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Health Coaching for People With Disabilities: An Exploratory Mixed-Methods Study
Krys Standley1, Craig Ravesloot1, Rayna Sage1
1Research and Training Center on Disability in Rural Communities, 307078University of Montana, Missoula, MT, USA.
American Journal of Health Promotion : AJHP
|June 20, 2022
Summary
Health coaching improved quality of life and physical activity for adults with disabilities. Key factors included tailored information, meaningful goals, and social support for behavior change.
Area of Science:
- Health promotion and disability research.
- Behavioral science and intervention studies.
Background:
- Health promotion efforts often have limited reach for individuals with disabilities.
- Tailored interventions are needed to address the unique needs of this population.
Purpose of the Study:
- To pilot a health-coaching intervention with a disability-specific curriculum.
- To evaluate the intervention's effects on health-related quality of life and health behavior change in adults with disabilities.
Main Methods:
- A mixed-methods design using pre-post surveys and semi-structured interviews.
- 39 community-dwelling adults with disabilities participated in a 12-week, one-on-one health coaching program.
- Health-Related Quality of Life (HRQOL) and health behaviors were assessed.
Main Results:
- Statistically significant improvements were observed in poor-health days (physical and mental) and physical activity.
- Engagement with disability-specific curriculum content correlated with positive outcomes.
- Qualitative data revealed tailoring, goal enthusiasm, and social support as key mechanisms.
Conclusions:
- Health coaching demonstrates effectiveness in enhancing health-related quality of life and promoting health behaviors, particularly physical activity, among people with disabilities.
- Personalized goals, tailored information, and social support are crucial elements for successful health behavior change in this population.
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