Physicians who exercise are more likely to counsel their patients to exercise. Inadequate time and knowledge/experience regarding exercise are the most common barriers to counseling identified. These findings suggest strategies that might increase physician exercise counseling behavior.
Health and wellness coaching (HWC) for lifestyle behavior change is emerging as a
practice, role, and profession, in diverse health care, employee wellness, and
community settings. Health care professionals apply HWC as a behavior change
methodology for the prevention and treatment of diabetes, hypertension,
hyperlipidemia, heart disease, cancer, and other chronic disorders. The purpose
of this systematic review was to provide a comprehensive and organized
compendium of HWC literature. To date, extant HWC literature remains scattered
with no meaningful summary accessible. Lack of comprehensive summary stems from
lack of consensus on HWC definition and standards. We applied a recently
proposed, standardized definition of HWC to determine compendium inclusion
criteria for peer-reviewed, data-based literature from relevant search engines
(ie, PubMed, PsychInfo, and CINAHL). A systematic review process was executed
and ultimately yielded 219 articles meeting HWC inclusion criteria. Of these,
150 were data-based and the remainder were expert opinion or review-style
articles. A summary of results generally reveals HWC as a promising intervention
for chronic diseases though further research is needed in most categories. The
resulting HWC compendium organizes and describes the quantity and quality of
available literature for the use and benefit of HWC practitioners and
researchers.
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