The Effects of Health Coaching for Frequent Attenders (HCFA)

University of Oulu

Status: Completed

Conditions: Health Behavior

Treatments: Other: The nurse-led health coaching program

Study type: Interventional

Funder types: Other

Identifiers

NCT04134858

Uoulu2014

Details and patient eligibility

About

The purpose of the study was to describe and evaluate the effectiveness of health coaching on health-related quality of life, adherence to health regimens, clinical health outcomes and lifestyle factors among frequent attenders in primary healthcare.

Full description

The quasi-experimental research method evaluated the effectiveness of health coaching among frequent attenders in primary healthcare. The experimental group received the health coaching and the control group received the usual care. The data were collected with pre- and posttest 12-month follow-up via a questionnaire of FINRISKI2012, RAND-36 and ACDI and clinical health outcomes measured by health-coaching nurses. The data were analyzed by statistical methods.

Enrollment: 110 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients who had face-to-face visits to the physicians in the local primary healthcare centre at least seven times during a 12-month period
• Aged 18 years or older
• Able to read and understand Finnish

Exclusion criteria

• Patients´ visits due to pregnancy or delivery
• Patients´ visits due to serial treatment for the same disease
• An inability to give informed consent
• Involving in another study intervention at the same time

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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110 participants in 2 patient groups

The health coaching group

Experimental group

Description:

The experimental group (n = 52) consisted of frequent attenders who had chosen the health-coaching program. The intervention was based on the customized nurse-led health-coaching program. The program consisted of an individual health-coaching nurse, health-coaching sessions and a written action plan according to each participant´s individual needs.

Treatment:

Other: The nurse-led health coaching program

The control group

No Intervention group

Description:

The control group consisted of 58 frequent attenders. They, along with the experimental group, received the usual care regarding their health problems from the physicians and nurses at the primary healthcare centres if they needed it. The usual care for frequent attenders included assessment for the need of treatment, physical examination, problem assessment, laboratory and X-ray tests, medical advice and patient support and education during their visits.