title: Integrative health coaching: an organizational case study.
abstract: OBJECTIVE
  The aim of this study was to describe integrative health (IH) coaching as developed in three different interventions offered through a major medical center, as a step toward further defining the field of health coaching.
  
  
  METHODS
  An organizational case study was conducted with document analysis and interviews.
  
  
  METHODS
  Interviewees were the first six IH coaches at Duke Integrative Medicine who provided 360 clients with individual and/or group coaching (two to 28 sessions) in a randomized clinical study and two work-site wellness programs.
  
  
  METHODS
  Qualitative analysis using the constant comparative method was conducted.
  
  
  RESULTS
  Integrative health coaching is characterized by a process of self-discovery that informs goal setting and builds internal motivation by linking clients' goals to their values and sense of purpose. Time, commitment, and motivation are necessary in the IH coaching process.
  
  
  CONCLUSIONS
  The underpinnings of IH coaching are distinct from the medical model, and the process is distinct from health education, executive coaching, and psychotherapy. Integrative health coaching fits well with the assumptions of integrative medicine and has a role in supporting behavior change.
authors.affiliation: Duke Integrative Medicine, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC 27705, USA. quill004@mc.duke.edu
authors.forename: Ruth Q
authors.initials: RQ
authors.lastname: Wolever
authors.forename: Karen L
authors.initials: KL
authors.lastname: Caldwell
authors.forename: Jessica P
authors.initials: JP
authors.lastname: Wakefield
authors.forename: Kerry J
authors.initials: KJ
authors.lastname: Little
authors.forename: Jeanne
authors.initials: J
authors.lastname: Gresko
authors.forename: Andrea
authors.initials: A
authors.lastname: Shaw
authors.forename: Linda V
authors.initials: LV
authors.lastname: Duda
authors.forename: Julie M
authors.initials: JM
authors.lastname: Kosey
authors.forename: Tracy
authors.initials: T
authors.lastname: Gaudet
mesh_terms: D003376:Counseling / Q000379:methods*; D006040:Goals; D006293:Health Promotion; D006801:Humans; D055048:Integrative Medicine; D007407:Interviews as Topic; D016272:Occupational Health; D019982:Organizational Case Studies; D036301:Qualitative Research; D016032:Randomized Controlled Trials as Topic; D017132:Workplace