Health Coaching to Improve Healthy Lifestyle Behaviors: An Integrative Review

Olsen, Jeanette M.; Nesbitt, Bonnie J.

doi:10.4278/ajhp.090313-lit-101

Cited by 274 publications

(269 citation statements)

References 18 publications

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“…34 Indeed, as the trajectory of peer-reviewed articles on this approach rapidly increases, continued variability in definitions of health coaching precludes the ability to perform rigorous reviews or meta-analyses. This variability also ensures continued confusion over the coaching approach and confounds the skills needed by the rapidly growing number of professionals providing health and wellness coaching.…”

Section: Summary and Discussionmentioning

confidence: 99%

“…The most recent prior review of the effectiveness of health coaching reviewed only 15 articles and concluded that the body of literature as a whole was inconclusive due to theoretical and methodological issues. 34 It will be of great interest to revisit the issue of whether health coaching will be consistently effective at promoting health change now that we have a much larger body of work to review (284 articles), and if health coaching is defined, as by this consensus, as patient-centered, incorporating patient-determined goals, self-discovery processes, accountability, and content information, in the context of an ongoing helping relationship. This unified assessment will be fundamental to establishing the merit of this approach to helping people…”

Section: Areas For Further Investigationmentioning

confidence: 99%

“…First, we intend to answer repeated calls in the literature for evidence-based identification of conceptual and interventional components of health and wellness coaching. 28,34,35 Second, with a standardized definition, components of this approach can be used as targets to clarify the professional skills needed to appropriately train health and wellness coaches. 12,34,36 Finally, with a standardized definition, we can more rigorously evaluate both the efficacy and the effectiveness of health and wellness coaching.…”

Section: Systematic Reviewmentioning

confidence: 99%

“…28,34,35 Second, with a standardized definition, components of this approach can be used as targets to clarify the professional skills needed to appropriately train health and wellness coaches. 12,34,36 Finally, with a standardized definition, we can more rigorously evaluate both the efficacy and the effectiveness of health and wellness coaching. 12 To these ends, we conducted a comprehensive, systematic review of the peer-reviewed medical literature to determine how health and wellness coaching is operationalized.…”

Section: Systematic Reviewmentioning

confidence: 99%

See 3 more Smart Citations

A Systematic Review of the Literature on Health and Wellness Coaching: Defining a Key Behavioral intervention in Healthcare

Wolever¹,

Simmons²,

Sforzo³

et al. 2013

Global Adv Health Med

109

206

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Primary Objective: Review the operational definitions of health and wellness coaching as published in the peer-reviewed medical literature. Background: As global rates of preventable chronic diseases have reached epidemic proportions, there has been an increased focus on strategies to improve health behaviors and associated outcomes. One such strategy, health and wellness coaching, has been inconsistently defined and shown mixed results. Methods: A Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)-guided systematic review of the medical literature on health and wellness coaching allowed for compilation of data on specific features of the coaching interventions and background and training of coaches. Results: Eight hundred abstracts were initially identified through PubMed, with 284 full-text articles ultimately included. The majority (76%) were empirical articles. The literature operationalized health and wellness coaching as a process that is fully or partially patient-centered (86% of articles), included patientdetermined goals (71%), incorporated self-discovery and active learning processes (63%) (vs more passive receipt of advice), encouraged accountability for behaviors (86%), and provided some type of education to patients along with using coaching processes (91%). Additionally, 78% of articles indicated that the coaching occurs in the context of a consistent, ongoing relationship with a human coach who is trained in specific behavior change, communication, and motivational skills. Conclusions: Despite disparities in how health and wellness coaching have been operationalized previously, this systematic review observes an emerging consensus in what is referred to as health and wellness coaching; namely, a patient-centered process that is based upon behavior change theory and is delivered by health professionals with diverse backgrounds. The actual coaching process entails goalsetting determined by the patient, encourages self-discovery in addition to content education, and incorporates mechanisms for developing accountability in health behaviors. With a clear definition for health and wellness coaching, robust research can more accurately assess the effectiveness of the approach in bringing about changes in health behaviors, health outcomes and associated costs that are targeted to reduce the global burden of chronic disease. 摘要

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Section: Summary and Discussionmentioning

confidence: 99%

Section: Areas For Further Investigationmentioning

confidence: 99%

Section: Systematic Reviewmentioning

confidence: 99%

Section: Systematic Reviewmentioning

confidence: 99%

See 2 more Smart Citations

A Systematic Review of the Literature on Health and Wellness Coaching: Defining a Key Behavioral intervention in Healthcare

Wolever¹,

Simmons²,

Sforzo³

et al. 2013

Global Adv Health Med

109

206

View full text Add to dashboard Cite

show abstract

“…Several studies demonstrated the efficacy of motivational interviewing as a positive psychology approach to promote goal achievement (Butterworth, Linden, McClay, & Leo, 2006) and define it as a strategy focused on collaboration around a central goal in order to coach a client toward lifestyle change (Olsen & Nesbitt, 2010).…”

Section: Coachingmentioning

confidence: 99%

Evaluation of a Coaching Experiential Learning Project on OT Student Abilities and Perceptions

Phillips¹

2017

The Open Journal of Occupational Therapy

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Innovative teaching methods to address emerging practice needs are critical components of effective occupational therapy education. Experiential learning strategies can enhance skill development and translation of knowledge into OT clinical practice. In addition, skills such as coaching may provide important links to health promotion practices. Thirty-two occupational therapy students took part in an experiential project to connect occupational engagement and health for a community of older adults. A pretest/posttest design was used to evaluate program outcomes in student perceived abilities, and narrative reflection papers provided postexperience qualitative information. The students improved in all 10 areas of abilities selfassessment with mean total scores from pretest (M = 42) improving significantly at posttest (M = 58). Themes from reflection papers indicated a positive response to experiential learning and a desire for more opportunities to prepare for clinical practice, including the use of interprofessional training. The students improved in their abilities to use coaching and health promotion strategies through the use of experiential learning methods. Outcomes suggest that experiential learning opportunities are an effective way to enhance student competencies in coaching, improve readiness for wellness programming, and increase student confidence in application of skills in future clinical practice.

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Psychosocial predictors of adherence to lymphedema risk minimization guidelines among women with breast cancer

Sherman

Koelmeyer

2012

Psycho-Oncology

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This study highlights the importance of underlying beliefs as determinants of whether a woman who is informed and knowledgeable about lymphedema risk and its management will undertake the recommended risk management actions. Along with raising awareness of lymphedema and its risk management, health professionals should promote positive beliefs among women regarding the controllability of lymphedema through early-detection/early-treatment approaches. In addition, educational approaches should aim to enhance a woman's beliefs in her ability to adhere to these risk management recommendations over time.

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Health Coaching to Improve Healthy Lifestyle Behaviors: An Integrative Review

Abstract: Health coaching studies with well-specified methodologies and more rigorous designs are needed to strengthen findings; however, this behavioral change intervention suggests promise.

Cited by 274 publications

References 18 publications

A Systematic Review of the Literature on Health and Wellness Coaching: Defining a Key Behavioral intervention in Healthcare

A Systematic Review of the Literature on Health and Wellness Coaching: Defining a Key Behavioral intervention in Healthcare

Evaluation of a Coaching Experiential Learning Project on OT Student Abilities and Perceptions

Psychosocial predictors of adherence to lymphedema risk minimization guidelines among women with breast cancer

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