title: Physiotherapists supporting self-management through health coaching: a mixed methods program evaluation.
abstract: OBJECTIVE
  To evaluate a program in support of chronic disease self-management (CDSM) that is founded on a health coaching (HC) approach, includes supervised exercise and mindfulness-based stress reduction components and is delivered within a private practice physiotherapy setting.
  
  
  METHODS
  An explanatory mixed method design, framed by theory-based program evaluation, was employed to evaluate an eight-week group-based program. Standardized self-rated and performance measures were evaluated pre- and post intervention. Additionally, participant focus groups were conducted following the intervention period. An inductive thematic approach was undertaken to analyze the qualitative data.
  
  
  RESULTS
  Seventeen participants (N = 17) completed the study. Improvements were seen in both self-report and performance outcomes. Participants explained how and why they felt the program was beneficial. Six themes were generated: (1) group dynamic; (2) learning versus doing; (3) holism and comprehensive care; (4) self-efficacy and empowerment; (5) previous solutions versus new management strategies; and (6) healthcare provider support.
  
  
  CONCLUSIONS
  This study established that a group program in support of CDSM founded on a HC approach demonstrated potential value from participants as well as favorable outcomes. A pragmatic randomized control trial is required to determine efficacy of this intervention.
authors.affiliation: Faculty of Health Sciences, School of Rehabilitation Science, McMaster University , Hamilton, Ontario , Canada and.
authors.forename: Sinéad Patricia
authors.initials: SP
authors.lastname: Dufour
authors.forename: Shane
authors.initials: S
authors.lastname: Graham
authors.forename: Josh
authors.initials: J
authors.lastname: Friesen
authors.forename: Michael
authors.initials: M
authors.lastname: Rosenblat
authors.forename: Colin
authors.initials: C
authors.lastname: Rous
authors.forename: Julie
authors.initials: J
authors.lastname: Richardson
mesh_terms: D000368:Aged; D002908:Chronic Disease / Q000534:rehabilitation*; D005069:Evaluation Studies as Topic; D005260:Female; D017144:Focus Groups; D006801:Humans; D008134:Long-Term Care; D008297:Male; D008875:Middle Aged; D009043:Motor Activity / Q000502:physiology*; D010353:Patient Education as Topic / Q000458:organization & administration*; D059825:Physical Therapists / Q000458:organization & administration*; D011369:Professional-Patient Relations; D015397:Program Evaluation; D011615:Psychotherapy, Group / Q000458:organization & administration; D011788:Quality of Life; D012648:Self Care / Q000379:methods*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
keywords: Chronic disease management; health coaching; physical activity; physiotherapy; primary healthcare; self-management