Table 20Summary of Previous Studies Using Similar, Patient-Centered Health Coaching Type of Intervention

ReferencePatient-centered intervention (No. of patients)By whom (theoretical model used)ControlLength of interventionOutcome for intervention vs control (measure used)
104 Health coaching plus action plan for exacerbations plus brief exercise advice (108)Respiratory therapist or nurse practitioner (TM/MI)Usual care (n = 109)8 wkMeasured at 6 and 12 mo:
  • QOL: Better at 6 and 12 mo (CRQ)
  • Hospitalizations: Fewer at 6 mo, no difference at 12 mo
  • Exacerbations: Fewer over 12 mo
63 Four 40-min individual training sessions at home and follow-up visits over 12 mo (232)Registered nurse (self-regulation)Usual care (n = 232)12 moMeasured at 12 mo:
  • QOL: no difference in total score (SGRQ)
  • Hospitalizations: no difference in time to first hospital admission or death due to COPD
  • Depression: no difference
97, 986-wk self-management education followed by telephone-delivered health coaching for increasing physical activity every other week for 20 wk then every other month (149)Unknown (TM and social cognitive)6 wk of self-management education followed by usual care (n = 156)20 wkMeasured at 18 mo:
  • QOL: no difference (CRQ)
  • Dyspnea: no difference (CRQ subscale)
  • Exercise capacity: no difference (6MWT)
101 2 visits to COPD clinic plus 2 individual 1-h visits for self-care education (26)Team: COPD nurse and physician with dietician, medial social worker, and physical or occupational therapists if needed (TM/MI)2 visits to COPD clinic plus usual care (n = 26)5 moMeasured at 5 mo:
  • QOL: better (SGRQ)
  • COPD knowledge: higher
  • Current smokers: fewer
102 Education and support for medications, inhaler use, smoking cessation, and action plans for exacerbations; 1-h visits at 0, 6, and 12 mo and telephone at 3 and 9 mo (86)Clinical pharmacist (TM/MI)Usual care (n = 87)12 moMeasured at 12 mo:
  • QOL: no difference in total score (SGRQ)
  • Hospitalizations: fewer ED visits:
  • Fewer adherence: better
  • FEV1: no difference
102 Group sessions focused on COPD knowledge, self-management skills, confidence, and motivation based on Living Well With COPD Program plus 2 or 3 1:1 coaching sessions plus follow-up calls (71)Team: pulmonologist and respiratory physiotherapistUsual care (n = 396)12 moMeasured at 12 mo:
  • QOL: better (CRQ)
  • Dyspnea: less (CRQ subscale)
  • Exacerbations: fewer
  • Smoking: no difference
99 MI-based training, home visits and telephone calls, action planning to achieve goals (55)Community health nurse (TM/MI)Usual care (n = 51)12 moMeasured at 12 mo:
  • QOL: no difference in total score (SF-36)
  • Dyspnea: no difference (MRC)
  • Hospitalizations: no difference

Abbreviations: COPD, chronic obstructive pulmonary disease; ED, emergency department; FEV1, forced expiratory volume at 1 second; MI, motivational interviewing; MRC, Medical Research Council; QOL, quality of life; SF-36, 36-item Short Form measure from Medical Outcomes Study; SGRQ, St. George's Respiratory Questionnaire; TM, transtheoretical model.

From: Does Working with a Health Coach Help Patients with COPD Improve Their Quality of Life and Breathe Easier?

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Does Working with a Health Coach Help Patients with COPD Improve Their Quality of Life and Breathe Easier? [Internet]
Thom DH, Su G, Hessler D, et al.
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