Evidence map›Paper›PMID 28376437›Full record

ArticleAnnals of family medicine2016

A Qualitative Study of How Health Coaches Support Patients in Making Health-Related Decisions and Behavioral Changes.

David H Thom, Jessica Wolf, Heather Gardner, Denise DeVore, Michael Lin, Andy Ma, Ana Ibarra-Castro, George Saba

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Annals of family medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

34 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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

8 authors.

David H ThomCenter for Excellence in Primary Care, Department of Family and Community Medicine, University of California, San Francisco School of Medicine, San Francisco, California David.Thom@UCSF.edu.
Jessica WolfCenter for Excellence in Primary Care, Department of Family and Community Medicine, University of California, San Francisco School of Medicine, San Francisco, California.
Heather GardnerCenter for Excellence in Primary Care, Department of Family and Community Medicine, University of California, San Francisco School of Medicine, San Francisco, California.
Denise DeVoreCenter for Excellence in Primary Care, Department of Family and Community Medicine, University of California, San Francisco School of Medicine, San Francisco, California.
Michael LinCenter for Excellence in Primary Care, Department of Family and Community Medicine, University of California, San Francisco School of Medicine, San Francisco, California.
Andy MaCenter for Excellence in Primary Care, Department of Family and Community Medicine, University of California, San Francisco School of Medicine, San Francisco, California.
Ana Ibarra-CastroCenter for Excellence in Primary Care, Department of Family and Community Medicine, University of California, San Francisco School of Medicine, San Francisco, California.
George SabaCenter for Excellence in Primary Care, Department of Family and Community Medicine, University of California, San Francisco School of Medicine, San Francisco, California.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAlthough health coaches are a growing resource for supporting patients in making health decisions, we know very little about the experience of health. We undertook a qualitative study of how health coaches support patients in making decisions and implementing changes to improve their health.

methodsWe conducted 6 focus groups (3 in Spanish and 3 in English) with 25 patients and 5 friends or family members, followed by individual interviews with 42 patients, 17 family members, 17 health coaches, and 20 clinicians. Audio recordings were transcribed and analyzed by at least 2 members of the study team in ATLAS.ti using principles of grounded theory to identify themes and the relationship between them.

resultsWe identified 7 major themes that were related to each other in the final conceptual model. Similarities between health coaches and patients and the time health coaches spent with patients helped establish the health coach-patient relationship. The coach-patient relationship allowed for, and was further strengthened by, 4 themes of key coaching activities: education, personal support, practical support, and acting as a bridge between patients and clinicians.

conclusionsWe identified a conceptual model that supports the development of a strong relationship, which in turn provides the basis for effective coaching. These results can be used to design health coach training curricula and to support health coaches in practice.

Indexed as

Decision MakingAdultCounselingFemaleFocus GroupsHumansMaleMentoringMiddle AgedPatient Education as TopicQualitative ResearchSelf Careallied health personnelhealth coachingpatient-centered carepatient decision makingpractice-based researchprimary carequalitative researchself-management support

Identifiers

PMID28376437
PMCPMC5389392

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.