Christopher Johnson1, George Saba2, Jessica Wolf2, Heather Gardner2, David H Thom2. 1. Department of Family and Community Medicine, University of California, San Francisco School of Medicine, United States. Electronic address: David.Thom@UCSF.edu. 2. Department of Family and Community Medicine, University of California, San Francisco School of Medicine, United States.
Abstract
OBJECTIVE: To examine activities of health coaches during patient medical visits and when meeting one-on-one with patients at 3 urban federally qualified health centers. METHODS: Encounters were videotaped and transcribed. Data was analyzed using a matrix analysis approach that allowed a priori identification of expected categories of activity, based on the health coach training model and previously developed conceptual framework, which were modified based on activities observed. RESULTS: A total of 10 medical visits (patient, clinician and health coach), and 8 patient-coach visits were recorded. We identified 9 categories common to both medical and patient-coach visits and 2 categories unique to the medical visit. While observed activities were generally consistent with expected categories, some activities were observed infrequently or not at all. We also observed additional activity categories, including information gathering and personal conversation. The average amount of time spent on some categories of coaching activities differed substantially between medical visits and patient-coach visits. CONCLUSIONS: Health coaching activities observed differed in several respects to those expected, and differed between medical visits and coaching only visits. PRACTICE IMPLICATIONS: These results provide insights into health coaching behaviors that can be used to inform training and improve utilization of health coaches in practice.
OBJECTIVE: To examine activities of health coaches during patient medical visits and when meeting one-on-one with patients at 3 urban federally qualified health centers. METHODS: Encounters were videotaped and transcribed. Data was analyzed using a matrix analysis approach that allowed a priori identification of expected categories of activity, based on the health coach training model and previously developed conceptual framework, which were modified based on activities observed. RESULTS: A total of 10 medical visits (patient, clinician and health coach), and 8 patient-coach visits were recorded. We identified 9 categories common to both medical and patient-coach visits and 2 categories unique to the medical visit. While observed activities were generally consistent with expected categories, some activities were observed infrequently or not at all. We also observed additional activity categories, including information gathering and personal conversation. The average amount of time spent on some categories of coaching activities differed substantially between medical visits and patient-coach visits. CONCLUSIONS: Health coaching activities observed differed in several respects to those expected, and differed between medical visits and coaching only visits. PRACTICE IMPLICATIONS: These results provide insights into health coaching behaviors that can be used to inform training and improve utilization of health coaches in practice.
Authors: Kasey R Boehmer; Nicole M Guerton; Jason Soyring; Ian Hargraves; Sara Dick; Victor M Montori Journal: Mayo Clin Proc Date: 2019-02 Impact factor: 7.616