Health coaching for individuals with type 2 diabetes: assessing the impact of health coaching on HbA1c, hospitalizations, and outpatient services.

IF 4.6 2区医学 Q2 ENDOCRINOLOGY & METABOLISM

Frontiers in Endocrinology Pub Date : 2025-09-17 eCollection Date: 2025-01-01 DOI:10.3389/fendo.2025.1443490

Anthony Gittens, Ernie Medina, Jisoo Oh, Anna Nelson, Adam Aréchiga

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引用次数: 0

Abstract

Introduction: The global prevalence of type 2 diabetes mellitus (T2DM) presents substantial public health challenges, particularly among Medicaid populations. Health coaching has emerged as a promising intervention to improve glycemic control and healthcare utilization.

Methods: We conducted a retrospective pre-post secondary data analysis of 4,583 CalOptima Medicaid recipients with T2DM between March 2015 and August 2023. Patients who received health coaching (n = 3,777) were compared to those who declined (n = 806). Primary outcomes included HbA1c, hospitalizations, and outpatient visits.

Results: The coached group experienced a significantly greater reduction in HbA1c (MD = -1.14, SD = 1.98) compared to the non-coached group (MD = -0.80, SD = 1.96; t(4581) = 4.51, p < .001). Ambulatory visits increased significantly among coached participants (p < .001), though hospitalizations showed no significant changes. Logistic regression indicated coached individuals had higher, though not statistically significant, odds of achieving normal HbA1c levels (OR = 1.19, 95% CI: 0.96-1.46).

Discussion: Health coaching was associated with improved glycemic control and increased ambulatory care engagement among Medicaid patients with T2DM. These findings highlight the value of patient-centered interventions in chronic disease management within underserved populations.

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2型糖尿病患者的健康指导：评估健康指导对HbA1c、住院和门诊服务的影响

导言：2型糖尿病（T2DM）的全球患病率提出了重大的公共卫生挑战，特别是在医疗补助人群中。健康指导已成为一种有希望的干预措施，以改善血糖控制和医疗保健利用。方法：我们对2015年3月至2023年8月期间接受CalOptima医疗补助的4583名T2DM患者进行了回顾性的二级医疗前后数据分析。接受健康指导的患者（n = 3,777）与拒绝接受健康指导的患者（n = 806）进行比较。主要结局包括HbA1c、住院和门诊。结果：与非训练组（MD = -0.80, SD = 1.96; t(4581) = 4.51, p < 0.001）相比，训练组的HbA1c降低显著（MD = -1.14, SD = 1.98）。在接受训练的参与者中，门诊访问量显著增加（p < 0.001），但住院率没有显著变化。Logistic回归显示，经过训练的个体达到正常HbA1c水平的几率更高，但没有统计学意义（OR = 1.19, 95% CI: 0.96-1.46）。讨论：在医疗补助的2型糖尿病患者中，健康指导与血糖控制的改善和门诊护理的增加有关。这些发现突出了以患者为中心的干预措施在服务不足人群中慢性病管理的价值。

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

Frontiers in Endocrinology Medicine-Endocrinology, Diabetes and Metabolism

CiteScore

5.70

自引率

9.60%

发文量

3023

审稿时长

14 weeks

期刊介绍： Frontiers in Endocrinology is a field journal of the "Frontiers in" journal series. In today’s world, endocrinology is becoming increasingly important as it underlies many of the challenges societies face - from obesity and diabetes to reproduction, population control and aging. Endocrinology covers a broad field from basic molecular and cellular communication through to clinical care and some of the most crucial public health issues. The journal, thus, welcomes outstanding contributions in any domain of endocrinology. Frontiers in Endocrinology publishes articles on the most outstanding discoveries across a wide research spectrum of Endocrinology. The mission of Frontiers in Endocrinology is to bring all relevant Endocrinology areas together on a single platform.