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Effects of telephone-based health coaching on patient-reported outcomes and health behavior change: A randomized controlled trial
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Effects of telephone-based health coaching on patient-reported outcomes and health behavior change: A randomized controlled trial
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Effects of telephone-based health coaching on patient-reported outcomes and health behavior change: A randomized controlled trial
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Journal Article
Effects of telephone-based health coaching on patient-reported outcomes and health behavior change: A randomized controlled trial
2020
Overview
Telephone based health coaching (TBHC) seems to be a promising approach to foster self-management in patients with chronic conditions. The aim of this study was to evaluate the effectiveness of a TBHC on patient-reported outcomes and health behavior for people living with chronic conditions in Germany. Of the 10,815 invited patients, 4,283 returned their questionnaires at baseline. The mean age was 67.23 years (SD = 9.3); 55.5% were female. According to the model, TBHC was statistically significant superior to CG regarding 6 of 19 outcomes: physical activity in hours per week (p = .030) and in metabolic rate per week (p = .048), BMI (p = .009) (although mainly at baseline), measuring blood pressure (p< .001), patient activation (p< .001), and health literacy (p< .001). Regarding stages of change (p = .005), the IG group also showed statistically different results than the CG group, however the conclusion remains inconclusive. Within-group contrasts indicating changes from baseline to follow-ups and significant between-group comparisons regarding these changes supported the findings. Standardized effect sizes were small. TBHC did not show any effect on mental QoL, health status, alcohol, smoking, adherence, measuring blood sugar, foot monitoring, anxiety, depression and distress. Campaign-specific subgroup effects were detected for 'foot monitoring by a physician' and 'blood sugar measurement'. TBHC interventions might have small effects on some patient reported and behavioral outcomes. Future research should focus on analyzing which intervention components are effective and who profits most from TBHC interventions.
