Stefan Neuner?Jehle|M. Schmid|Ueli Grüninger
The “Health Coaching” programme: a new patient-centred and visually supported approach for health behaviour change in primary care
University of Zurich|Institute of Social and Preventive Medicine|University of Zurich|Institute of Social and Preventive Medicine|University of Zurich
health related behaviour important determinant chronic disease high impact public health motivating assisting people change unfavourable health behaviour thus major challenge health professionals objective study develop structured programme counselling primary care practice test feasibility acceptance among general practitioners gps patients new concept integrates change roles shared responsibility patientcentredness modern communication techniquessuch motivational interviewing new colourcoded visual communication tool used purpose leading 4step counselling process doctors communication skills crucial communication training mandatory part programme tested feasibility acceptance health coaching programme 20 gps 1045 patients using questionnaires semistructured interviewing techniques main outcomes participation rates duration counselling patients selfrated behavioural change areas choice ratings motivational conceptual acceptance feasibility issues total 37 n350 patients enrolled step 1 completed entire 4step counselling process step taking 822 minutes 50 ratings n303 improved one two categories threecolour circle proportion favourable health behaviour ratings increased 9 39 ratings motivation concept acceptance feasibility health coaching programme consistently high innovative patientcentred counselling programme health behaviour change well accepted feasible among patients physicians primary care setting randomised controlled studies establish costeffectiveness promote dissemination