Evidence map›Paper›PMID 26304970›Full record

Trial reportAnnals of family medicine2015

Are Low-Income Peer Health Coaches Able to Master and Utilize Evidence-Based Health Coaching?

Matthew L Goldman, Amireh Ghorob, Danielle Hessler, Russell Yamamoto, David H Thom, Thomas Bodenheimer

Open access · diamondAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Annals of family medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 6% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Effects of an enhanced primary care program on diabetes outcomes.The American journal of managed care · 2017
    Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Matthew L GoldmanCenter for Excellence in Primary Care, Department of Family and Community Medicine, University of California, San Francisco, San Francisco, California.
Amireh GhorobCenter for Excellence in Primary Care, Department of Family and Community Medicine, University of California, San Francisco, San Francisco, California.
Danielle HesslerCenter for Excellence in Primary Care, Department of Family and Community Medicine, University of California, San Francisco, San Francisco, California.
Russell YamamotoCenter for Excellence in Primary Care, Department of Family and Community Medicine, University of California, San Francisco, San Francisco, California.
David H ThomCenter for Excellence in Primary Care, Department of Family and Community Medicine, University of California, San Francisco, San Francisco, California.
Thomas BodenheimerCenter for Excellence in Primary Care, Department of Family and Community Medicine, University of California, San Francisco, San Francisco, California TBodenheimer@fcm.ucsf.edu.
University of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeA randomized controlled trial found that patients with diabetes had lower HbA1c levels after 6 months of peer health coaching than patients who did not receive coaching. This paper explores whether the peer coaches in that trial, all low-income patients with diabetes, mastered and utilized an evidence-based health coaching training curriculum. The curriculum included 5 core features: ask-tell-ask, closing the loop, know your numbers, behavior-change action plans, and medication adherence counseling.

methodsThis paper includes the results of exams administered to trainees, exit surveys performed with peer coaches who completed the study and those who dropped out, observations of peer coaches meeting with patients, and analysis of in-depth interviews with peer coaches who completed the study.

resultsOf the 32 peer coach trainees who completed the training, 71.9% lacked a college degree; 25.0% did not graduate from high school. The 26 trainees who passed the exams attended 92.7% of training sessions compared with 80.6% for the 6 trainees who did not pass. Peer coaches who completed the study wanted to continue peer coaching work and had confidence in their abilities despite their not consistently employing the coaching techniques with their patients. Quotations describe coaches' perceptions of the training.

conclusionsOf low-income patients with diabetes who completed the evidenced-based health coaching training, 81% passed written and oral exams and became effective peer health coaches, although they did not consistently use the techniques taught.

Indexed as

Peer GroupAdultCounselingDiabetes MellitusEducational StatusEvidence-Based PracticeFemaleHumansMaleMiddle AgedPovertySelf CareSocioeconomic Factorscoachingdiabetespeer supportself-management support

Identifiers

PMID26304970
PMCPMC4648140
OpenAlexW2266379021

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.