Chungnam National University, Daejeon 35015, Republic of Korea.
Chungnam National University, Daejeon 35015, Republic of Korea.
Patient Educ Couns. 2020 Oct;103(10):2029-2038. doi: 10.1016/j.pec.2020.04.029. Epub 2020 May 5.
This meta-analysis examined effects of health coaching on physical activities, dietary behaviors, health responsibility, stress management, and smoking behaviors among populations with cardiovascular risk factors.
Multiple electronic databases were searched for randomized controlled trials utilizing health coaching for people with cardiovascular risk factors to lead behavioral changes. The included studies were pooled to estimate the effect size for health coaching interventions on each of the health behaviors.
This meta-analysis included 15 randomized trials. Motivational interviewing and education sessions were common coaching interventions with telephone calls or face-to-face contacts as the main contact methods. Health coaching for health behaviors showed small but significant effect sizes on physical activities, dietary behaviors, health responsibility, and stress management except for smoking behaviors.
The study findings support that health coaching can induce positive behavioral changes among individuals with cardiovascular risk factors. Health coaching delivered by either expert or peer coaches would be easy to apply in clinical settings.
Health care professionals should be aware that health coaching could provide effective motivation strategies to improve compliance of those who need to initiate and maintain their health behaviors. Health coaching could be easily delivered via telephone calls, text messages, or short-term face-to-face coaching.
本荟萃分析考察了健康教练对心血管风险人群的体育活动、饮食行为、健康责任、压力管理和吸烟行为的影响。
通过多个电子数据库检索了利用健康教练来引导行为改变的针对心血管风险人群的随机对照试验。对纳入的研究进行汇总，以估计健康教练干预对每种健康行为的效果大小。
本荟萃分析纳入了 15 项随机试验。动机访谈和教育课程是常见的教练干预措施，电话或面对面接触是主要的联系方式。健康教练在体育活动、饮食行为、健康责任和压力管理方面的健康行为显示出较小但有统计学意义的效果，但对吸烟行为没有影响。
研究结果支持健康教练可以诱导心血管风险人群的积极行为改变。由专家或同伴教练提供的健康教练在临床环境中易于应用。
医疗保健专业人员应该意识到，健康教练可以提供有效的激励策略，以提高那些需要开始并维持其健康行为的人的依从性。健康教练可以通过电话、短信或短期面对面的教练轻松提供。
