINES; RESPONSIBILITY; MEDICAL care use; SELF-efficacy; PRE-tests &; post-tests; OBSTRUCTIVE lung diseases; QUESTIONNAIRES; QUALITY of life; HEALTH behavior; DESCRIPTIVE statistics; RESEARCH funding; PATIENT-professional relations; TELEMEDICINE; GOAL (Psychology)
- Publication
American Journal of Lifestyle Medicine, 2024, Vol 18, Issue 2, p243
- ISSN
1559-8276
- Publication type
Article
- DOI
10.1177/15598276221120523