1 University of York, York, United Kingdom.
2 The University of Manchester, Manchester, United Kingdom.
Qual Health Res. 2019 Apr;29(5):658-671. doi: 10.1177/1049732318809679. Epub 2018 Dec 1.
Health coaching is a novel population intervention to support self-management but it is untested in people with mild disease. People with chronic obstructive pulmonary disease with mild dyspnea are a population excluded from supported self-management and whose illness might progress without intervention. We explored participants' experiences about how health coaching motivated behavior change. Interviews were conducted with 21 intervention and 10 control participants at 6 months, and 20 intervention participants at 12 months. Participants were identified from a randomized controlled trial of telephone health coaching. Data were analyzed using the framework method. Participants positively enacted behavior change to become more physically active. Participants took advantage of environmental affordances to pull themselves toward activity targets, or relied on being pushed to be more active by the health coach or significant others. Behavior change was maintained where efforts to be more active were built into the everyday lifeworld of participants.
健康教练是一种新颖的人群干预措施，可支持自我管理，但尚未在轻度疾病患者中进行过测试。患有轻度呼吸困难的慢性阻塞性肺疾病患者是被排除在支持性自我管理之外的人群，如果不进行干预，他们的病情可能会恶化。我们探讨了参与者对健康教练如何激发行为改变的体验。在 6 个月时对 21 名干预组和 10 名对照组参与者以及 12 个月时的 20 名干预组参与者进行了访谈。这些参与者是从电话健康教练的随机对照试验中确定的。使用框架方法对数据进行了分析。参与者积极采取行动改变行为，变得更加活跃。参与者利用环境提供的便利将自己推向活动目标，或者依靠健康教练或重要他人的推动来更加活跃。如果将更加活跃的努力融入参与者的日常生活世界，那么行为改变就可以得到维持。
