Sarah Nouri|Laura J. Damschroder|Maren K. Olsen|Jennifer M. Gierisch|Angela Fagerlin|Linda Sanders|Felicia McCant|Eugene Ž. Oddone
Health Coaching Has Differential Effects on Veterans with Limited Health Literacy and Numeracy: a Secondary Analysis of ACTIVATE
University of California, San Francisco|VA Center for Clinical Management Research|VA Ann Arbor Healthcare System|Duke Medical Center|VA Center for Clinical Management Research|VA Ann Arbor Healthcare System|Center for Innovation|Duke Medical Center|Durham VA Health Care System|Duke Medical Center
health coaching effective behavior change strategy understanding differential impact health coaching patients low health literacy well investigated determine whether telephone coaching intervention would result similar improvements enrollment prevention programs patient activation among veterans low versus high health literacy specifically reading literacy numeracy secondary analysis randomized controlled trial four hundred seventeen veterans least one modifiable risk factor current smoker bmi 30 150 min moderate physical activity weekly singleitem assessment health literacy subjective numeracy scale assessed baseline logistic regression general linear longitudinal models used examine differential impact intervention compared control enrollment prevention programs changes patient activation measures pam scores among patients low versus high health literacy coaching intervention resulted higher enrollment prevention programs improvements pam scores compared usual care regardless baseline health literacy coaching intervention greater effect probability enrollment prevention programs patients low numeracy intervention vs control difference 031 95 ci 018 045 compared high numeracy 013 95 ci 001 027 low compared high differential effect clinically statistically significant 018 95 ci 001 038 p 007 among patients high numeracy intervention group greater increases pam compared control group 6 months mean difference improvement 48 95 ci 17 79 p 0003 led clinically statistically significant differential intervention effect low vs high numeracy 46 95 ci 91 015 p 004 suggest health coaching may particularly beneficial behavior change strategies populations low numeracy interpretation health risk information part intervention nct01828567