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Wellness coaches in intervention delivery: pediatric asthma as an example
Randi Streisand1,2, Damian Waters1, Naja Fousheé1
1Children's National Health System, Center for Translational Science, Washington, DC, USA.
Translational Behavioral Medicine
|June 30, 2018
Summary
Wellness coaches effectively delivered a stress management program to parents of children with asthma. The intervention was feasible, acceptable, and showed high fidelity, suggesting potential for broader use in pediatric care.
Area of Science:
- Pediatric pulmonology
- Behavioral health
- Health services research
Background:
- Pediatric asthma is a common chronic illness.
- Parental psychosocial stress negatively impacts child asthma outcomes.
- Interventions targeting parental stress for pediatric asthma are limited.
Purpose of the Study:
- To assess the feasibility and acceptability of using wellness coaches in a parent-focused stress management intervention for pediatric asthma.
- To describe the implementation of intervention strategies.
Main Methods:
- A randomized controlled trial intervention group of 107 African American parents of children (aged 4-12) with persistent asthma was studied.
- Two wellness coaches were recruited, trained, and delivered a four-session intervention.
- Data collected included feasibility of recruitment/training, intervention delivery/fidelity, and participant acceptability.
Main Results:
- Wellness coach recruitment and training were feasible.
- The majority (79%) of intervention sessions were completed with high fidelity (92%-95% content coverage).
- Parents reported high acceptability of working with wellness coaches.
Conclusions:
- Utilizing wellness coaches in parent-focused stress management interventions for pediatric asthma is feasible and acceptable.
- This approach holds potential for application in other pediatric conditions and may influence clinical practice.
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