Yang Michelle C, Singh Gurkaran, Clayton Cam, Harris Devin, Sakakibara Brodie M
Graduate Programs in Rehabilitation Sciences, University of British Columbia, Vancouver, Canada.
Centre for Chronic Disease Prevention and Management, University of British Columbia, Kelowna, Canada.
J Med Educ Curric Dev. 2025 May 7;12:23821205251335723. doi: 10.1177/23821205251335723. eCollection 2025 Jan-Dec.
To describe students' experiences as health coaches in a student-delivered Community Outreach teleheAlth program for COVID education and Health promotion (COACH).
This qualitative description study collected data from student coaches (n = 19) who engaged in a 45-to-60-min semi-structured interview conducted via one-on-one on Zoom video-conferencing calls. Most (74%) student coaches were female with an average age of 25.6 years. Fifty-eight percent were from visible minority populations, and 42% administered COACH in suburban/rural areas. Coaches were located throughout British Columbia, Canada. Interview questions focused on students' experiences delivering COACH, their understanding of various health-related topics (eg, chronic care, virtual health, health promotion), and possible impacts on their beliefs and future practice. Interviews were transcribed verbatim and analyzed thematically. Findings were reported in accordance with the Standards for Reporting Qualitative Research guidelines.
Three themes emerged from our analysis, including: (1) knowledge and skill acquisition for professional development; (2) appreciating relationship-based client-centered care; and (3) developing clinical interests and gaining clinical experiences.
COACH supported the development of knowledge, skill, and confidence in medical school students in areas of health promotion, virtual care, and chronic disease management. Emerging themes were found to be representative of the six domains of the Canadian Medical Education Directors for Specialists (CanMEDS) framework (Theme 1: scholar and health advocate; Theme 2: professional and collaborator; Theme 3: leader and communicator). (ClinicalTrials.gov ID: NCT04492527).
描述学生在由学生提供的社区外展远程健康项目“COVID教育与健康促进（COACH）”中担任健康教练的经历。
这项定性描述性研究收集了学生教练（n = 19）的数据，这些学生教练通过一对一的Zoom视频会议进行了45至60分钟的半结构化访谈。大多数（74%）学生教练为女性，平均年龄25.6岁。58%来自少数族裔群体，42%在郊区/农村地区开展COACH项目。教练分布在加拿大不列颠哥伦比亚省各地。访谈问题聚焦于学生开展COACH项目的经历、他们对各种健康相关主题（如慢性病护理、虚拟健康、健康促进）的理解，以及对他们的信念和未来实践可能产生的影响。访谈逐字记录并进行主题分析。研究结果按照定性研究报告标准指南进行报告。
我们的分析得出了三个主题，包括：（1）专业发展的知识和技能获取；（2）重视基于关系的以客户为中心的护理；（3）培养临床兴趣并获得临床经验。
COACH支持医学生在健康促进、虚拟护理和慢性病管理领域知识、技能和信心的发展。发现的新兴主题代表了加拿大医学教育专家主任（CanMEDS）框架的六个领域（主题1：学者和健康倡导者；主题2：专业人员和合作者；主题3：领导者和沟通者）。（ClinicalTrials.gov标识符：NCT04492527）
