Research and Training Center on Disability in Rural Communities, 307078University of Montana, Missoula, MT, USA.
School of Public and Community Health Sciences, 307078University of Montana, Missoula, MT, USA.
Am J Health Promot. 2023 Mar;37(3):345-355. doi: 10.1177/08901171221109524. Epub 2022 Jun 19.
To expand the reach of health-promotion efforts for people with disabilities, we piloted a health-coaching intervention with a disability-specific curriculum. We evaluated the intervention's effects on health-related quality of life and health behavior change.
Mixed-methods research design using pre-post measures and semi-structured interviews.
SETTING/PARTICIPANTS: A convenience sample of community-dwelling adults with disabilities (n = 39).
Participants engaged in a curriculum-based health coaching intervention, titled , which used weekly one-on-one coaching for up to 12 weeks.
Participants completed pre- and post-intervention surveys including questions from the Health-Related Quality of Life (HRQOL) measure and the Health-Promoting Lifestyle Profile II. A subset of participants completed in-depth interviews to explore how health coaching influences health behavior change (n = 12).
We found statistically significant effects on poor-health days due to physical and mental health, and effects on physical activity. We saw additional effects with engagement in relevant curriculum content. Qualitative main themes (tailoring of information, enthusiasm for personally meaningful goals, and social support) indicated processes by which health coaching supported health behavior changes.
The results of this pilot study indicate health coaching appears to be effective for improving HRQOL and health behavior, especially physical activity, for people with disabilities. Apparent key factors include enthusiasm for personally meaningful goals, having tailored information, and social support.
为了扩大残疾人健康促进工作的覆盖面，我们试点了一项针对残疾人群体的健康辅导干预措施，该措施具有专门的课程。我们评估了该干预措施对健康相关生活质量和健康行为改变的影响。
采用前后测的混合方法研究设计，并结合半结构化访谈。
设置/参与者：选择社区居住的残疾成年人（n = 39）作为便利样本。
参与者参与了一个基于课程的健康辅导干预措施，名为“健康生活方式辅导”，每周进行一次一对一的辅导，持续 12 周。
参与者在干预前后完成了调查问卷，包括来自健康相关生活质量（HRQOL）测量和健康促进生活方式量表 II 的问题。一小部分参与者完成了深入访谈，以探讨健康辅导如何影响健康行为改变（n = 12）。
我们发现，健康辅导对由于身心健康导致的不良健康天数以及对体育活动有统计学意义的影响。我们还看到了与参与相关课程内容有关的额外影响。定性的主要主题（信息的个性化、对个人有意义目标的热情以及社会支持）表明了健康辅导支持健康行为改变的过程。
这项试点研究的结果表明，健康辅导似乎对改善残疾人士的 HRQOL 和健康行为，特别是体育活动，是有效的。明显的关键因素包括对个人有意义目标的热情、有个性化的信息以及社会支持。
