Patient Engagement in Health Coaching and Self-Management Abilities in Chronic Obstructive Pulmonary Disease.
Maria V Benzo, Sydney S Kelpin, Brooke Werneburg, Johanna Hoult, Matthew M Clark, Paul Novotny, Roberto Benzo
Author Information
Maria V Benzo: Mindful Breathing Lab, Mayo Clinic, Rochester, MN, USA (MVB, JH, RB); Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA (SSK, MMC); Patient Experience-Training, Education & Coaching, Mayo Clinic, Rochester, MN, USA (BW); and Research Services, Mayo Clinic, Rochester, MN, USA (PN). ORCID
Sydney S Kelpin: Mindful Breathing Lab, Mayo Clinic, Rochester, MN, USA (MVB, JH, RB); Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA (SSK, MMC); Patient Experience-Training, Education & Coaching, Mayo Clinic, Rochester, MN, USA (BW); and Research Services, Mayo Clinic, Rochester, MN, USA (PN).
Brooke Werneburg: Mindful Breathing Lab, Mayo Clinic, Rochester, MN, USA (MVB, JH, RB); Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA (SSK, MMC); Patient Experience-Training, Education & Coaching, Mayo Clinic, Rochester, MN, USA (BW); and Research Services, Mayo Clinic, Rochester, MN, USA (PN).
Johanna Hoult: Mindful Breathing Lab, Mayo Clinic, Rochester, MN, USA (MVB, JH, RB); Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA (SSK, MMC); Patient Experience-Training, Education & Coaching, Mayo Clinic, Rochester, MN, USA (BW); and Research Services, Mayo Clinic, Rochester, MN, USA (PN).
Matthew M Clark: Mindful Breathing Lab, Mayo Clinic, Rochester, MN, USA (MVB, JH, RB); Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA (SSK, MMC); Patient Experience-Training, Education & Coaching, Mayo Clinic, Rochester, MN, USA (BW); and Research Services, Mayo Clinic, Rochester, MN, USA (PN).
Paul Novotny: Mindful Breathing Lab, Mayo Clinic, Rochester, MN, USA (MVB, JH, RB); Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA (SSK, MMC); Patient Experience-Training, Education & Coaching, Mayo Clinic, Rochester, MN, USA (BW); and Research Services, Mayo Clinic, Rochester, MN, USA (PN).
Roberto Benzo: Mindful Breathing Lab, Mayo Clinic, Rochester, MN, USA (MVB, JH, RB); Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA (SSK, MMC); Patient Experience-Training, Education & Coaching, Mayo Clinic, Rochester, MN, USA (BW); and Research Services, Mayo Clinic, Rochester, MN, USA (PN).
: Health coaching has the potential to improve self-management abilities (SM) in patients with Chronic Obstructive Pulmonary Disease (COPD). Patient engagement with health care providers has a beneficial effect on patient outcomes. We examined the association of patient engagement with the health coach on SM abilities in patients with COPD. : We analyzed the association between the degree of engagement measured by the Working Alliance Inventory (WAI-SR) and the SM measured by the Self-Management-Ability-Scale-30 (SMAS-30) at the end of a COPD health coaching intervention. : The cohort included 146 moderate to severe COPD patients. The WAI-SR total score was 85% of the maximum possible scores indicating a high degree of engagement between the health coach and the patients. The WAI-SR Task and Bond domains were positively associated with SM abilities after adjusting for lung function (FEV1 %) and depression symptoms (PHQ-2). : The degree of engagement between a health coach and patients is associated with the perception of SM abilities in patients with COPD. Our results may inform self-management intervention and clinical practice.
