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The Health Coach Approach: A Secondary Analysis on the Association Between Remote Health Wellness Coaching and Body
Kathleen N Heeter1, Kyle A Kercher2, Jonathan T Macy1
1Department of Applied Health Science, School of Public Health-Bloomington, Indiana University, Bloomington, IN, USA (KNH, JTM, AC).
American Journal of Lifestyle Medicine
|February 6, 2026
Summary
A 3-month health and wellness coaching program improved body appreciation (BA) in women. Higher baseline depression correlated with greater BA improvement, while better muscular endurance showed the opposite effect.
Area of Science:
- Behavioral Science
- Psychology
- Health and Wellness
Background:
- Body image and body appreciation (BA) are crucial for lifelong wellness, not just a young adult concern.
- Understanding factors influencing BA across different life stages is important for public health.
Purpose of the Study:
- To examine the impact of a 3-month health and wellness coaching (HWC) program on BA.
- To investigate the relationship between baseline physical and mental health measures and changes in BA.
Main Methods:
- 100 women participated in a 3-month HWC program.
- BA, mental health, and physical health measures were collected before and after the intervention.
- Stepwise linear regression analyzed the association between baseline health measures and BA changes.
Main Results:
- Higher baseline depression was associated with greater improvement in BA (β = 0.033, P < 0.05).
- Higher baseline muscular endurance was linked to less improvement in BA (β = -0.022, P < 0.01).
Conclusions:
- A 3-month HWC program shows potential for enhancing BA in women.
- Intervention effects on BA may be more pronounced in women with higher initial depression levels.
- Causation cannot be definitively established due to the absence of a control group.
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