Objectives
To develop a pilot health coaching curriculum, investigate its effects on geriatric patient outcomes, and examine qualitative feedback by older patients and medical students to the curriculum.
Methods
A mixed methods study involving 29 first-year medical students randomly paired with 29 older adults with uncontrolled Type 2 diabetes was completed. Health-related quality of life (HRQoL), stage of change movement, diabetes knowledge, locus of control, body mass index (BMI), and glycosylated hemoglobin (HbA1c) were assessed. Focus groups were used to evaluate patients’ and medical students’ experiences.
Results
Patients’ HRQoL and stage of change for exercise improved significantly over time. There were no significant changes in stage of change for healthy diet and medication, diabetes knowledge, BMI, and HbA1c from baseline to end-of-study. Focus group data indicated positive responses by older patients and the medical students.
Discussion
A health coaching curriculum may improve patient outcomes and can provide medical students the skills needed to provide compassionate care for geriatric patients.
In adult patients with an HSPlike presentation, a high index of suspicion for underlying Staphylococcal infection is warranted. Blood cultures are frequently negative. Cultures from the site of infection should be performed. Steroid treatment did not improve outcomes. Renal outcomes were frequently poor.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.