DOI QR코드

DOI QR Code

The Effect of Health Coaching Programs on Self-Efficacy, Health Behaviors, and Quality of Life in Hypertensive People Living in Poverty

건강코칭프로그램이 빈곤계층 고혈압대상자의 자기효능감, 건강행위실천 및 삶의 질에 미치는 효과

  • Received : 2016.12.02
  • Accepted : 2017.05.17
  • Published : 2017.06.30

Abstract

Purpose: This study was designed to determine the effects of health coaching and mediating variables on quantitative aspect of health in low-income hypertensive people. Methods: The experimental group for the current study consisted of 21 clients who received health coaching services, and the control group consisted of 22 clients who received home-visiting nursing services. Two groups received health coaching or home-visiting nursing services once a week for 8 weeks. The evaluation variables were self-efficacy, nutrition management, health behaviors, self-rated health, and quality of life. Results: The results revealed that the level of nutrition management was significantly higher in the experimental group than the control group (F=10.33, p=.005). Conclusion: These results confirm that health coaching is a useful strategy that encourages clients to continuously maintain their own health behaviors. Thus, the findings of the current study provide useful data for establishing measures for the health management of those afflicted with chronic disease, such as hypertension. Furthermore, health coaching may be developed into useful intervention strategies for dealing with chronic diseases and improving home-visiting nursing.

Keywords

References

  1. Lawes CM, Vander Hoorn S, Rodgers A. Global burden of blood-pressure-related disease, 2001. Lancet. 2008;371(9623):1513-1518. http://dx.doi.org/10.1016/s0140-6736(08)60655-8
  2. Margolius D, Bodenheimer T. Controlling hypertension requires a new primary care model. The American Journal of Managed Care. 2010;16(9):648-650.
  3. World Health Organization. Cardiovascular disease: Strategic priorities [Internet]. Geneva, CH: Author; 2014 [cited 2014 March 31]. Available from: http://www.who.int/cardiovascular_diseases/priorities/en/.
  4. Ministry of Health & Welfare, Korea Centers for Disease Control & Prevention. Korea health statistics 2014: Korea national health and nutrition examination survey (KNHANES VI-2). Sejong: Ministry of Health & Welfare; 2015. p. 247.
  5. Eum SO, Lee I. The health care status and healthy life practices of hypertensive patients. Perspectives in Nursing Science. 2013;10(1):32-40.
  6. Lim BD, Chun BY, Kam S, Im JS, Park SW, Park JH. Annual visit days, prescription days and medical expenses of hypertensive patients. Korean Journal of Preventive Medicine. 2002;35(4):340-350.
  7. Yoon TH. The proposal of policies aimed at tackling health inequalities in Korea. Journal of Preventive Medicine and Public Health. 2007;40(6):447-453. http://dx.doi.org/10.3961/jpmph.2007.40.6.447
  8. Ministry of Health & Welfare, Korea Health Promotion Foundation. Community health integrated health promotion program planning guidelines. Seoul: Author; 2015.
  9. Jang SR, Lee IS, Choi SM, Gang JW, Kim JH, Hong KM. Developing strategies for improvingthe efficiency of home visiting program. Seoul: Ministry of Health & Welfare; 2014.
  10. Lee IS, Ko Y, Kim HS. Study for cohort establishment and long-term strategy development for tailored visiting health care (I). Seoul: Ministry for Health, Welfare and Family Affairs, 2009. Report No.: Policy 08-33.
  11. Choi KW, Lim JY. Development and effectiveness of counseling manual for community-based visiting nursing. The Journal of the Korea Contents Association. 2012;12(9):226-233. http://dx.doi.org/10.5392/JKCA.2012.12.09.226
  12. Bennett HD, Coleman EA, Parry C, Bodenheimer T, Chen EH. Health coaching for patients with chronic illness. Family Practice Management. 2010;17(5):24-29.
  13. Lawson KL, Jonk Y, O'Connor H, Riise KS, Eisenberg DM, Kreitzer MJ. The impact of telephonic health coaching on health outcomes in a high-risk population. Global Advances in Health and Medicine. 2013;2(3):40-47. http://dx.doi.org/10.7453/gahmj.2013.039
  14. Lee KH, Park CJ, Kim MA, Park KM, Park JS, Shin YH, et al. Effect of self regulation program on the hypertensive patient's self efficacy and self care through meta-analysis. The Journal of the Korean Public Health Association. 2003;29(3-4):269-274.
  15. Jeon Hae Ok, Kim Oksoo. The Effects of an Internet Based Coaching Program for Obesity Management in Hypertensive Patients. Korean Journal of Adult Nursing. 2011;23(2):146-159.
  16. Do MH. Certificate of the Korea Coaching Association (KCA) instructor workbook. Cheonan: The Korea Coaching Association; 2013.
  17. Gist ME, Mitchell TR. Self-efficacy: A theoretical analysis of its determinants and malleability. The Academy of Management Review. 1992;17(2):183-211. https://doi.org/10.5465/amr.1992.4279530
  18. Ministry of Health & Welfare, Korea Health Promotion Foundation. Community health integrated health promotion program planning guidelines. Seoul: Author; 2013. p. 56-65.
  19. Ministry of Health & Welfare, Korea Health Promotion Foundation. Intensive care guide of customized visiting health care program: Hypertension. Seoul: Author; 2011. p. 8-26.
  20. Eom AY. Influencing factors on health related to quality of life in hypertension patients. Journal of Korean Biological Nursing Science. 2009;11(2):136-142.
  21. Son YJ, Park YR. The relationships of family support, self-efficacy and self-care performance in patients with chronic illness. Journal of Korean Academy of Adult Nursing. 2005;17(5):793-801.
  22. Peyrot M. Behavior change in diabetes education. The Diabetes Educator. 1999;25(6 Suppl):62-73. http://dx.doi.org/10.1177/014572179902500624
  23. Steed L, Lankester J, Barnard M, Earle K, Hurel S, Newman S. Evaluation of the UCL diabetes self-management programme (UCL-DSMP): A randomized controlled trial. Journal of Health Psychology. 2005;10(2):261-276. http://dx.doi.org/10.1177/1359105305049775
  24. Ko Y, Yim ES. Factors affecting dietary behavior change of vulnerable elderly based on the stage of change. Journal of the Korean Gerontological Society. 2010;30(3):695-708.
  25. Moon EH, Kim KW. Evaluation of nutrition education for hypertension patients aged 50 years and over. Korean Journal of Community Nutrition. 2011;16(1):62-74. http://dx.doi.org/10.5720/kjcn.2011.16.1.62
  26. Jo HS, Jung SM, Lee HJ. The evaluation of a health coaching program on metabolic syndrome patients. Korean Journal of Health Education and Promotion. 2012;29(1):97-108.
  27. O'Hara BJ, Phongsavan P, Eakin EG, Develin E, Smith J, Greenaway M, et al. Effectiveness of Australia's get healthy information and coaching service: Maintenance of self-reported anthropometric and behavioural changes after program completion. BMC Public Health. 2013;13:175. http://dx.doi.org/10.1186/1471-2458-13-175
  28. Park S, Park YH. Predictors of physical activity in Korean older adults: Distinction between urban and rural areas. Journal of Korean Academy of Nursing. 2010;40(2):191-201. http://dx.doi.org/10.4040/jkan.2010.40.2.191
  29. Strecher V, Wang C, Derry H, Wildenhaus K, Johnson C. Tailored interventions for multiple risk behaviors. Health Education Research. 2002;17(5):619-626. https://doi.org/10.1093/her/17.5.619
  30. Lee SY, Lee YH, Han JA, Kang Y, Kim JH. Study for cohort establishment and long-term strategy development for tailored visiting health care (II). Seoul: Ministry for Health, Welfare and Family Affairs, 2009. Report No.: Policy 08-33.

Cited by

  1. Prevalence of hypertension and predictive factors of self-efficacy among elderly people with hypertension in institutional-based rehabilitation in Indonesia vol.21, pp.1, 2017, https://doi.org/10.32725/kont.2018.007
  2. Effect of a Pedometer-Based, 24-Week Walking Intervention on Depression and Acculturative Stress among Migrant Women Workers vol.16, pp.22, 2017, https://doi.org/10.3390/ijerph16224385
  3. A systematic review of community nursing interventions focusing on improving outcomes for individuals exhibiting risk factors of cardiovascular disease vol.76, pp.1, 2017, https://doi.org/10.1111/jan.14218
  4. Patient-centered counseling program using health coaching to promote self-care among elderly hypertension patients in the rural area of South Korea vol.37, pp.2, 2017, https://doi.org/10.14367/kjhep.2020.37.2.99
  5. 노인 당뇨병 환자의 짝 활동 기반 건강코칭 프로그램 효과 vol.34, pp.3, 2017, https://doi.org/10.5932/jkphn.2020.34.3.457
  6. 한국어판 단축형 만성질환관리 자기효능감 도구의 타당도와 신뢰도 검증 vol.51, pp.5, 2017, https://doi.org/10.4040/jkan.21069