Trial reportBMC health services research2012
Health coaching by telephony to support self-care in chronic diseases: clinical outcomes from The TERVA randomized controlled trial.
Trial report in BMC health services research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00552903 (Randomised Trial of Health Coaching in Secondary Prevention of Diabetes and Heart Disease), which is not on this map. Cited by 33 papers, 10 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Randomised Trial of Health Coaching in Secondary Prevention of Diabetes and Heart Disease
Who cites it
33 citing papers in PubMed, 10 syntheses or guidelines pooled it, 51 citations in OpenAlex.
- Development of the Health Coaching Quality Index: A Proposed Method for Evaluating Health Coaching Interventions.International journal of behavioral medicine · 2026Pooled it
- Audio-Based Care for Managing Diabetes in Adults: A Systematic Review.Medical care · 2025Pooled it
- Quality improvement strategies for diabetes care: Effects on outcomes for adults living with diabetes.The Cochrane database of systematic reviews · 2023Pooled it
- The Effectiveness of Telemedicine Solutions for the Management of Type 2 Diabetes: A Systematic Review, Meta-Analysis, and Meta-Regression.Journal of diabetes science and technology · 2023Pooled it
- mHealth education interventions in heart failure.The Cochrane database of systematic reviews · 2020Pooled it
- Disease management interventions for heart failure.The Cochrane database of systematic reviews · 2019Pooled it
- Effect of telemedicine on glycated hemoglobin in diabetes: a systematic review and meta-analysis of randomized trials.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2017Pooled it
- What Is Known About the Benefits of Patient-Centered Care in Patients with Heart Failure.Current heart failure reports · 2015Pooled it
- Structured telephone support or non-invasive telemonitoring for patients with heart failure.The Cochrane database of systematic reviews · 2015Pooled it
- Personalised care planning for adults with chronic or long-term health conditions.The Cochrane database of systematic reviews · 2015Pooled it
- Eight-year post-trial follow-up of morbidity and mortality of telephone health coaching.BMC health services research · 2021Trial
- Implementation and Impact of the Pulmonary Specialist Health Coach Consultation Model to Improve Care for Patients with COPD.Joint Commission journal on quality and patient safety · 2021Trial
- Quality and extent of implementation of a nurse-led care management intervention: care coordination for health promotion and activities in Parkinson's disease (CHAPS).BMC health services research · 2020Trial
- Eight-year post-trial follow-up of health care and long-term care costs of tele-based health coaching.Health services research · 2020Trial
- Effects of telephone-based health coaching on patient-reported outcomes and health behavior change: A randomized controlled trial.PloS one · 2020Trial
- The Impact of Population-Based Disease Management Services on Health Care Utilisation and Costs: Results of the CAPICHe Trial.Journal of general internal medicine · 2019Trial
- Cost-effectiveness analysis for a tele-based health coaching program for chronic disease in primary care.BMC health services research · 2017Trial
- Wellness Coaching for People With Prediabetes: A Randomized Encouragement Trial to Evaluate Outreach Methods at Kaiser Permanente, Northern California, 2013.Preventing chronic disease · 2015Trial
- Telemonitoring and Mobile Phone-Based Health Coaching Among Finnish Diabetic and Heart Disease Patients: Randomized Controlled Trial.Journal of medical Internet research · 2015Trial
- Telephone-based health coaching for chronically ill patients: study protocol for a randomized controlled trial.Trials · 2013Trial
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim was to evaluate the effect of a 12-month individualized health coaching intervention by telephony on clinical outcomes.
methodsAn open-label cluster-randomized parallel groups trial. Pre- and post-intervention anthropometric and blood pressure measurements by trained nurses, laboratory measures from electronic medical records (EMR). A total of 2594 patients filling inclusion criteria (age 45 years or older, with type 2 diabetes, coronary artery disease or congestive heart failure, and unmet treatment goals) were identified from EMRs, and 1535 patients (59%) gave consent and were randomized into intervention or control arm. Final analysis included 1221 (80%) participants with data on primary end-points both at entry and at end. Primary outcomes were systolic and diastolic blood pressure, serum total and LDL cholesterol concentration, waist circumference for all patients, glycated hemoglobin (HbA1c) for diabetics and NYHA class in patients with congestive heart failure. The target effect was defined as a 10-percentage point increase in the proportion of patients reaching the treatment goal in the intervention arm.
resultsThe proportion of patients with diastolic blood pressure initially above the target level decreasing to 85 mmHg or lower was 48% in the intervention arm and 37% in the control arm (difference 10.8%, 95% confidence interval 1.5-19.7%). No significant differences emerged between the arms in the other primary end-points. However, the target levels of systolic blood pressure and waist circumference were reached non-significantly more frequently in the intervention arm.
conclusionsIndividualized health coaching by telephony, as implemented in the trial was unable to achieve majority of the disease management clinical measures. To provide substantial benefits, interventions may need to be more intensive, target specific sub-groups, and/or to be fully integrated into local health care.
trial registrationClinicalTrials.gov Identifier: NCT00552903.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.