ArticleBMJ open diabetes research & care2016
Integrative health coaching: a behavior skills approach that improves HbA1c and pharmacy claims-derived medication adherence.
Article in BMJ open diabetes research & care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Potential Use of Mobile Phone Applications for Self-Monitoring and Increasing Daily Fruit and Vegetable Consumption: A Systematized Review.Nutrients · 2019Pooled it
- Impact of a comprehensive digital health programme on HbADiabetologia · 2020Trial
- Telephone-Delivered Mindfulness Training to Promote Medication Adherence and Reduce Sexual Risk Behavior Among Persons Living with HIV: An Exploratory Clinical Trial.AIDS and behavior · 2020Trial
- Impact of a community-based approach to patient engagement in rural, low-income adults with type 2 diabetes.Public health nursing (Boston, Mass.) · 2020Trial
- Randomized Trial of a Health Coaching Intervention to Enhance Retention in Care: California Collaborative Treatment Group 594.AIDS and behavior · 2018Trial
- Can We Empower Patients for Joint Surgery? Assessing the Impact of a Telemedicine Coaching Intervention.Arthroplasty today · 2025Article
- Integrating mind-body processes and motivational interviewing in health coaching: enhancing support for health behavior change.Frontiers in psychology · 2025Article
- Suitability of Measures of Pharmacy-Based Medication Adherence for Routine Clinical Use Among Patients with Chronic Diseases: A Systematic Review.Patient preference and adherence · 2025Review
- Supporting Sustainable Health Behavior Change: The Whole is Greater Than the Sum of Its Parts.Mayo Clinic proceedings. Innovations, quality & outcomes · 2024Article
- Feasibility and acceptability of multidisciplinary team training in health coaching: Case study in adolescent rheumatology.Future healthcare journal · 2024Article
- Identifying Factors Contributing to Dropouts in a Pilot Telenutrition Weight-Loss Program: A Qualitative Study.Telemedicine reports · 2024Article
- Pharmacist and Student Knowledge and Perceptions of Herbal Supplements and Natural Products.Pharmacy (Basel, Switzerland) · 2023Article
- A Network Analysis of the Association Between Depressive Symptoms and Patient Activation Among Those With Elevated Cardiovascular Risk.Global advances in health and medicine · 2022Article
- Treatment Adherence in Integrative Medicine: Comprehensive Literature Review and Industry Insights: Executive Summary.Integrative medicine (Encinitas, Calif.) · 2021Article
- Predictive models of medication non-adherence risks of patients with T2D based on multiple machine learning algorithms.BMJ open diabetes research & care · 2020Article
- Does the Modality Used in Health Coaching Matter? A Systematic Review of Health Coaching Outcomes.Patient preference and adherence · 2020Review
- A Replicable and Sustainable Whole Person Care Model for Chronic Pain.Journal of alternative and complementary medicine (New York, N.Y.) · 2019Article
- Pharmacy Competencies for Interprofessional Integrative Health Care Education.American journal of pharmaceutical education · 2018Article
- Article
- The Perceived Medical Condition Self-Management Scale can be applied to patients with chronic kidney disease.Kidney international · 2017Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveMedication adherence requires underlying behavior skills and a supporting mindset that may not be addressed with education or reminders. Founded in the study of internal motivation and health psychology, integrative health coaching (IHC) helps patients gain insight into their behaviors and make long-term, sustainable lifestyle changes. The purpose of the study is to determine whether IHC improves oral medication adherence, glycated hemoglobin (HbA1c), and psychosocial measures, and to assess whether adherence changes are sustained after the intervention.
methodsUsing a prospective observational design, participants (n=56) received 14 coaching calls by telephone over 6 months. Medication possession ratio (MPR) was calculated for time intervals before, during, and after the intervention. HbA1c and patient-reported psychosocial outcomes were obtained to test interactions with MPR.
resultsMedication adherence (MPR) increased from 0.74±0.197 to 0.85±0.155 during coaching, and was sustained at 0.82±0.175 during a 6-month period after the study. Better adherence correlated with a greater decrease in HbA1c. HbA1c decreased from 8.0±1.92% to 7.7±1.70% over the 6-month intervention. All psychosocial measures showed significant improvement. In addition to discussing medication adherence strategies with their coach, patients discussed nutrition and exercise (86.9% of calls), stress management (39.8%), and social support and relationships (15.4%).
conclusionsIHC targets internal motivation and supports behavior change by facilitating patients' insight into their own behaviors, and it uses this insight to foster self-efficacy. This approach may yield sustainable results for medication adherence and warrants further exploration for health-related behavior change.
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