title: Outcomes of a health coaching intervention delivered by medical students for older adults with uncontrolled type 2 diabetes.
abstract: Effective strategies are needed to address the health behaviors of older patients with diabetes. One approach is health coaching, the practice of health education and health promotion through a structured partnership designed to enhance well-being and facilitate the achievement of individuals' health-related goals. The aim of this study was to describe the development of a pilot health coaching curriculum, investigate its effects on geriatric patient outcomes, and examine qualitative feedback by older patients and medical students to the curriculum. This mixed-methods study involved 29 first-year medical students randomly paired with 29 older adults with uncontrolled Type 2 diabetes. Health-related quality of life (HRQoL), stage of change movement, diabetes knowledge, locus of control, Body Mass Index (BMI), and glycosylated hemoglobin (HbA1c) were assessed. Focus groups were used to evaluate patients' and medical students' experiences. Results showed significant increases in patients' HRQoL and stage of change for exercise improved significantly over time. There were no significant changes in stage of change for healthy diet and medication, diabetes knowledge, BMI, and HbA1c from baseline to end of study. Focus group data indicated positive responses by older patients and the medical students. A health coaching curriculum may improve patient outcomes and can provide medical students the skills needed to provide compassionate care for geriatric patients.
authors.affiliation: a Comprehensive Cancer Center , The Ohio State University , Columbus , Ohio , USA.
authors.forename: Jessica L
authors.initials: JL
authors.lastname: Krok-Schoen
authors.affiliation: b Department of Internal Medicine , College of Medicine , Columbus , Ohio , USA.|c Office of Medical Education , College of Medicine, The Ohio State University , Columbus , Ohio , USA.
authors.forename: Rosemary
authors.initials: R
authors.lastname: Shim
authors.affiliation: d Department of Family Medicine , College of Medicine, The Ohio State University , Columbus , Ohio , USA.
authors.forename: Rollin
authors.initials: R
authors.lastname: Nagel
authors.affiliation: d Department of Family Medicine , College of Medicine, The Ohio State University , Columbus , Ohio , USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Lehman
authors.affiliation: e Office of Geriatrics , College of Medicine, The Ohio State University , Columbus , Ohio , USA.
authors.forename: Michelle
authors.initials: M
authors.lastname: Myers
authors.affiliation: f School of Medicine , University of California, San Francisco , San Francisco , California , USA.
authors.forename: Catherine
authors.initials: C
authors.lastname: Lucey
authors.affiliation: a Comprehensive Cancer Center , The Ohio State University , Columbus , Ohio , USA.|g Department of Family Medicine , College of Medicine , Columbus , Ohio , USA.
authors.forename: Douglas M
authors.initials: DM
authors.lastname: Post
mesh_terms: D000328:Adult; D000368:Aged; D003479:Curriculum; D003924:Diabetes Mellitus, Type 2 / Q000523:psychology / Q000628:therapy; D005260:Female; D005853:Geriatrics / Q000193:education*; D015438:Health Behavior; D006801:Humans; D008297:Male; D010353:Patient Education as Topic / Q000379:methods*; D063868:Patient Outcome Assessment; D011369:Professional-Patient Relations; D011788:Quality of Life; D000073278:Self-Management / Q000379:methods / Q000523:psychology; D013337:Students, Medical / Q000523:psychology
keywords: Geriatric education; diabetes mellitus; medical students; quality of life; stages of change