Does health coaching change patients鈥?trust in their primary care provider?

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• 作者：David H. Thom ; ^{dthom@fcm.ucsf.edu" class="auth_mail} ; Danielle Hessler ; Rachel Willard-Grace ; Thomas Bodenheimer ; Adriana Najmabadi ; Christina Araujo ; Ellen H. Chen
• 关键词：Health coaching ; Patient trust ; Self-management support ; Patient&ndash ; physician relationship
• 刊名：Patient Education and Counseling
• 出版年：July 2014
• 年：2014
• 卷：96
• 期：1
• 页码：135-138
• 全文大小：323 K

文摘

To assess the impact of health coaching on patients’ in their primary care provider.

Methods

Randomized controlled trial comparing health coaching with usual care.

Participants

Low-income English or Spanish speaking patients age 18–75 with poorly controlled type 2 diabetes, hypertension and/or hyperlipidemia.

Main outcome measure

Patient trust in their primary care provider measured by the 11-item Trust in Physician Scale, converted to a 0–100 scale.

Analysis

Linear mixed modeling.

Results

A total of 441 patients were randomized to receive 12 months of health coaching (n = 224) vs. usual care (n = 217). At baseline, the two groups were similar to those in the usual care group with respect to demographic characteristics and levels of trust in their provider. After 12 months, the mean trust level had increased more in patients receiving health coaching (3.9 vs. 1.5, p = 0.47), this difference remained significant after adjustment for number of visits to primary care providers (adjusted p = .03).

Conclusions

Health coaching appears to increase patients trust in their primary care providers.

Practice Implications

Primary care providers should consider adding health coaches to their team as a way to enhance their relationship with their patients.