![]() ![]() ![]() We know that it is a research area hampered by insufficient design and lack of conceptual clarity. ![]() And the increasing number of papers about coaching interventions shows that coaching is now being used in a wide range of chronic patients. In a review about strategies for improving the outcome of the treatment of diabetic patients, coaching has been suggested as a supplemental method. A healthy lifestyle is important for optimal outcome in patient care and to prevent many of the lifestyle diseases that are dramatically increasing in frequency during these years. It is well-known that having the insight and resources needed to make choices that foster a healthy lifestyle is essential for patients. In recent years, coaching has received special attention as a method to improve healthy lifestyle behaviours. In order to get a closer look at what is in the ‘black box’, we suggest that the description and categorisation of the coaching methods are described more comprehensively, and that research into this area is supplemented by a more qualitative approach.Ĭoaching is a method that has proven useful in enhancing personal insight and in shaping and reinforcing desired behaviour within many different contexts. The findings also indicate that some patients benefit from being met with an alternative approach and a different type of communication than they are used to from health care personnel. This may explain why the studies including disadvantaged patients showed the most convincing results. The coaching method used in these studies aims to improve self-efficacy and self-empowerment. Conclusionīecause of the very limited number of solid studies, this review can only present tendencies for patient outcomes and a preliminary description of an effective life coaching intervention. The two studies investigating objective health outcomes (HbA1c) showed mixed but promising results, especially concerning the patient group that usually does not benefit from intensified interventions. ResultsĪ total of 4359 citations were identified in the electronic search and five studies were included two of them were randomized controlled trials and met all quality criteria. The quality of the methodology was independently assessed by three of the authors using a criteria list. Intervention studies using quantitative or qualitative methods to evaluate the outcome of the life coach interventions were identified through systematic literature searches in PubMed, Embase, Psycinfo, and CINAHL. In this review, we will only focus on the latter method and on that basis assess the health related outcomes of life coaching. However, in order to provide a clear definition of the coaching interventions selected for this review, we have found it necessary to distinguish between health coaching and life coaching. The fact that coaching has found its way into healthcare and may provide new ways of engaging the patients and making them accountable for their health, justifies the need for an overview of the evidence regarding coaching interventions used in patient care, the effect of the interventions, and the quality of the studies published.
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