Heather M. Young|Sheridan Miyamoto|Deborah Ward|Madan Dharmar|Yajarayma Tang-Feldman|Lars Berglund
Sustained Effects of a Nurse Coaching Intervention via Telehealth to Improve Health Behavior Change in Diabetes
UC Davis Health System|University of California, Davis|UC Davis Health System|University of California, Davis|UC Davis Health System|University of California, Davis|University of California Davis Medical Center|UC Davis Health System|University of California, Davis|University of California, Davis
backgrounddiabetes educators selfmanagement programs scarce rural communities diabetes third highestranking health concern goal study evaluate benefits nurse telehealth coaching persons diabetes living rural communities personcentered approach using motivational interviewing mi techniquesmaterials methodsa randomized experimental study design used assign participants receive either nurse telehealth coaching five sessions intervention group usual care control group outcomes measured groups using diabetes empowerment scale des sf12 satisfaction surveys mean scores outcome compared baseline 9month followup groups using students test also evaluated change baseline estimating difference differences pre postintervention using regression methodsresultsamong 101 participants included analysis 51 received nurse telehealth coaching 50 received usual care found significantly higher selfefficacy scores intervention group compared control group based des 9 months 403 versus 364 respectively p005 difference difference estimation 042 p005conclusionsthe nurse mitelehealth coaching model used study shows promise effective intervention diabetes selfmanagement rural communities sustained effect outcomes observed intervention group suggests model could feasible intervention longterm behavioral change among persons living chronic disease rural communities