Physiotherapists supporting self-management through health coaching

This study aimed to evaluate a program in support of chronic disease self-management (CDSM) that is founded on a health coaching (HC) approach, includes supervised exercise and mindfulness-based stress reduction components and is administered within a private practice physiotherapy setting. An explanatory mixed method design, framed by theory-based program evaluation, was employed to evaluate an eight-week group-based program. Standardized self-rated and performance measures were evaluated before and after intervention. Additionally, participant focus groups were conducted following the intervention period. An inductive thematic approach was undertaken to analyze the qualitative data. Seventeen participants (N = 17) completed the study. Improvements were observed in both self-report and performance outcomes. Participants explained how and why they felt the program was beneficial. Six themes were created: (1) group dynamic; (2) learning versus doing; (3) holism and comprehensive care; (4) self-efficacy and empowerment; (5) previous solutions versus new management strategies; and (6) healthcare provider support.

This study established that a group program in support of CDSM founded on a HC approach exhibited potential value from participants as well as favorable outcomes. A pragmatic randomized control trial is needed to determine efficacy of this intervention.

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