Health Coaching Enhanced Older Adults' Self-Efficacy in Managing Their Chronic Diseases: A Randomized Controlled Trial.

IF 2.2 3区医学 Q2 GERONTOLOGY

Journal of Applied Gerontology Pub Date : 2025-04-22 DOI:10.1177/07334648251336537

Edwin Ka Hung Chung, Hera Hiu-Wah Leung, Dannii Yuen-Lan Yeung, Eman Yee-Man Leung, Eliza Lai-Yi Wong, Eng-Kiong Yeoh, Frank Youhua Chen

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引用次数: 0

Abstract

Although health coaching is a well-known self-management intervention for individuals with chronic diseases, the research on its effect on older adults is limited. A total of 414 older Hong Kong adults were randomly assigned to the intervention group, which received 12-week health coaching sessions, and the control group without intervention. Participants in the intervention group completed assessments at three time points (baseline, postintervention, and three-month follow-up), and those in the control group completed baseline and three-month follow-up assessments. Generalized estimating equations first revealed a significant improvement in self-efficacy and blood pressures among the intervention group participants, and such improvements were maintained at follow-up. In addition, the self-efficacy of the intervention group significantly increased while that of the control group significantly decreased from baseline to follow-up. Thus, the overall results demonstrate the effectiveness of the health coaching intervention in improving the self-efficacy of older adults in managing their chronic diseases and health risks.

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健康辅导提高老年人管理慢性病的自我效能：一项随机对照试验。

虽然健康指导是一种众所周知的慢性病患者自我管理干预手段，但其对老年人的影响研究有限。共有414名香港老年人被随机分配到干预组和对照组，干预组接受为期12周的健康指导课程，对照组不进行干预。干预组在三个时间点（基线、干预后和三个月随访）完成评估，对照组完成基线和三个月随访评估。广义估计方程首先揭示了干预组参与者在自我效能和血压方面的显著改善，并且这种改善在随访中保持不变。此外，干预组的自我效能感从基线到随访显著提高，而对照组的自我效能感从基线到随访显著降低。因此，整体结果表明健康指导干预在提高老年人慢性病和健康风险管理的自我效能方面是有效的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Applied Gerontology GERONTOLOGY-

CiteScore

5.10

自引率

13.30%

发文量

202

期刊介绍： The Journal of Applied Gerontology (JAG) is the official journal of the Southern Gerontological Society. It features articles that focus on research applications intended to improve the quality of life of older persons or to enhance our understanding of age-related issues that will eventually lead to such outcomes. We construe application broadly and encourage contributions across a range of applications toward those foci, including interventions, methodology, policy, and theory. Manuscripts from all disciplines represented in gerontology are welcome. Because the circulation and intended audience of JAG is global, contributions from international authors are encouraged.