Blackwell Jared, Gregory-Mercado Karen, Collins Michael, Guillen Jose, Scribner Christina, Moses Karen
Arizona State University, Downtown Phoenix Campus, College of Health Solutions, Phoenix, Arizona.
University of Arizona Cancer Center, Phoenix, Arizona.
Glob Adv Health Med. 2019 Feb 27;8:2164956119831226. doi: 10.1177/2164956119831226. eCollection 2019.
Lifestyle change programs have demonstrated encouraging improvements in the overall well-being of participants in clinical, worksite, and university settings. However, the majority of published research utilizes accredited, professional health coaches. This study seeks to establish the efficacy of health and wellness coaching implemented by coaching trainees in a workplace/university framework.
University faculty, staff, and students were recruited (n = 74) to participate in an 8-week health and wellness coaching program comprised of 3 coaching sessions. The wellness coaches were undergraduate students enrolled in a university Health and Wellness Coaching practicum course. Participants reported satisfaction in 12 wellness dimensions. Their satisfaction scores were used as proxy to encourage them to focus their behavior change within 1 or more of 12 wellness dimensions. The self-reported wellness dimension scores were recorded at baseline, and subsequent changes in the selected dimension scores were evaluated. The control group received telephonic and video conference-based coaching, while the intervention group participants were also offered face-to-face coaching and social-embedded support.
Participants most frequently selected to work on 2 of the 12-wellness dimensions. No differences between groups were found in the initial wellness scores. A statistical analysis was performed on dimensions with 20 or more responses to determine whether the intervention (social support), coaching session, and other variables had a significant impact. A mixed model adjusted on group, coaching session, coaching trainee, and participant was performed. The eating/nutrition and thinking wellness dimensions exhibited a significant positive change in wellness scores in both groups ( < .001 and < .0143, respectively).
An increase in eating/nutrition and thinking wellness scores in both groups suggests that the coaching trainees were effective in motivating change to boost participants' well-being. The results justify further research to evaluate the cost-effectiveness, approaches, and efficacy of coaching trainees in worksite wellness programs.
生活方式改变项目已在临床、工作场所和大学环境中展现出对参与者整体幸福感令人鼓舞的改善效果。然而,大多数已发表的研究使用的是经认证的专业健康教练。本研究旨在确定在工作场所/大学框架内由教练学员实施的健康与幸福指导的效果。
招募了大学教职员工和学生(n = 74)参加一个为期8周的健康与幸福指导项目,该项目包括3次指导课程。健康指导师是参加大学健康与幸福指导实习课程的本科生。参与者报告了在12个健康维度上的满意度。他们的满意度得分被用作促使他们在12个健康维度中的1个或多个维度内关注行为改变的指标。在基线时记录自我报告的健康维度得分,并评估所选维度得分随后的变化。对照组接受基于电话和视频会议的指导,而干预组的参与者还获得了面对面指导和社交嵌入式支持。
参与者最常选择致力于12个健康维度中的2个维度。两组的初始健康得分没有差异。对有20个或更多回复的维度进行了统计分析,以确定干预(社会支持)、指导课程和其他变量是否有显著影响。进行了一个在组、指导课程、指导学员和参与者上进行调整的混合模型分析。饮食/营养和思维健康维度在两组中均呈现出健康得分的显著正向变化(分别为P <.001和P <.0143)。
两组饮食/营养和思维健康得分的增加表明,教练学员在激励改变以提升参与者幸福感方面是有效的。这些结果证明有必要进一步研究,以评估教练学员在工作场所健康项目中的成本效益、方法和效果。