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Impact of a 12-week wellness coaching on self-care behaviors among primary care adult patients with prediabetes.

ABSTRACT: This single arm prospective study assessed the impact of individualized wellness coaching intervention for primary care patients with prediabetes on self-reported changes in physical activity level and food choices. Five hundred sixty adult patients 18?years and older with prediabetes, seen in primary care clinic, were invited to participate in 12?weeks wellness coaching sessions delivered by certified coaches. Responses from questionnaires at baseline, 6 and 12?weeks were analyzed. Of 168 consented patients, 99 completed at least one coaching session; majority was elderly, female, overweight or obese. At baseline, 50% had <60?min aerobic exercise/week. At 6 and 12?weeks, average aerobic exercise time significantly increased from 117?min to 166 and 199?min respectively. Effect was sustained at 24?weeks. Success in making healthy eating choices also statistically improved from baseline. Significant effects on both activity level and eating behavior persisted even after adjusting for age, sex and baseline glucose/A1c values. Secondary outcomes of self-efficacy and quality of life likewise showed significant improvement. Results suggest that integration of wellness coaching in primary care practice among individuals at high risk for diabetes is feasible and may be useful as part of diabetes prevention management strategies in target populations. Future randomized clinical trials are needed to further explore this issue.

SUBMITTER: DeJesus RS

PROVIDER: S-EPMC5966585 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature

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Impact of a 12-week wellness coaching on self-care behaviors among primary care adult patients with prediabetes.

DeJesus Ramona S RS Clark Matthew M MM Finney Rutten Lila J LJ Jacobson Robert M RM Croghan Ivana T IT Wilson Patrick M PM Jacobson Debra J DJ Link Sara M SM Fan Chun C St Sauver Jennifer L JL

Preventive medicine reports 20180221

This single arm prospective study assessed the impact of individualized wellness coaching intervention for primary care patients with prediabetes on self-reported changes in physical activity level and food choices. Five hundred sixty adult patients 18 years and older with prediabetes, seen in primary care clinic, were invited to participate in 12 weeks wellness coaching sessions delivered by certified coaches. Responses from questionnaires at baseline, 6 and 12 weeks were analyzed. Of 168 conse ...[more]

PMID: 29850394

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Project description:INTRODUCTION:Intensive behavioral counseling is effective in preventing type 2 diabetes, and insurance coverage for such interventions is increasing. Although primary care provider referrals are not required for entry to the Centers for Disease Control and Prevention (CDC)-recognized National Diabetes Prevention Program lifestyle change program, referral rates remain suboptimal. This study aims to assess the association between primary care provider behaviors regarding prediabetes screening, testing, and referral and awareness of the CDC-recognized lifestyle change program and the Prevent Diabetes STAT: Screen, Test, and Act Today™ toolkit. Awareness of the lifestyle change program and the STAT toolkit, use of electronic health records, and the ratio of lifestyle change program classes to primary care physicians were hypothesized to be positively associated with primary care provider prediabetes screening, testing, and referral behaviors. METHODS:Responses from primary care providers (n=1,256) who completed the 2016 DocStyles cross-sectional web-based survey were analyzed in 2017 to measure self-reported prediabetes screening, testing, and referral behaviors. Multivariate logistic regression was used to estimate the effects of primary care provider awareness and practice characteristics on these behaviors, controlling for provider characteristics. RESULTS:Overall, 38% of primary care providers were aware of the CDC-recognized lifestyle change program, and 19% were aware of the STAT toolkit; 27% screened patients for prediabetes using a risk test; 97% ordered recommended blood tests; and 23% made referrals. Awareness of the lifestyle change program and the STAT toolkit was positively associated with screening and referring patients. Primary care providers who used electronic health records were more likely to screen, test, and refer. Referring was more likely in areas with more lifestyle change program classes. CONCLUSIONS:This study highlights the importance of increasing primary care provider awareness of and referrals to the CDC-recognized lifestyle change program.

Dataset Information

Impact of a 12-week wellness coaching on self-care behaviors among primary care adult patients with prediabetes.

Publications

Impact of a 12-week wellness coaching on self-care behaviors among primary care adult patients with prediabetes.

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