Integrating Services for Optimal Proactive Care

Meek, Julie A.; Citrin, Richard S.

doi:10.1097/00129234-200409000-00006

Cited by 4 publications

(8 citation statements)

References 2 publications

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“…Of those that did specify the session length, sessions lasted for an average of 35.8 minutes, ranging from 5 minutes 57 , 58 to 2.5 hours. 59 Of those that specified the number of coaching sessions, the average reported was 10.1 sessions, ranging from 1 to 90, 60 median = 6. For those articles that reported the length and number of coaching sessions (n = 68), the average contact hours with a coach was 6.2, ranging from 15 minutes 61 to 135 hours, 60 median = 3 hours.…”

Section: Resultsmentioning

confidence: 99%

“…In the majority of articles reviewed, it was not possible to calculate the "dose" of coaching that was being evaluated in terms of length of individual coaching sessions, number of coaching sessions, or duration of the coaching intervention. Overall, 75% (212 of 284) of the peerreviewed articles did not specify the length of each individual coaching session, 52% (148 of 284) did 59 Of those that specified the number of coaching sessions, the average reported was 10.1 sessions, ranging from 1 to 90, 60 median = 6. For those articles that reported the length and number of coaching sessions (n = 68), the average contact hours with a coach was 6.2, ranging from 15 minutes 61 to 135 hours, 60 median = 3 hours.…”

Section: Patient-centerednessmentioning

confidence: 99%

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

Wolever

Simmons

Sforzo

et al. 2013

Glob Adv Health Med

323

189

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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 patient-determined 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 goal-setting 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.

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Section: Resultsmentioning

confidence: 99%

Section: Patient-centerednessmentioning

confidence: 99%

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

Wolever

Simmons

Sforzo

et al. 2013

Glob Adv Health Med

323

189

View full text Add to dashboard Cite

show abstract

“…Of those that did specify the session length, sessions lasted for an average of 35.8 minutes, ranging from 5 minutes 57,58 to 2.5 hours. 59 Of those that specified the number of coaching sessions, the average reported was 10.1 sessions, ranging from 1 to 90, 60 median = 6. For those articles that reported the length and number of coaching sessions (n = 68), the average contact hours with a coach was 6.2, ranging from 15 minutes 61 to 135 hours, 60 median = 3 hours.…”

Section: Patient-centerednessmentioning

confidence: 99%

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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“…A focus on utilizing information technology systems and coordinated care strategies to maximize the delivery of preventive and chronic healthcare can assist with this demand and the potential of providing more optimal care. Meek and Citrin (2004) suggested success of these programs stem from an emphasis on interaction with individuals in a positive and proactive manner to impact their healthcare experience. Glasgow et al (2001) proposed solutions that involved realigning organizational incentives and priorities, reengineering the present reactive, symptom-driven healthcare system, and training providers and patients to work as partners in a collaborate care program will improve managing chronic care.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Many healthcare entities lack a well-designed preventive and chronic care management system that maximizes their member's total health. Employers are demanding more proactive solutions from healthcare companies because disease management has not solved their healthcare woes or slowed increasing costs (Meek & Citrin, 2004). A preventive and chronic care tool may assist with managing such diseases and provide the solution healthcare entities need.…”

Section: Introductionmentioning

confidence: 99%

A Post Analysis of A Preventive and Chronic Healthcare Tool

Borrayo,

O'Lawrence

2016

Journal of Health and Human Services Administration

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This study uses the data set from Kaiser Permanente to examine the post implementation of a preventive and chronic care that utilizes clinical information system, delivery system design, and clinical decision support to maximize the office visit. The analysis suggests a significant positive relationship between frequency of utilization rates to address preventive and chronic care gaps. There is no implication of a significant positive relationship with the successfully captured rate, which satisfies closing the care gap within 45 days. The use of the preventive care tool will assist members in satisfying the preventive care gap, cervical cancer screening, within 45 days of the encounter.

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Integrating Services for Optimal Proactive Care

Cited by 4 publications

References 2 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

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

A Post Analysis of A Preventive and Chronic Healthcare Tool

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