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Completed

NCT Number: NCT04134858

The Effects of Health Coaching for Frequent Attenders

The purpose of the study was to describe and evaluate the effectiveness of health coaching on health-related quality of life, adherence to health regimens, clinical health outcomes and lifestyle factors among frequent attenders in primary healthcare.

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Key information

Conditions

Health Behavior Behavior

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

The quasi-experimental research method evaluated the effectiveness of health coaching among frequent attenders in primary healthcare. The experimental group received the health coaching and the control group received the usual care. The data were collected with pre- and posttest 12-month follow-up via a questionnaire of FINRISKI2012, RAND-36 and ACDI and clinical health outcomes measured by health-coaching nurses. The data were analyzed by statistical methods.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients who had face-to-face visits to the physicians in the local primary healthcare centre at least seven times during a 12-month period
  • Aged 18 years or older
  • Able to read and understand Finnish

Exclusion criteria

  • Patients´ visits due to pregnancy or delivery
  • Patients´ visits due to serial treatment for the same disease
  • An inability to give informed consent
  • Involving in another study intervention at the same time

Treatment and study plan

The nurse-led health coaching program

Other

The intervention was based on the customized nurse-led health-coaching program. The program consisted of an individual health-coaching nurse, health-coaching sessions and a written action plan according to each participant´s individual needs.

Primary outcomes

  1. The health-related quality of life

    Time frame: 12 months

    The health-related quality of life was measured using the validated Finnish version of the RAND 36-Item Health Survey 1.0 (RAND-36). The 36-item self-report instrument consists of eight separate scales of quality of life: (1) physical functioning (10 items), (2) physical role functioning (four items), (3) emotional role functioning (three items), (4) social role functioning (two items), (5) bodily pain (two items), (6) mental health (five items), (7) energy (four items) and (8) general health (five items). The scores were calculated in a two-step process using the instructions provided by Ware et al. (1994) in the user´s manual. First, all items were scored on a scale from 0 to 100. A higher score defines a better health or function. Second, items in the same scale were averaged together to create the eight scale scores. Scale scores represented the average for all items in the scale.

  2. Adherence to health regimens

    Time frame: 12 months

    Adherence was measured using the Adherence of People with Chronic Disease Instrument (ACDI) (Kyngäs, 1999), a 38-item self-report instrument that has been used to measure adherence to health regimens among people with chronic disease

Secondary outcomes

  1. Lifestyle factors

    Time frame: 12 months

    The secondary outcomes were lifestyle factors. The baseline and follow-up questionnaires gathered data on the frequent attenders' alcohol consumption, smoking behaviour, and physical activity. They were based on a customized variant of the national FINRISK 2012 questionnaire

Other outcomes

  1. The clinical health outcomes: Weight

    Time frame: 12 months

    Weight in kilograms (kg)

  2. The clinical health outcomes: Height

    Time frame: 12 months

    Height in meters (m)

  3. The clinical health outcomes: Body mass index (BMI)

    Time frame: 12 months

    Weight and height will be combined to report BMI in kg/m^2

  4. The clinical health outcomes: Blood pressure

    Time frame: 12 months

    Blood pressure were measured using systolic and diastolic blood pressure in mmHg.

Sponsors and collaborators

Lead sponsor

University of Oulu

Other

Registry information

Official study title

The Effectiveness of Health Coaching for Frequent Attenders in the Primary Healthcare

Acronym: HCFA

Important dates

Study start
2014
Primary completion
2016
Study completion
2016
First posted
Oct 22, 2019
Registry last updated
Oct 22, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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