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Client Perspectives on Health Coaching: Insight for Improved Program Design.

Amy McQueen1, Molly L Imming2, Tess Thompson3

  • 1Associate Professor, Washington University, Health Communication Research Lab, St. Louis, MO;,

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Summary

Client perspectives on health coaching reveal a need for empathetic coaches who support behavior change. Preferences varied slightly by insurance type, with Medicaid beneficiaries showing more interest and a desire for medical education.

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Area of Science:

  • Health Services Research
  • Behavioral Science

Background:

  • Health coaching is an emerging area in healthcare delivery.
  • Understanding patient perspectives is crucial for program effectiveness.

Purpose of the Study:

  • To explore client views on health coaching programs.
  • To identify differences in perspectives based on insurance type (commercial vs. Medicaid).

Main Methods:

  • Qualitative analysis of semi-structured interviews with 140 adults.
  • Descriptive coding and directed content analysis were employed.
  • Participants were recruited regardless of prior health coaching experience.

Main Results:

  • Participants viewed physicians as health experts and coaches as behavior change supporters.
  • Desired coach attributes include empathy, motivation, accountability, and consideration of life context.
  • Medicaid beneficiaries reported less prior exposure, higher interest, and a preference for medical education from coaches.

Conclusions:

  • Client preferences for health coaches share commonalities across insurance types.
  • Tailoring coaching roles and program presentation to client expectations can enhance effectiveness and uptake.