Department of Nordic Studies and Linguistics, University of Copenhagen, Copenhagen, Denmark.
Institute of Psychology, University of Copenhagen, Copenhagen, Denmark; Department of Psychology, La Trobe University, Bendigo, Australia; Australian Centre for Behavioural Research in Diabetes, Melbourne, Australia.
Patient Educ Couns. 2024 Oct;127:108370. doi: 10.1016/j.pec.2024.108370. Epub 2024 Jul 2.
To explore the relationship between health coaches' responses to emotional cues/concerns and women's subsequent engagement with the health coaching mHealth platform.
24 face-to-face video-mediated initial conversations between participants and their health coaches were coded using the VR-CoDES-P method. Women with high risk of developing Gestational Diabetes Mellitus were selected from the study, based on their engagement with the smartphone health coaching platform. 12 women with very low engagement and 12 women with high engagement were identified.
In interactions with women with high goal engagement, coaches had significantly more counseling codes with prior other codes and no instances of non-explicit response codes that reduce space for further disclosure. Analysis showed that interactions with women with high goal engagement were more frequently met by the coach with affect-acknowledging and empathic responses prior to the counseling speech act.
High goal engagement among women with Gestational Diabetes Mellitus may appear to be associated with coaches facilitating the frequent use of empathy.
Findings can draw coaches' attention to the impact that their counseling has on goal engagement, increasing the opportunity for intervention to be person-centered and effective.
探讨健康教练对情绪线索/关注的反应与女性随后使用健康教练移动健康平台之间的关系。
使用 VR-CoDES-P 方法对参与者及其健康教练之间的 24 次面对面视频介导的初始对话进行编码。根据参与智能手机健康教练平台的情况，从研究中选择有发展妊娠糖尿病风险的女性。确定了 12 名参与度非常低的女性和 12 名参与度高的女性。
在与高目标参与度的女性的互动中，教练与先前的其他代码有更多的咨询代码，并且没有减少进一步披露空间的非明确响应代码的实例。分析表明，在与高目标参与度的女性互动时，教练更频繁地在咨询言语行为之前使用情感承认和同理心反应。
妊娠糖尿病女性的高目标参与度似乎与教练促进同理心的频繁使用有关。
研究结果可以引起教练对其咨询对目标参与度的影响的关注，增加干预措施以个人为中心和有效的机会。
