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Telephone-based health coaching for chronically ill patients: study protocol for a randomized controlled trial
Sarah Dwinger1, Jörg Dirmaier, Lutz Herbarth
1Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Martinistr 52, Hamburg 20246, Germany. s.dwinger@uke.de.
Trials
|October 19, 2013
Summary
Telephone-based health coaching shows promising results for managing chronic conditions, potentially improving patient outcomes and reducing healthcare costs. This study evaluates its effectiveness in Germany for long-term chronic disease management.
Area of Science:
- Health Services Research
- Chronic Disease Management
- Digital Health Interventions
Background:
- Rising prevalence of chronic conditions poses a significant burden on patients and healthcare systems.
- Improving patient self-management skills is crucial for better outcomes and cost reduction.
- Telephone-based health coaching is a promising, yet not fully conclusive, strategy for enhancing self-management.
Purpose of the Study:
- To evaluate the clinical and economic effects of telephone-based health coaching for chronically ill patients in Germany.
- To assess the transferability of health coaching effects to the German healthcare system.
- To provide evidence on the adequacy of health coaching for addressing the growing burden of chronic diseases.
Main Methods:
- Prospective randomized controlled trial over 4 years.
- Inclusion of patients with diabetes, coronary artery disease, asthma, hypertension, heart failure, COPD, chronic depression, or schizophrenia.
- Data collection at baseline, 12, 24, and 36 months, with primary outcome of time to hospital readmission.
Main Results:
- (Study ongoing, results not yet available) - Primary outcome: time until hospital readmission within two years.
- (Study ongoing, results not yet available) - Secondary outcomes: patient-reported outcomes (quality of life, depression, anxiety), clinical values, health service use, costs, and readmission rates.
- (Study ongoing, results not yet available) - Statistical analyses include intention-to-treat and as-treated principles.
Conclusions:
- This study will provide crucial evidence on the economic and clinical impact of telephone-delivered health coaching.
- Findings will determine the suitability of health coaching as a strategy for the German healthcare system to manage chronic diseases.
- The research aims to inform healthcare policy and practice regarding chronic condition management.
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