Graduate Programs in Rehabilitation Sciences, University of British Columbia, Vancouver, BC, Canada.
Centre for Chronic Disease Prevention and Management, University of British Columbia, Kelowna, BC, Canada.
Fam Pract. 2023 Feb 9;40(1):30-38. doi: 10.1093/fampra/cmac079.
COVID-19 public health restrictions (i.e. physical distancing) compromise individuals' ability to self-manage their health behaviours and may increase the risks of adverse health events.
To evaluate the student-delivered Community Outreach teleheAlth program for Covid education and Health promotion (COACH) on health-directed behaviour (self-management) among older adults (≥65 years of age, n = 75). Secondary objectives estimated the influence of COACH on perceived depression, anxiety, and stress; social support; health-related quality of life; health promotion self-efficacy; and other self-management domains.
COACH was developed to provide chronic disease management and prevention support among older adults via telephone or videoconferencing platforms (i.e. Zoom). In this single-group, pre-post study, our primary outcome was measured using the health-directed behaviour subscale of the Health Education Impact Questionnaire. Secondary measures included the Depression, Anxiety and Stress Scale, Medical Outcomes Study: Social Support Survey, MOS Short Form-36, and Self-Rated Abilities for Health Practices Scale. Paired sample t-tests were used to analyse outcome changes.
Mean age of participants was 72.4 years (58.7% female; 80% ≥2 chronic conditions). Health-directed behaviour significantly improved after COACH (P < 0.001, d = 0.45). Improved health promotion self-efficacy (P < 0.001, d = 0.44) and decreased mental health were also observed (P < 0.001, d = -1.69).
COACH likely contributed to improved health-directed behaviour and health promotion self-efficacy despite the diminished mental health-related quality of life during COVID-19. Our findings also highlight the benefits of using health professional students for the delivery of virtual health promotion programs.
ClinicalTrials.gov ID: NCT04492527.
COVID-19 公共卫生限制（例如身体距离）损害了个人自我管理健康行为的能力，并可能增加不良健康事件的风险。
评估学生提供的社区外展远程健康计划（COACH）在老年人（≥65 岁，n = 75）中的健康导向行为（自我管理）。次要目标估计 COACH 对感知抑郁、焦虑和压力、社会支持、健康相关生活质量、健康促进自我效能和其他自我管理领域的影响。
COACH 旨在通过电话或视频会议平台（即 Zoom）为老年人提供慢性病管理和预防支持。在这项单组、前后测研究中，我们的主要结果是使用健康教育影响问卷的健康导向行为子量表进行测量。次要措施包括抑郁、焦虑和压力量表、医疗结果研究：社会支持调查、MOS 简短形式 36 项和自我评定健康实践能力量表。采用配对样本 t 检验分析结果变化。
参与者的平均年龄为 72.4 岁（58.7%为女性；80%有≥2 种慢性疾病）。COACH 后健康导向行为显著改善（P < 0.001，d = 0.45）。还观察到健康促进自我效能提高（P < 0.001，d = 0.44）和心理健康下降（P < 0.001，d = -1.69）。
尽管 COVID-19 期间心理健康相关生活质量下降，但 COACH 可能有助于改善健康导向行为和健康促进自我效能。我们的研究结果还强调了利用健康专业学生提供虚拟健康促进计划的好处。
ClinicalTrials.gov ID：NCT04492527。
