title: "Smile healthy to your diabetes": health coaching-based intervention for oral health and diabetes management.
abstract: OBJECTIVE
  This study is the first to our knowledge that aims to evaluate the impact of Health Coaching (HC) compared to Health Education (HE) on oral health and diabetes management among patients with diabetes type II (DM2).
  
  
  METHODS
  The study is part of a prospective intervention among randomly selected DM2 patients (n = 186), Istanbul, Turkey. The data analyzed were Community Periodontal Need Index (CPI) and HbA1c (glycated hemoglobin percentage). Data was collected initially and at the end of the intervention. The participants, both attending oral examinations and filing out questionnaires (n = 179), were allocated to HC (n = 77) and HE (n = 102) groups by means of a block table of random numbers.
  
  
  RESULTS
  At baseline, there was no statistical difference between HC and HE groups in terms of CPI and HbA1c (p > 0.05). At postintervention, the HC group had significantly lower CPI and HbA1C than the HE group (p < 0.01). There was a significant reduction at HbA1c (0.8 %) and CPI (74 %) in HC group (p < 0.05). The impact of HE on CPI was less significant (21 % reduction) (p = 0.001); however, it was not significant on HbA1c (p = 0.68). The improvement at CPI from baseline to postintervention had significant impact on reduced HbA1c in the HC group (p < 0.05).
  
  
  CONCLUSIONS
  The present findings imply that HC has a significantly higher impact on better management of diabetes and oral health when compared to formal HE. This calls for the use of HC by dentists, physicians, and diabetes educators in order to improve quality of life of DM2 patients by facilitating better oral health and diabetes self-management.
authors.affiliation: Oral Public Health Department, Department of Odontology, University of Copenhagen, Copenhagen, Denmark, aci@sund.ku.dk.
authors.forename: Ayse Basak
authors.initials: AB
authors.lastname: Cinar
authors.forename: Inci
authors.initials: I
authors.lastname: Oktay
authors.forename: Lone
authors.initials: L
authors.lastname: Schou
mesh_terms: D000328:Adult; D000368:Aged; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D015438:Health Behavior; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009909:Oral Health; D010512:Periodontal Index; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D014421:Turkey
chemical_list: D006442:Glycated Hemoglobin