Chen Ruey-Yu, Huang Li-Chi, Su Chien-Tien, Chang Yao-Tsung, Chu Chia-Lin, Chang Chiao-Ling, Lin Ching-Ling
School of Public Health, Taipei Medical University, Taipei, Taiwan.
Endocrinology and Metabolism, Cathay General Hospital, Taipei, Taiwan.
Front Public Health. 2019 Oct 30;7:314. doi: 10.3389/fpubh.2019.00314. eCollection 2019.
The aim of this study was to explore the effectiveness in HbA1c lowering and self-efficacy of diabetes self-management of a 6 months coaching intervention. This paper was a two-armed coaching intervention study in which 116 participants who presented type 2 diabetes were recruited at a medical center. The intervention group had health coaching and usual care for 6 months, whereas the control had usual care only. The main outcome variables were HbA1c level and self-efficacy of diabetes self-management, in followed-up measure at 3 and 6 months. We found that an approximate 0.68% (CI = 0.40 to 0.96) reduction in HbA1c was achieved after a 6-month health coaching. Both physical activity and self-efficacy of diabetes self-management were shown to benefit by health coaching. Health coaching might be an effective strategy to enhance self-management for diabetes patients in Taiwan where "Diabetes Shared Care Network" had been implemented for over 20 years. Consider limitations of this study, more studies with designs that yield higher quality evidence for the role of health coaching in diabetic patients are needed. www.isrctn.com (ID number: ISRCTN52454940, date: 10 May, 2018, retrospectively registered).
本研究的目的是探讨为期6个月的辅导干预在降低糖化血红蛋白（HbA1c）水平及提高糖尿病自我管理自我效能方面的有效性。本文是一项双臂辅导干预研究，在一家医疗中心招募了116名2型糖尿病患者。干预组接受健康辅导和常规护理6个月，而对照组仅接受常规护理。主要结局变量是3个月和6个月随访时的HbA1c水平及糖尿病自我管理的自我效能。我们发现，经过6个月的健康辅导，HbA1c水平降低了约0.68%（置信区间=0.40至0.96）。健康辅导显示对身体活动及糖尿病自我管理的自我效能均有益处。在台湾，“糖尿病共同照护网络”已实施20多年，健康辅导可能是增强糖尿病患者自我管理的有效策略。考虑到本研究的局限性，需要更多设计能为健康辅导在糖尿病患者中的作用提供更高质量证据的研究。www.isrctn.com（识别号：ISRCTN52454940，日期：2018年5月10日，追溯注册）
