Impact of a 12-week wellness coaching on self-care behaviors among primary care adult patients with prediabetes

Preventive Medicine Reports
Ramona S DeJesusJennifer L St Sauver

Abstract

This single arm prospective study assessed the impact of individualized wellness coaching intervention for primary care patients with prediabetes on self-reported changes in physical activity level and food choices. Five hundred sixty adult patients 18 years and older with prediabetes, seen in primary care clinic, were invited to participate in 12 weeks wellness coaching sessions delivered by certified coaches. Responses from questionnaires at baseline, 6 and 12 weeks were analyzed. Of 168 consented patients, 99 completed at least one coaching session; majority was elderly, female, overweight or obese. At baseline, 50% had <60 min aerobic exercise/week. At 6 and 12 weeks, average aerobic exercise time significantly increased from 117 min to 166 and 199 min respectively. Effect was sustained at 24 weeks. Success in making healthy eating choices also statistically improved from baseline. Significant effects on both activity level and eating behavior persisted even after adjusting for age, sex and baseline glucose/A1c values. Secondary outcomes of self-efficacy and quality of life likewise showed significant improvement. Results suggest that integration of wellness coaching in primary care practice among individuals at high risk f...Continue Reading

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Citations

Jan 15, 2019·Health Education & Behavior : the Official Publication of the Society for Public Health Education·Simone Teresinha MeurerTânia Rosane Bertoldo Benedetti
Aug 15, 2019·Diabetes Therapy : Research, Treatment and Education of Diabetes and Related Disorders·Xiaofen WangHuilan Xu
Apr 2, 2020·American Journal of Lifestyle Medicine·Ian D GrayPaul Wood
May 23, 2020·Clinical Journal of Oncology Nursing·Daniela L StanBrent A Bauer
May 6, 2021·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Christy J W LedfordHaroon Samar

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Methods Mentioned

BETA
blood draws

Software Mentioned

SAS

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