title: A case study approach to the examination of a telephone-based health coaching intervention in facilitating behaviour change for adults with Type 2 diabetes.
abstract: OBJECTIVE
  This study aims to examine the effectiveness of the use of telephone empowerment-based health coaching as a cost-effective alternative to changing health behaviours of adults with Type 2 diabetes.
  
  
  BACKGROUND
  Guidelines regarding lifestyle management to reduce the risk of complications in diabetes include changing patterns of eating, physical activity and smoking cessation. Traditional education/behavioural methods of support for behaviour change reveal mixed and mainly short-term effects.
  
  
  METHODS
  A mixed method case study approach was used (n = 10).
  
  
  METHODS
  Data were collected by means of physiological measurements survey and focus group interview both before and after telephone a coaching intervention.
  
  
  RESULTS
  Participants took greater responsibility for health and revealed high self-efficacy scores. Short-term benefits were seen in physiological variables at three months but these deteriorated with the cessation of the intervention indicating the need for continuous support.
  
  
  CONCLUSIONS
  Telephone coaching is a cost-effective approach to supporting health behaviour change for those with diabetes. It embraces the principles of empowerment and warrants further evaluation in supporting long-term behavioural changes. As such coaching emerges as a suitable proposition for this cohort.
  
  
  CONCLUSIONS
  Health coaching has a positive impact on health behaviours for those with diabetes. Health coaching facilitates an increase in personal control of health and builds confidence in self-managing diabetes. Patients feel really supported and become motivated towards self-care.
authors.affiliation: Department of Nursing Studies St Angela's College, Sligo, Ireland.
authors.forename: Helen
authors.initials: H
authors.lastname: McGloin
authors.forename: Fiona
authors.initials: F
authors.lastname: Timmins
authors.forename: Vivien
authors.initials: V
authors.lastname: Coates
authors.forename: Jennifer
authors.initials: J
authors.lastname: Boore
mesh_terms: D000328:Adult; D001521:Behavior Therapy; D003362:Cost-Benefit Analysis; D003924:Diabetes Mellitus, Type 2 / Q000523:psychology* / Q000628:therapy*; D005260:Female; D015438:Health Behavior; D006801:Humans; D008019:Life Style; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009042:Motivation; D012648:Self Care; D017216:Telemedicine; D013689:Telephone
keywords: diabetes; education; empowerment; lifestyle; nursing