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Title: An exploration of telephone-based wellness coaching in people with type 2 diabetes.
Author: McGloin, Helen
Awarding Body: University of Ulster
Current Institution: Ulster University
Date of Award: 2011
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This study aimed to implement and explore the use of coaching as a method of supporting people to change their health behaviours. Coaching was delivered using the transtheoretical model of behaviour change, motivational interviewing and appreciative inquiry as underpinning theories. Ten participants were coached individually via the telephone over a three month period and the calls were taped. Thematic analysis was carried out using both an inductive and deductive approach. The core concepts of the behaviour change theories were used to develop the coding framework. In addition an interpretive analysis was carried out on two cases. A within subject design was used to assess the impact of coaching at baseline, three months, six months and 12 months on HbA1c, blood pressure, weight, BMI, waist circumference, self-reported physical activity levels, stage of change in relation to exercise, diabetes empowerment and diabetes distress. Focus group interviews were held with five participants and an ongoing coaching log was kept to formulate an account of the implementation and management of the intervention. The main study findings demonstrated that the transtheoretical model was a useful underpinning framework for use in coaching with participants moving through the stages of change although not in a linear fashion. All processes of change used can be linked to the transtheoretical model but not always as the model predicts. An increase in self-efficacy and a decrease in diabetes distress were found. The participants reported behaviour changes with coaching and identified the attributes of the coaching relationship that are essential to supporting change. Short term benefits were seen in physiological variables at three months but these deteriorated with the cessation of the intervention indicating the need for continuous support. The intervention showed high acceptability and low attrition and warrants further exploration in a clinical trial.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available