A review of telephone coaching services for people with long-term conditions

Sheffield Hallam University, UK.
Journal of Telemedicine and Telecare (Impact Factor: 1.54). 12/2011; 17(8):451-8. DOI: 10.1258/jtt.2011.110513
Source: PubMed


In one-to-one telephone coaching, the patient receives regular telephone calls from a health professional. We have reviewed the evidence for one-to-one telephone coaching. Following a literature search we retrieved 41 articles which reported on the development and the efficacy of 34 separate telephone coaching interventions for LTC management. Telephone coaching for LTC management has only occurred in the last ten years, is becoming increasingly prevalent, and is dominated by interventions in North America and Europe. Twenty-seven (79%) of the studies reported on randomised designs involving at least one control or comparison group/condition. Of the 34 interventions reviewed, 17 (50%) were aimed at diabetes management and 17 (50%) were designed to manage chronic cardiovascular conditions. Most studies (32 or 94%) reported outcomes in favour of the telephone coaching intervention, although few (15%) employed any form of cost-benefit analysis (CBA). In order to obtain a better impression of overall service efficacy, more clearly defined service outcomes are required in future.

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Available from: Andrew Hutchison, Jun 17, 2014
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    • "Offered in a group or individually [10,11]; face-to face or on distance [12-15]; led by people with or without special professional training [16,17]; and depending on the curriculum, - educational programs may demonstrate different results in terms of the clinical and cost-effectiveness. The complexity of these interventions make it difficult to detect the direct effect of specific features of patient education on the outcomes [18,19]. Since a commonly accepted reporting methodology for interventions in prevention and health promotion within clinical trials is lacking, patient education programs are frequently poorly described and difficult to reproduce in other settings. "
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    ABSTRACT: Despite the efforts of the healthcare community to improve the quality of diabetes care, about 50% of people with type 2 diabetes do not reach their treatment targets, increasing the risk of future micro-and macro-vascular complications. Diabetes self-management education has been shown to contribute to better disease control. However, it is not known which strategies involving educational programs are cost-effective. Telehealth applications might support chronic disease management. Transferability of successful distant patient self-management support programs to the Belgian setting needs to be confirmed by studies of a high methodological quality. "The COACH Program" was developed in Australia as target driven educational telephone delivered intervention to support people with different chronic conditions. It proved to be effective in patients with coronary heart disease after hospitalization. Clinical and cost-effectiveness of The COACH Program in people with type 2 diabetes needs to be assessed. Randomized controlled trial in patients with type 2 diabetes. Patients were selected based on their medication consumption data and were recruited by their sickness fund. They were randomized to receive either usual care plus "The COACH Program" or usual care alone. The study will assess the difference in outcomes between groups. The primary outcome measure is the level of HbA1c. The secondary outcomes are: Total Cholesterol, LDL-Cholesterol, HDL-Cholesterol, Triglycerides, Blood Pressure, body mass index, smoking status; proportion of people at target for HbA1c, LDL-Cholesterol and Blood Pressure; self-perceived health status, diabetes-specific emotional distress and satisfaction with diabetes care. The follow-up period is 18 months. Within-trial and modeled cost-utility analyses, to project effects over life-time horizon beyond the trial duration, will be undertaken from the perspective of the health care system if the intervention is effective. The study will enhance our understanding of the potential of telehealth in diabetes management in Belgium. Research on the clinical effectiveness and the cost-effectiveness is essential to support policy makers in future reimbursement and implementation decisions.Trial registration: Belgian number: B322201213625. Identifier: NCT01612520.
    BMC Family Practice 02/2014; 15(1):24. DOI:10.1186/1471-2296-15-24 · 1.67 Impact Factor
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    • "Care (MoH&LTC) in Ontario may be the first ministry to designate specific resources to support nurses in the coaching role. The coaching role has developed over the past decade in the United States, Australia, and the United Kingdom and research about the effectiveness of the coaching role for helping persons with type 2 Diabetes Mellitus and other chronic illnesses is promising [1]. Prior to examining qualities and responsibilities of the health coach as conceptualized in our project, a brief view of health coaching is reviewed in a broader context. "
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    ABSTRACT: Health care professionals are increasingly aware that persons are complex and live in relation with other complex human communities and broader systems. Complex beings and systems are living and evolving in nonlinear ways through a process of mutual influence. Traditional standardized approaches in chronic disease management do not address these non-linear linkages and the meaning and changes that impact day-to-day life and caring for self and family. The RN health coach role described in this paper addresses the complexities and ambiguities for persons living with chronic illness in order to provide person-centered care and support that are unique and responsive to the context of persons' lives. Informed by complexity thinking and relational inquiry, the RN health coach is an emergent innovation of creative action with community and groups that support persons as they shape their health and patterns of living.
    09/2013; 2013:238620. DOI:10.1155/2013/238620
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    ABSTRACT: The recent focus on patient engagement acknowledges that patients have an important role to play in their own health care. This includes reading, understanding and acting on health information (health literacy), working together with clinicians to select appropriate treatments or management options (shared decision making), and providing feedback on health care processes and outcomes (quality improvement). Various interventions designed to help patients play an effective role have been evaluated in trials and systematic reviews. This article outlines the evidence in support of the most promising interventions.
    The Journal of ambulatory care management 04/2012; 35(2):80-9. DOI:10.1097/JAC.0b013e318249e0fd
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