title: Identification of Patients With Diabetes Who Benefit Most From a Health Coaching Program in Chronic Disease Management, Sydney, Australia, 2013.
abstract: Chronic disease management programs (CDMPs) that include health coaching can facilitate and coordinate diabetes management. The aim of this study was to assess changes in patients' general knowledge of diabetes, self-reported health status, diabetes distress, body mass index (BMI), and glycemic control after enrollment in a face-to-face CDMP group health coaching session (with telephone follow-up) compared with participation in telephone-only health coaching, during a 12-month period.
  
  
  
  Patients with diabetes were enrolled in a health coaching program at Royal North Shore Hospital, Sydney, Australia, in 2013. Questionnaires were administered at baseline and at 3, 6, and 12 months, and the results were compared with baseline. Glycemic control, measured with glycated hemoglobin A1c(HbA1c) and BMI, were measured at baseline and 12 months.
  
  
  
  Overall, 238 patients attended a face-to-face CDMP session with telephone follow-up (n = 178) or participated in telephone-only health coaching (n = 60). We found no change in BMI in either group; however, HbA1clevels in patients with baseline above the current recommended target (>7%) decreased significantly from 8.5% (standard deviation [SD], 1.0%) to 7.9% (SD, 1.0%) (P = .03). Patients with the lowest self-reported health status at baseline improved from 4.4 (SD, 0.5) to 3.7 (SD, 0.9) (P = .001). Diabetes knowledge improved in all patients (24.4 [SD, 2.4] to 25.2 [SD, 2.4]; P < .001), and diabetes distress decreased among those with the highest levels of distress at baseline (3.0 [SD, 0.4] vs 3.8 [SD, 0.6]; P = .003).
  
  
  
  Diabetes health coaching programs can improve glycemic control and reduce diabetes distress in patients with high levels of these at baseline.
authors.affiliation: Department of Diabetes, Endocrinology & Metabolism, Royal North Shore Hospital, St Leonards, Sydney, NSW 2065, Australia.
authors.forename: Grace
authors.initials: G
authors.lastname: Delaney
authors.affiliation: Department of Diabetes, Endocrinology & Metabolism, Royal North Shore Hospital, St Leonards, Sydney, NSW 2065, Australia.
authors.forename: Neroli
authors.initials: N
authors.lastname: Newlyn
authors.affiliation: Department of Diabetes, Endocrinology & Metabolism, Royal North Shore Hospital, St Leonards, Sydney, NSW 2065, Australia.
authors.forename: Elline
authors.initials: E
authors.lastname: Pamplona
authors.affiliation: Department of Diabetes, Endocrinology & Metabolism, Royal North Shore Hospital, St Leonards, Sydney, NSW 2065, Australia.|University of Sydney, Northern Clinical School, Royal North Shore Hospital, St Leonards, NSW 2065, Australia.|Charles Perkins Centre, University of Sydney, Australia.
authors.forename: Samantha L
authors.initials: SL
authors.lastname: Hocking
authors.affiliation: Department of Diabetes, Endocrinology & Metabolism, Royal North Shore Hospital, St Leonards, Sydney, NSW 2065, Australia.|Kolling Institute of Medical Research, University of Sydney, Royal North Shore Hospital, St Leonards, NSW 2065, Australia.
authors.forename: Sarah J
authors.initials: SJ
authors.lastname: Glastras
authors.affiliation: Department of Diabetes, Endocrinology & Metabolism, Royal North Shore Hospital, St Leonards, Sydney, NSW 2065, Australia.|University of Sydney, Northern Clinical School, Royal North Shore Hospital, St Leonards, NSW 2065, Australia.|Kolling Institute of Medical Research, University of Sydney, Royal North Shore Hospital, St Leonards, NSW 2065, Australia.
authors.forename: Rachel T
authors.initials: RT
authors.lastname: McGrath
authors.affiliation: Department of Diabetes, Endocrinology & Metabolism, Royal North Shore Hospital, St Leonards, Sydney, NSW 2065, Australia.|University of Sydney, Northern Clinical School, Royal North Shore Hospital, St Leonards, NSW 2065, Australia.
authors.forename: Gregory R
authors.initials: GR
authors.lastname: Fulcher
mesh_terms: D001315:Australia; D003920:Diabetes Mellitus / Q000628:therapy*; D005260:Female; D006293:Health Promotion; D006801:Humans; D008297:Male; D012648:Self Care / Q000379:methods*; D057566:Self Report; D011795:Surveys and Questionnaires