Literature DB >> 33747639

How VA Whole Health Coaching Can Impact Veterans' Health and Quality of Life: A Mixed-Methods Pilot Program Evaluation.

Natalie Purcell1,2, Kara Zamora1,2, Daniel Bertenthal1, Linda Abadjian1, Jennifer Tighe1, Karen H Seal1,2.   

Abstract

PURPOSE: To examine the impact of a pilot VA Whole Health Coaching program, including whether and how the program helps veterans improve their health and quality of life. INTERVENTION: Whole Health Coaching is a structured program to support veterans in making healthy behavior changes to promote holistic well-being.
DESIGN: This mixed-methods quality-improvement evaluation combined surveys (pre- and post-coaching) with follow-up qualitative interviews.
SETTING: The setting was a large VA healthcare system, encompassing a medical center and six community-based clinics in Northern California. PARTICIPANTS: 65 veterans completed surveys at both time points; 42 completed qualitative interviews.
METHOD: Telephone surveys administered at baseline and 3 months assessed global health (PROMIS-10), perceived stress (PSS-4), and perceived health competency (PHCS-2). Pre- and post-scores were compared using t-tests. A subsample of participants completed a qualitative interview evaluating program experience, goal attainment, and the coaching relationship.
RESULTS: Surveys showed significant improvements over baseline in mental health (p = 0.006; d = 0.36), stress (p = 0.003; d = -0.38), and perceived health competence (p = 0.01; d = 0.35). Interviewees were highly satisfied with their coaching experience, describing both effective program components and improvement opportunities.
CONCLUSION: Whole Health Coaching can help participants make meaningful progress toward health goals, reduce stress, and improve quality of life. The Whole Health model's emphasis on holistic self-assessment; patient-driven goal-setting; supportive, non-judgmental inquiry; and mindful awareness contributed to program success and enhanced participants' experience.
© The Author(s) 2021.

Entities:  

Keywords:  behavior change; health coaching; mixed methods; prevention; qualitative research; quality of life; veterans; wellness

Year:  2021        PMID: 33747639      PMCID: PMC7940726          DOI: 10.1177/2164956121998283

Source DB:  PubMed          Journal:  Glob Adv Health Med        ISSN: 2164-9561


  27 in total

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2.  Beyond the VA Crisis--Becoming a High-Performance Network.

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Journal:  N Engl J Med       Date:  2016-03-17       Impact factor: 91.245

3.  The Integrated Pain Team: A Mixed-Methods Evaluation of the Impact of an Embedded Interdisciplinary Pain Care Intervention on Primary Care Team Satisfaction, Confidence, and Perceptions of Care Effectiveness.

Authors:  Natalie Purcell; Kara Zamora; Jenny Tighe; Yongmei Li; Mathew Douraghi; Karen Seal
Journal:  Pain Med       Date:  2018-09-01       Impact factor: 3.750

4.  Telephone-Based Coaching.

Authors:  Mindy Boccio; Rashel S Sanna; Sara R Adams; Nancy C Goler; Susan D Brown; Romain S Neugebauer; Assiamira Ferrara; Deanne M Wiley; David J Bellamy; Julie A Schmittdiel
Journal:  Am J Health Promot       Date:  2016-11-18

5.  The Process of Patient Empowerment in Integrative Health Coaching: How Does it Happen?

Authors:  Karen L Caldwell; Jennifer Gray; Ruth Q Wolever
Journal:  Glob Adv Health Med       Date:  2013-05

6.  Coaching vs Psychotherapy in health and Wellness: Overlap, Dissimilarities, and the Potential for Collaboration.

Authors:  Meg Jordan; John B Livingstone
Journal:  Glob Adv Health Med       Date:  2013-07

Review 7.  A Systematic Review of the Literature on Health and Wellness Coaching: Defining a Key Behavioral intervention in Healthcare.

Authors:  Ruth Q Wolever; Leigh Ann Simmons; Gary A Sforzo; Diana Dill; Miranda Kaye; Elizabeth M Bechard; Mary Elaine Southard; Mary Kennedy; Justine Vosloo; Nancy Yang
Journal:  Glob Adv Health Med       Date:  2013-07

8.  Effective Tobacco Cessation via Health Coaching: An Institutional Case Report.

Authors:  Gary A Sforzo; Miranda Kaye; Gale D Ayers; Betina Talbert; Marilyn Hill
Journal:  Glob Adv Health Med       Date:  2014-09

9.  Can rapid approaches to qualitative analysis deliver timely, valid findings to clinical leaders? A mixed methods study comparing rapid and thematic analysis.

Authors:  Beck Taylor; Catherine Henshall; Sara Kenyon; Ian Litchfield; Sheila Greenfield
Journal:  BMJ Open       Date:  2018-10-08       Impact factor: 2.692

10.  Engaging Patients in their Health Care: Lessons From a Qualitative Study on the Processes Health Coaches Use to Support an Active Learning Paradigm.

Authors:  Karen L Caldwell; Delia Vicidomini; Reese Wells; Ruth Q Wolever
Journal:  Glob Adv Health Med       Date:  2020-02-12
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  1 in total

1.  "Then COVID happened…": Veterans' Health, Wellbeing, and Engagement in Whole Health Care During the COVID-19 Pandemic.

Authors:  Natalie Purcell; Joanna Sells; Sarah McGrath; Haley Mehlman; Daniel Bertenthal; Karen H Seal
Journal:  Glob Adv Health Med       Date:  2021-11-03
  1 in total

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