The Effect of Health Coaching and Education on the Control of Type 2 Diabetes: A Randomized Controlled Trial

Mona Hamdy Soliman^1, , Roqaya Ali Alqahtani², Bashyer Alhothali², Soulaf Alsaeed² and Soha Aly Elmorsy³

¹Primary Care and Pereventive Medicine, Patient Education and Health Promotion King Abdallah Medical City, Saudi Arabia

²Faculty Umm Al-Qura University, College of Public Health and Health Informatics Hospital, Saudi Arabia

³Medical Pharmacology, Kasr Alainy School of Medicine, Cairo University, Egypt

Cite this paper:
Mona Hamdy Soliman, Roqaya Ali Alqahtani, Bashyer Alhothali, Soulaf Alsaeed and Soha Aly Elmorsy. The Effect of Health Coaching and Education on the Control of Type 2 Diabetes: A Randomized Controlled Trial. American Journal of Public Health Research. 2022; 10(1):27-31. doi: 10.12691/ajphr-10-1-5

Abstract

Aims/hypothesis: This study aims to test the effect of health coaching and education on the control of Type 2 diabetes in terms of HbA1c. Methods: We enrolled 123 participants; (61 control and 62 intervention). This randomized controlled trial compared usual care with an intervention that entailed health-coaching skills. The inclusion criteria as follows: age 18 years, HbA1c 6.5 or more and diagnosed with Type 2 diabetes. The data were collected from the outcome measures at baseline and after three months of follow up. The primary outcome was HbA1c; secondary outcome was BMI (Body Mass Index). The data were analyzed using linear regression. Results: The participants in the intervention group had significant improvements in HbA1c (Diabetes Empowerment Scale, with a mean difference of 1.78 % compared to that of the control group (p=0.032) and a decrease in BMI (with a mean difference of 0.9 kg/m² compared to that of the control group, p <0.001). Conclusions: Diabetes health coaching has an Major role in healthcare that facilitates self-care, behavior change and offers frequent follow up and support. Health coaching for those with diabetes is an effective intervention for improving glycemic control.

Keywords:
diabetes mellitus world health organization glycosylated hemoglobin king abdullah medical city body mass index health coaching

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]	Y. Zhang and L. Chu, “Effectiveness of Systematic Health Education Model for Type 2 Diabetes Patients,” Jul. 2018.
[2]	D. W. Brison, “Definition, diagnosis, and classification of Diabetes Mellitus and it complications.” 2017.
[3]	“Saudi Diabetes Clinical Practice Guidelines (SDCPG) Saudi National Diabetes Center ( SNDC ),” 2021.
[4]	The Emerging Risk Factors Collaboration, “Diabetes mellitus, fasting blood glucose concentration, and risk of vascular disease: a collaborative meta-analysis of 102 prospective studies,” Jun. 2010.
[5]	A. Nanditha et al., “A pragmatic and scalable strategy using mobile technology to promote sustained lifestyle changes to prevent type 2 diabetes in India and the UK: a randomised controlled trial,” Mar. 2020.
[6]	R. R. A. Bourne et al., “Causes of vision loss worldwide, 1990–2010: a systematic analysis,” Dec. 2013.
[7]	S. Al Nohair, “Effectiveness of Levels of Health Education on HbA1c in Al-Qassim Region , Saudi Arabia,” Nov. 2013.
[8]	D. Sherifali, V. Viscardi, J.-W. Bai, and R. M. U. Ali, “Evaluating the Effect of a Diabetes Health Coach in Individuals with Type 2 Diabetes,” Feb. 2016.
[9]	R. Q. Wolever et al., “Integrative Health Coaching for Patients With Type 2 Diabetes,” Jul. 2010.
[10]	“KAMC Policy: Health Education for Patient and Family.,” 2019.
[11]	H. Bahwirth, Practitioner in Coaching Handbook. 2017.
[12]	A. Kirk, N. Mutrie, P. MacIntyre, and M. Fisher, “Effects of a 12-month physical activity counselling intervention on glycaemic control and on the status of cardiovascular risk factors in people with Type 2 diabetes,” May 2004.
[13]	M. McLeod et al., “Impact of a comprehensive digital health programme on HbA1c and weight after 12 months for people with diabetes and prediabetes: a randomised controlled trial,” Dec. 2020.