Djuric Zora, Segar Michelle, Orizondo Carissa, Mann Jeffrey, Faison Maya, Peddireddy Nithin, Paletta Matthew, Locke Amy
From the Department of Family Medicine, University of Michigan, Ann Arbor (ZD, CO, JM, MF, NP, MP); Sport, Health, and Activity Research and Policy Center, University of Michigan, Ann Arbor (MS); and the Department of Family and Preventive Medicine, University of Utah, Salt Lake City (AL).
J Am Board Fam Med. 2017 May-Jun;30(3):362-370. doi: 10.3122/jabfm.2017.03.160321.
Health coaching is potentially a practical method to assist patients in achieving and maintaining healthy lifestyles. In health coaching, the coach partners with the patient, helping patients discover their own strengths, challenges, and solutions.
Two medical assistants were provided with brief training. The 12-week program consisted of telephone coaching with in-person visits at the beginning and end of the program. Coaching targeted improvements in diet, physical activity, and/or sleep habits using a self-care planning form.
A total of 82 subjects enrolled in the program, 72% completed 8 weeks and 49% completed 12 weeks. Subjects who completed assessments at 12 weeks had significant weight loss despite the fact that weight loss was not a study goal. There also were improvements in diet and physical activity. Subject who completed the study were highly satisfied with the program and felt that health coaching should be available in all family medicine clinics. The main barrier providers voiced was remembering to refer patients. The medical providers indicated high satisfaction with the study and valued having coaching available for their patients.
Medical assistants can be trained to assist patients with lifestyle changes that are associated with improved health and weight control.
健康指导可能是一种帮助患者实现并维持健康生活方式的实用方法。在健康指导中，指导者与患者合作，帮助患者发现自身的优势、挑战及解决方案。
两名医疗助理接受了简短培训。为期12周的项目包括在项目开始和结束时进行面对面访视的电话指导。使用自我护理计划表格，指导旨在改善饮食、身体活动和/或睡眠习惯。
共有82名受试者报名参加该项目，72%的人完成了8周的课程，49%的人完成了12周的课程。尽管体重减轻并非研究目标，但在12周时完成评估的受试者体重显著减轻。饮食和身体活动也有所改善。完成该研究的受试者对该项目高度满意，并认为所有家庭医学诊所都应提供健康指导。医疗服务提供者提出的主要障碍是记得转诊患者。医疗服务人员对该研究表示高度满意，并重视为患者提供指导。
可以培训医疗助理协助患者进行与改善健康和体重控制相关的生活方式改变。
