Population and Community Health, South Eastern Sydney Local Health District, Sydney 2050, Australia.
Centre for Primary Health Care and Equity, University of New South Wales, Sydney 2052, Australia.
Int J Environ Res Public Health. 2022 Dec 1;19(23):16075. doi: 10.3390/ijerph192316075.
Health coaching can benefit people with managing chronic conditions. It considers people's motivations, is person-centred and has the capacity to promote healthy lifestyles and address chronic disease risk factors. However, how health coaching training is translated into routine clinical practice at unit and service levels has been under explored. A metropolitan local health district in Sydney, Australia provided coaching training to health professionals, but the extent to which coaching skills were translated into clinical practice was unknown. A redesign methodology was used to identify barriers and facilitators for training-to-practice translation. Survey and workshop findings indicated that participants were satisfied with the coaching training but found it challenging to apply in clinical practice. Identified opportunities to support the application of health coaching were tailored practical training, post training support, and consensus on the definition of health coaching. Solutions were to develop an internal practical training program, use consistent terminology, and embed organisational support. Adoption of health coaching needs to occur on three levels; individual, workplace and organisation to ensure effective health care delivery. This case study demonstrates the importance of evaluation and diagnostics of contextual barriers and enablers to inform translation into practice.
健康教练可以帮助人们管理慢性病。它考虑到人们的动机，以人为本，有能力促进健康的生活方式和解决慢性病的风险因素。然而，健康教练培训是如何转化为单位和服务层面的常规临床实践的，这一点还没有得到充分的探索。澳大利亚悉尼的一个大都市区地方卫生区为卫生专业人员提供了教练培训，但教练技能转化为临床实践的程度尚不清楚。重新设计方法用于确定培训到实践转化的障碍和促进因素。调查和研讨会的结果表明，参与者对教练培训感到满意，但发现将其应用于临床实践具有挑战性。确定了支持健康教练应用的机会，包括实用培训、培训后支持以及对健康教练定义的共识。解决方案是开发内部实用培训计划、使用一致的术语，并嵌入组织支持。健康教练的采用需要在个人、工作场所和组织三个层面上进行，以确保有效的医疗保健服务。本案例研究表明，评估和诊断背景障碍和促进因素对于将其转化为实践非常重要。
