Impact of a 12-week wellness coaching on self-care behaviors among primary care adult patients with prediabetes

Abstract

This single arm prospective study assessed the impact of individualized wellness coaching intervention for primary care patients with prediabetes on self-reported changes in physical activity level and food choices. Five hundred sixty adult patients 18 years and older with prediabetes, seen in primary care clinic, were invited to participate in 12 weeks wellness coaching sessions delivered by certified coaches. Responses from questionnaires at baseline, 6 and 12 weeks were analyzed. Of 168 consented patients, 99 completed at least one coaching session; majority was elderly, female, overweight or obese. At baseline, 50% had <60 min aerobic exercise/week. At 6 and 12 weeks, average aerobic exercise time significantly increased from 117 min to 166 and 199 min respectively. Effect was sustained at 24 weeks. Success in making healthy eating choices also statistically improved from baseline. Significant effects on both activity level and eating behavior persisted even after adjusting for age, sex and baseline glucose/A1c values. Secondary outcomes of self-efficacy and quality of life likewise showed significant improvement. Results suggest that integration of wellness coaching in primary care practice among individuals at high risk for diabetes is feasible and may be useful as part of diabetes prevention management strategies in target populations. Future randomized clinical trials are needed to further explore this issue.

Effectiveness of the VAMOS Strategy for Increasing Physical Activity and Healthy Dietary Habits: A Randomized Controlled Community Trial

“…The reduced intake of ultra-processed foods is an important result because it suggests a reduction in sodium intake, which excessive consumption is associated with cardiovascular diseases and hypertension (Mendonça et al, 2017; Saulnier, Gand, & Hadjadj, 2014). These results are similar to those reported in other studies conducted in the PHC context (Assunção, Gigante, Cardoso, Sartorelli, & Santos, 2010; DeJesus et al, 2018; Ferreira, Mingoti, Jaime, & Lopes, 2014).…”

Continuous Glucose Monitoring With Low-Carbohydrate Diet Coaching in Adults With Prediabetes: Mixed Methods Pilot Study

“…For example, health coaching has been used to improve diet quality, exercise adherence, diabetes self-efficacy, diabetes empowerment, social support, and reduce diabetes distress in individuals with type 2 diabetes [10][11][12][13]. For adults with prediabetes, DeJesus et al [14] found that a 12-week wellness coaching program improved physical activity, healthy eating behaviors, self-efficacy, and quality of life. Further research is needed to specifically examine the use of health coaching that emphasizes a low-carbohydrate diet for individuals with prediabetes.…”

Experience and expectations of patients on weight loss: The Learning Health System Network Experience

“…The role of self‐efficacy in driving behavioural changes and predicting success in weight loss interventions has been increasingly recognized in recent years . Coaching and other strategies that improve self‐efficacy have been shown to positively impact lifestyle behaviours that potentially contribute to sustained weight loss and challenge us to rethink our approach to weight loss management …”