Integrative Health Coaching in Community Settings

Completed · Not applicable

Conditions studied: Health Knowledge, Attitudes, Practice

In brief

This study examines a pilot project to introduce integrative health coaching to two community clinical sites, Healing with CAARE Inc. and the Healthy Lifestyles program at Duke Pediatrics. 10 participants and 10 controls will be referred for enrollment at each site (n=20 per site) by on-site personnel, and 6 coaching sessions will be provided over a 3-month period at no cost by coaching trainees completing their certification hours. Pre and post measurements of BMI, patient activation, and perceived interpersonal support will be collected and analyzed for interaction effects. Qualitative process evaluation will be conducted as a thematic analysis via guided interviews with stakeholders and participants, using the "RE-AIM" framework. Feasibility measures will include recruitment of both coaches and clients, subject/client retention, and number and duration of coaching sessions completed. Finally, a subset of the CAARE Inc. cohort will be consented to participate in a post-intervention focus group that addresses the impact of coaching on perception of health-related resources and needs in the community. Primary Hypotheses: Integrative health coaching will be a feasible intervention in both community and clinical settings, in terms of required resources, patient or client adherence, and satisfaction by community stakeholders, including providers and participants. Additional hypotheses: Individuals who receive integrative health coaching sessions as an adjunct to their standard medical care will see improvements in patient activation and perception of interpersonal supports, when compared to controls. Individuals who receive integrative health coaching (or in the case of the pediatric cohort, children of individuals who receive coaching) will see minor improvements in BMI over the study period when compared to controls.

Key facts

Study ID

NCT02186327

Run by

Duke University

People needed

74

Starts

2014-08-01

Expected to finish

2015-06-01

Last updated by the study team

2015-07-23

Who can join

Age: 5 and older. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• Site one:
• 18 years or over
• able to speak and understand English
• able and willing to give informed consent
• Site two (pediatric):
• pediatric participant is 5-12
• patient is in care of parent or guardian willing to participate in study intervention and complete baseline and post-intervention surveys and interviews
• both pediatric patient and parent/guardian can speak and understand English
• parent/guardian is able and willing to provide consent (pediatric patients age 12 will also provide assent)

You may not qualify if…

• inability to ambulate or participate in physical activity
• serious chronic disease related complications or conditions that could significantly affect study outcomes (currently treated cancer, renal failure, CVA with residual effects on functioning)
• concurrent participation in a lifestyle-based intervention study for chronic disease or health behaviors

Where it is running

• Healing with CAARE Inc. — Durham, North Carolina, United States
• Duke Healthy Lifestyles Program at Duke Children's Primary Care — Durham, North Carolina, United States

Full record on ClinicalTrials.gov

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