title: Adolescents with poorly controlled type 1 diabetes can benefit from coaching: a case report and discussion.
abstract: Traditional interventions aimed at improving patient self-management and at motivating the patients to change behaviour seem to be insufficient in adolescents with very high HbA1c. In this paper we present a case consisting of nine adolescents with poorly controlled diabetes type 1. They had previously shown continuously high levels of HbA1c for 2 years despite intensive follow-up and were therefore invited to participate in a coaching program. The coaching program was conducted by professional certified coaches and consisted of two group and eight individual coaching sessions. After completing the coaching sessions, HbA1c had decreased significantly in six out of nine of the adolescents. The participants were interviewed twice following the coaching sessions. All participants reported that they found the sessions very rewarding, and several explained that they now saw themselves differently and had gained more self-esteem and more energy.
authors.affiliation: Health Services Research Unit, Lillebaelt Hospital/IRS University of Southern Denmark, Kolding, Denmark. jette.ammentorp@slb.regionsyddanmark.dk
authors.forename: Jette
authors.initials: J
authors.lastname: Ammentorp
authors.forename: Jane
authors.initials: J
authors.lastname: Thomsen
authors.forename: Poul-Erik
authors.initials: PE
authors.lastname: Kofoed
mesh_terms: D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000523:psychology* / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006442:Glycated Hemoglobin; D015438:Health Behavior; D006801:Humans; D008297:Male; D009042:Motivation / Q000502:physiology; D010353:Patient Education as Topic / Q000379:methods*; D012648:Self Care; D012649:Self Concept; D012944:Social Support; D055815:Young Adult
chemical_list: D006442:Glycated Hemoglobin
references.citation: Diabetes Educ. 2010 Jul-Aug;36(4):629-39
references.pmid: 20534872
references.citation: Qual Health Res. 2010 Jun;20(6):859-67
references.pmid: 20220152
references.citation: Pediatr Diabetes. 2009 Dec;10 Suppl 13:3-8
references.pmid: 19930220
references.citation: Am Fam Physician. 2004 Jan 15;69(2):309-16
references.pmid: 14765768
references.citation: Pediatrics. 2009 Dec;124(6):e1171-9
references.pmid: 19884476
references.citation: Diabetes Metab. 2007 Jun;33(3):220-6
references.pmid: 17395516
references.citation: J Clin Psychol Med Settings. 2009 Sep;16(3):209-15
references.pmid: 19387802
references.citation: J Pediatr. 2001 Dec;139(6):804-12
references.pmid: 11743505
references.citation: J Am Acad Nurse Pract. 2008 Mar;20(3):155-62
references.pmid: 18336692
references.citation: Psychol Rev. 1977 Mar;84(2):191-215
references.pmid: 847061
references.citation: Diabetes Educ. 2004 Sep-Oct;30(5):795-804
references.pmid: 15510531
references.citation: Dis Manag. 2008 Apr;11(2):119-28
references.pmid: 18426378
references.citation: Acta Paediatr. 2010 May;99(5):774-777
references.pmid: 20064133
references.citation: J Clin Nurs. 2005 Feb;14(2):195-203
references.pmid: 15669928
references.citation: Pediatr Diabetes. 2010 Aug;11(5):364-75
references.pmid: 19895566
references.citation: Nurs Manag (Harrow). 2005 Apr;12(1):18-23
references.pmid: 15839044
references.citation: J Behav Med. 2009 Aug;32(4):349-59
references.pmid: 19365719
references.citation: JAMA. 2002 May 15;287(19):2563-9
references.pmid: 12020338
references.citation: Diabetes Educ. 2001 Nov-Dec;27(6):887-98
references.pmid: 12211928
references.citation: J Diabetes Complications. 2004 Mar-Apr;18(2):113-8
references.pmid: 15120706
references.citation: Patient Educ Couns. 2008 Sep;72(3):359-66
references.pmid: 18684582
references.citation: Pediatr Diabetes. 2009 Jun;10(4):248-54
references.pmid: 19067889
references.citation: Psychosom Med. 2002 Jan-Feb;64(1):43-51
references.pmid: 11818585