Abstract
Background: Health Coaching (HC), a patient-empowerment focused approach, is guided and supported by medical professionals to facilitate patients to explore, unlock and activate their self-potential to adopt healthy lifestyles. HC, a whole person and also a population-based approach, can be defined as a system-wide innovation aiming to positive social change. A National Health Service review showed that there is promising evidence about HC, particularly for supporting behaviour change.
Objectives: HC in this international intervention project appears to have been used for the first time as a holistic health promotion approach for oral health and diabetes type 2 (T2DM) management, in line with IDF-FDI (2007) declaration stating that oral health promotion should be part of diabetes management. The aim of the present study is to assess the effectiveness of HC on oral health and T2DM management among T2DM patients.
Methods: This prospective international project was conducted in Turkey (2010-2012, 2015) and Denmark (2012 and
2014). The study consists of 2 stages [initiation-maintenance (6 months) and a 6-month follow-up]. Outcomes measures were clinical (HbA1c as diabetes index, and periodontal health) and subjective (satisfaction with access to health care, frequency of physical activity, toothbrushing and dental visit).
Results: Preliminary results show that at post-intervention there was a significant reduction of HbA1c (Turkey:0.8%, Denmark:0.4%, p=0.001) in the HC groups. The figures for HE groups were non-significant. Daily toothbrushing was correlated with change at HbA1c and regular physical activity in the HC groups.
Conclusions: A person-centered health coaching approach focusing on multidisciplinary collaboration appears valuable to improve daily life health, particularly oral health, in diabetic patients.
Objectives: HC in this international intervention project appears to have been used for the first time as a holistic health promotion approach for oral health and diabetes type 2 (T2DM) management, in line with IDF-FDI (2007) declaration stating that oral health promotion should be part of diabetes management. The aim of the present study is to assess the effectiveness of HC on oral health and T2DM management among T2DM patients.
Methods: This prospective international project was conducted in Turkey (2010-2012, 2015) and Denmark (2012 and
2014). The study consists of 2 stages [initiation-maintenance (6 months) and a 6-month follow-up]. Outcomes measures were clinical (HbA1c as diabetes index, and periodontal health) and subjective (satisfaction with access to health care, frequency of physical activity, toothbrushing and dental visit).
Results: Preliminary results show that at post-intervention there was a significant reduction of HbA1c (Turkey:0.8%, Denmark:0.4%, p=0.001) in the HC groups. The figures for HE groups were non-significant. Daily toothbrushing was correlated with change at HbA1c and regular physical activity in the HC groups.
Conclusions: A person-centered health coaching approach focusing on multidisciplinary collaboration appears valuable to improve daily life health, particularly oral health, in diabetic patients.
| Original language | English |
|---|---|
| Journal | International Journal of Person Centered Medicine |
| DOIs | |
| Publication status | Published - 2015 |
Keywords
- health coaching
- Person-centred approach
- diabetes type 2
- oral health
- physical activity
- toothbrushing
- Patient satisfaction
- dental visits
