TY - JOUR
T1 - Enabling Self-management of a Chronic Condition through Patient-centered Coaching
T2 - A Case of an mHealth Diabetes Prevention Program for Older Adults
AU - Kim, Heewon
AU - Tietsort, Cristopher
AU - Posteher, Karlee
AU - Michaelides, Andreas
AU - Toro-Ramos, Tatiana
N1 - Publisher Copyright:
© 2019 Taylor & Francis Group, LLC.
PY - 2020/12
Y1 - 2020/12
N2 - Patient-centered communication (PCC) by healthcare professionals can contribute to enacting and facilitating patients’ self-management of chronic health conditions. This study investigates the emerging patterns of PCC that occur in an mHealth-based diabetes prevention program for older adults. The analysis of user-coach communication data during the 16-week period of the program revealed four PCC strategies employed by coaches: (a) triggering reflections on users’ routinized habits, (b) jointly determining a measurable health goal, (c) facilitating self-evaluations on recent behavior change, and (d) tailoring programs to adapt to users’ lifestyle and health status. To advance these strategies, coaches utilized various mHealth features that helped them (a) engage in data-driven coaching, (b) increase situational awareness of users’ health conditions and routines, (c) provide continuous support to users through regular and spontaneous in-app chats, and (d) foster user autonomy and engagement. The findings extend implications for developing technology-enabled healthcare practice to enhance self-management of chronic illness.
AB - Patient-centered communication (PCC) by healthcare professionals can contribute to enacting and facilitating patients’ self-management of chronic health conditions. This study investigates the emerging patterns of PCC that occur in an mHealth-based diabetes prevention program for older adults. The analysis of user-coach communication data during the 16-week period of the program revealed four PCC strategies employed by coaches: (a) triggering reflections on users’ routinized habits, (b) jointly determining a measurable health goal, (c) facilitating self-evaluations on recent behavior change, and (d) tailoring programs to adapt to users’ lifestyle and health status. To advance these strategies, coaches utilized various mHealth features that helped them (a) engage in data-driven coaching, (b) increase situational awareness of users’ health conditions and routines, (c) provide continuous support to users through regular and spontaneous in-app chats, and (d) foster user autonomy and engagement. The findings extend implications for developing technology-enabled healthcare practice to enhance self-management of chronic illness.
UR - http://www.scopus.com/inward/record.url?scp=85073787620&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85073787620&partnerID=8YFLogxK
U2 - 10.1080/10410236.2019.1663583
DO - 10.1080/10410236.2019.1663583
M3 - Article
C2 - 31514532
AN - SCOPUS:85073787620
SN - 1041-0236
VL - 35
SP - 1791
EP - 1799
JO - Health Communication
JF - Health Communication
IS - 14
ER -