Health Coach Analysis: Lessons from Patient Partners - PowerPoint Presentation

1. Health Coach Analysis: Lessons from Patient PartnersOhio State’s Lead.Serve.Inspire Curriculum Authors: Amneet Bajwa, Emily DeDonat, Blake Hansen, James Melvin, Leslie Pillow, Nahid Rashid, Evan Sheets, Tyler Sheetz, Sunjay Sud, John Sun, Ana VerdeciaDate:Discussion/AnalysisThe Health Coaching experience is part of the Lead. Serve. Inspire. curriculum at The Ohio State University. This program allows students to establish longitudinal relationships with patients who are experiencing chronic health issues or struggling with habits and addictions with adverse health effects. This allows students to practice motivational techniques and helps patients achieve a healthier lifestyle. This poster summarizes the experiences of Dr. Kovalcik’s LG group and the impact that was made on its patients.Health Coaching: The Student ExperienceResultsInterpretation of ResultsMost of the goals set by our patients revolved around exercise and eating healthier. It appears that patients were able to effectively meet goals when only one of these categories was selected, but patients could not achieve both simultaneously.Lessons LearnedOur experiences with health coaching demonstrate the importance of encouraging action-based goals rather than outcome-based goals. Most of the patients were very enthusiastic about making extensive lifestyle changes. As a result, they were often disappointed when the outcomes did not match their initial optimism. Ultimately, this program successfully helped most of the patients make meaningful lifestyle changes and helped them realize the importance of pursuing action-based goals. Teaching that actions are equally important to outcomes will be an integral part of our practice in the future.Health Coaching Partners: The Patient/Partner Experience Summary of outcomes: goals achieved, not achievedSummary of Key Descriptive or Results DataDiscussion of best practicesMany physicians find it difficult to provide sufficient care for patients with chronic illnesses. These patients often do not receive adequate therapy and have poor control of their chronic conditions (1). Studies have shown that care for chronically ill patients can be improved through disease management programs that focus on frequent planned appointments with physicians, regular assessments, and a shift towards self-management (2). The role of a health coach is to guide patients through the process of picking health goals that patients will be able to incorporate into their lives. Eventually, as patients continue accomplishing their set goals, they will gain more confidence in their abilities to manage their chronic conditions (3). Since all of the students followed this general outline of health coaching, 91% of the class had patients who met their goals or were in the process of meeting their goals, and improving their disease management. References1. Wagner EH. Managed care and chronic illness: health services research needs. Health Serv Res. 1997;32:702-14.2. Wagner EH. Chronic Disease Management: What Will It Take to Improve Care for Chronic Illness? Eff Clin Pract. 1998 Aug-Sep;1(1):2-43. Bennett HD, Coleman, EA, Parry C, Bodenheimer T, Chen EH. Health Coaching for Patients with Chronic Illness. Fam Pract. Manag. 2010 Sep-Oct;17(5):24-29The patients seen by the students in our group exhibited a variety of goals, health concerns, and covered a wide range of ages. Most of the patients’ ages were centered around mid to late adulthood, with an average age of 57 years. There were 8 female participants and 3 males. In terms of their medical conditions, there were no unifying trends, perhaps due to the small sample size. Most commonly seen were obesity and diabetes, although this was by no means universal. Ultimately, the patients had various health conditions that represented a wide spectrum of the population, and the goals of the patient group were as diverse as the patients themselves. It is worth mentioning, however, that the younger patients preferred to pursue goals directed at mitigating stress, whereas older patients preferred to select goals intended to directly improve physical health, such as diet and exercise.

2. Instructions for Health Coaching ePosterStudent NamePatient AgePatient GenderPatient SourceMedical ConditionsPatient Goal or GoalsGoal achieved, partially, or not achieved.Emily DeDonato70FLP - OSU GI clinicIgG deficiency, stressreduce stress level partially Sunjay Sud68FAssigned by OSUCOMLiver TransplantLose 5 lbs.NotEvan Sheets85MAssigned by OSUCOMT2 DiabetesWalk 15 min/dayAchievedWilliam Melvin25MCommunity InsomniaBuild a healthy sleep scheduleAchievedNahid Rashid60FAssigned by OSUCOMOverweight Exercise 3 times a weekAchieved John Sun 54MLP – OSU GI oncology clinicConon cancerWalk a mile every day for a monthPartially Blake Hansen26FAssigned by OSUCOMInactivity, stressAttend yoga 4x a weekAchievedTyler Sheetz65FLP – OSU GI clinicChronic pancreatitis, hypertensionReduce fast food consumption, exercise 1x/week, yoga 1-2x/weekAchievedLeslie Pillow 36FAssigned by OSUCOMAsthma Eliminate snack consumption, eat smaller portionsAchievedAmneet Bajwa 60FLP-Capital City MedicineOverweight, DiabetesEat three times a dayAchieved Ana Verdecia87 F Assigned Congestive heart failure Eat a healthier diet and exercisePartiallySummary of key descriptive or results dataGoals achieved, partially, or not achieved