Randomised Trial of Health Coaching in Secondary Prevention of Diabetes and Heart Disease

Conditions

Coronary Disease, Diabetes Mellitus, Type 2, Heart Failure

Brief summary

A randomised trial with individual patients as units of observation will be carried out. Health coaching is used to modify health behaviour and thus improve disease control and health status, as well as use of health care services. A personal health coach is assigned to each patient and they are in weekly contact through telephone. The intervention lasts for 12 months. No intervention is offered to the patients in the control arm.

Mustonen E, Hörhammer I, Patja K, Absetz P, Lammintakanen J, Talja M, Kuronen R, Linna M.

2021-11-15

10.1186/s12913-021-07263-w

Cost-effectiveness analysis for a tele-based health coaching program for chronic disease in primary care.

Oksman E, Linna M, Hörhammer I, Lammintakanen J, Talja M.

2017-02-1551 citations

10.1186/s12913-017-2088-4

How many unpublished studies? ClinicalTrials.gov (n = 2614 studies): diabetes | Closed Studies | Interventional Studies | Phase 3, 4 | Search Date: Oct 27, 2014

Ramirez Jorge H

Figshare2014-01-01

10.6084/m9.figshare.1249628.v1

Health coaching by telephony to support self-care in chronic diseases: clinical outcomes from The TERVA randomized controlled trial.

Patja K, Absetz P, Auvinen A, Tokola K, Kytö J, Oksman E, Kuronen R, Ovaska T, Harno K, Nenonen M, Wiklund T, Kettunen R, Talja M.

2012-06-1041 citations

10.1186/1472-6963-12-147

Interventions

BEHAVIORALHealth coaching

Personal health coach providing advice and counselling by telephone, weekly contacts

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

PREVENTION

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

45 Years to No maximum

Healthy volunteers

No

Inclusion criteria

* Diagnosis of type 2 diabetes (medication and HbA1c\>7% and no cardiovascular disease), coronary artery disease (history of myocardial infarction or revascularisation) or heart failure (NYHA II-III and admitted in a hospital for the condition within 2 years) * Aged 45 years or older * Resident in the Päijät-Häme health care district

Exclusion criteria

* Classified as ineligible by primary care physician * Unable to co-operate or participate in health coaching * Major elective surgery planned within 6 months * History of major surgery within past 2 years * Life expectancy \<1 year * Pregnancy

Design outcomes

Primary

Measure	Time frame
Blood pressure at target level (140/85 or lower), total cholesterol at target level (4.5 mmol/l or lower), LDL cholesterol at target level (2.5 mmol/l or below), waist circumference at target level (<=94 men, <=80 cm women)	12 months from start of intervention
For patients with diabetes: blood HbA1c at target level (7% or less)	12 months from start of intervention

Secondary

Measure	Time frame
Improvement in body mass index, health-related quality of life (15D instrument), amount of exercise, diet, smoking cessation; for patients with heart failure also use of emergency services and NYHA class	12 months from start of intervention

Countries

Finland

Outcome results

None listed