Assessing the Impact of Community Health Coaching on Self-Management of Chronic Illness Among Older Adults: A Cross-Sectional Approach.

IF 3.5 3区医学 Q2 GERIATRICS & GERONTOLOGY

Clinical Interventions in Aging Pub Date : 2025-02-27 eCollection Date: 2025-01-01 DOI:10.2147/CIA.S509637

Mohammed Almutairi, Ashwaq A Almutairi, Abdulaziz M Alodhialah

{"title":"Assessing the Impact of Community Health Coaching on Self-Management of Chronic Illness Among Older Adults: A Cross-Sectional Approach.","authors":"Mohammed Almutairi, Ashwaq A Almutairi, Abdulaziz M Alodhialah","doi":"10.2147/CIA.S509637","DOIUrl":null,"url":null,"abstract":"Background: Chronic illnesses among older adults require effective self-management strategies. Community health coaching, which provides personalized guidance and support, has shown promise in improving self-management behaviors and patient activation. This study examines the impact of health coaching on self-management among older adults and investigates the mediating role of patient activation.Methods: A cross-sectional study was conducted with 200 older adults with chronic illnesses attending primary healthcare centers in Riyadh, Saudi Arabia. Data were collected using the Patient Activation Measure (PAM-13), Self-Management Behavior Scale (SMBS), and Health Coaching Perception Questionnaire (HCPQ). Multiple regression and mediation analyses were conducted to assess the relationships between health coaching, patient activation, and self-management behaviors.Results: Health coaching was significantly associated with improved self-management behaviors (β = 0.42, p < 0.001). Higher satisfaction with coaching was related to better medication adherence and dietary modification. Patient activation partially mediated the relationship between health coaching and self-management, with an indirect effect coefficient of 0.22 (p < 0.01). The results highlight the role of activation in enhancing health coaching effectiveness.Conclusion: Community health coaching positively influences self-management behaviors in older adults, with patient activation serving as a critical mediator. Integrating health coaching into primary care could improve chronic illness management and support healthy aging.","PeriodicalId":48841,"journal":{"name":"Clinical Interventions in Aging","volume":"20 ","pages":"231-244"},"PeriodicalIF":3.5000,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11874956/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Interventions in Aging","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/CIA.S509637","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Chronic illnesses among older adults require effective self-management strategies. Community health coaching, which provides personalized guidance and support, has shown promise in improving self-management behaviors and patient activation. This study examines the impact of health coaching on self-management among older adults and investigates the mediating role of patient activation.

Methods: A cross-sectional study was conducted with 200 older adults with chronic illnesses attending primary healthcare centers in Riyadh, Saudi Arabia. Data were collected using the Patient Activation Measure (PAM-13), Self-Management Behavior Scale (SMBS), and Health Coaching Perception Questionnaire (HCPQ). Multiple regression and mediation analyses were conducted to assess the relationships between health coaching, patient activation, and self-management behaviors.

Results: Health coaching was significantly associated with improved self-management behaviors (β = 0.42, p < 0.001). Higher satisfaction with coaching was related to better medication adherence and dietary modification. Patient activation partially mediated the relationship between health coaching and self-management, with an indirect effect coefficient of 0.22 (p < 0.01). The results highlight the role of activation in enhancing health coaching effectiveness.

Conclusion: Community health coaching positively influences self-management behaviors in older adults, with patient activation serving as a critical mediator. Integrating health coaching into primary care could improve chronic illness management and support healthy aging.

查看原文本刊更多论文

评估社区健康指导对老年人慢性病自我管理的影响：一种横断面方法。

背景：老年人慢性疾病需要有效的自我管理策略。提供个性化指导和支持的社区卫生指导在改善自我管理行为和患者激活方面显示出希望。本研究考察了健康指导对老年人自我管理的影响，并探讨了患者激活的中介作用。方法：对在沙特阿拉伯利雅得初级卫生保健中心就诊的200名患有慢性疾病的老年人进行了横断面研究。采用患者激活量表（PAM-13）、自我管理行为量表（SMBS）和健康教练感知问卷（HCPQ）收集数据。采用多元回归和中介分析来评估健康指导、患者激活和自我管理行为之间的关系。结果：健康辅导与自我管理行为改善显著相关（β = 0.42, p < 0.001）。更高的满意度与更好的药物依从性和饮食调整有关。患者激活部分介导了健康指导与自我管理的关系，间接效应系数为0.22 （p < 0.01）。结果强调了激活在提高健康教练有效性中的作用。结论：社区健康指导对老年人自我管理行为有积极影响，患者激活是一个重要的中介。将健康指导纳入初级保健可以改善慢性病管理并支持健康老龄化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Clinical Interventions in Aging GERIATRICS & GERONTOLOGY-

CiteScore

6.80

自引率

2.80%

发文量

193

审稿时长

6-12 weeks

期刊介绍： Clinical Interventions in Aging, is an online, peer reviewed, open access journal focusing on concise rapid reporting of original research and reviews in aging. Special attention will be given to papers reporting on actual or potential clinical applications leading to improved prevention or treatment of disease or a greater understanding of pathological processes that result from maladaptive changes in the body associated with aging. This journal is directed at a wide array of scientists, engineers, pharmacists, pharmacologists and clinical specialists wishing to maintain an up to date knowledge of this exciting and emerging field.