Health Coaching for Healthy Aging

Recruiting in Palo Alto (17 mi)

Age: 18+

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Recruiting

Sponsor: University of Michigan

Disqualifiers: Recent ER visit, New major health problem, Incurable illness, Memory issues, others

No Placebo Group

Approved in 3 Jurisdictions

Trial Summary

What is the purpose of this trial?

HealthyLifetime (HL) is a person-centered program that enables older adults to maximize health and optimize functioning - the necessary requisite to successfully remaining independent in their preferred home setting as long as possible, i.e., to age in place.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the treatment Nurse-led health coaching for healthy aging?

Research shows that nurse-led interventions can improve physical health and quality of life in people with severe mental illness, and nurse coaching has been effective in managing type 2 diabetes by promoting lifestyle changes. These findings suggest that similar approaches could be beneficial for healthy aging. ^{1 2 3 4 5}

Is health coaching safe for participants?

Health coaching, including nurse-led and wellness coaching, is generally considered safe for participants. It is a patient-centered approach that helps individuals manage their health, and there is no evidence in the research articles suggesting any safety concerns. ^{2 6 7 8 9}

How is the 'Health Coaching for Healthy Aging' treatment different from other treatments for healthy aging?

Health coaching is unique because it focuses on changing behaviors through goal-setting, education, and encouragement, rather than using medications. It often involves nurse coaches who help individuals make lifestyle changes to improve overall health and well-being, which is different from traditional medical treatments that may focus more on medication or direct medical interventions. ^{7 8 9 10 11}

Research Team

Kathleen Potempa, PhD

Principal Investigator

University of Michigan

Eligibility Criteria

This trial is for older adults who want to stay healthy and independent at home. Participants must speak English, be able to communicate their personal details, have a computer or tablet with internet, camera, and mic, and know how to use video chat in a private space.

Inclusion Criteria

Be able to read, speak English and hear - but may use glasses or hearing aids, if needed

I can provide my personal details and explain my health issues.

Have their own computer or iPad (Tablet) with an Internet connection, a working camera and microphone

Exclusion Criteria

Do not have, or cannot use, a computer, iPad or other device with the Internet at home to use Zoom (e.g., internet streaming)

I have visited the ER or been hospitalized in the last month.

Are not verified users of Medicaid Home Help services

Trial Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants engage in the HealthyLifetime program to improve self-care capacity and health-related problem solving

20 weeks

Regular check-ins at 0, 8, and 20 weeks

Follow-up

Participants are monitored for changes in health behaviors and quality of life

4 weeks

Treatment Details

Interventions

• Nurse-led health coaching (Behavioral Intervention)

Trial Overview The Healthy Lifetime program focuses on nurse-led health coaching aimed at helping seniors maintain their health and function so they can live independently in their homes for as long as possible.

Participant Groups

Group I: HealthyLifetime Group Experimental Treatment 1 Intervention

This project is designed to prepare and equip the participant for improved self-care capacity, motivational insight, health-related problem solving and decision-making.

Who Is Running the Clinical Trial?

University of Michigan

Lead Sponsor

Trials

1,891

Recruited

6,458,000+

Marschall S. Runge

University of Michigan

Chief Executive Officer since 2015

MD, PhD

Karen McConnell

University of Michigan

Chief Medical Officer since 2020

MD

Michigan Department of Health and Human Services

Collaborator

Trials

13

Recruited

10,900+

Findings from Research

A survey of 164 certified nurse coaches revealed that they frequently address conditions like anxiety/stress, cardiometabolic issues, and pain, indicating their role in managing diverse health challenges.

Nurse coaches reported significant personal benefits, including improved health behaviors and job satisfaction, suggesting that coaching not only enhances patient care but also positively impacts the coaches' own well-being.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Results of a national survey of certified nurse coaches with implications for advanced practice nurses. Ross, A., Brooks, AT., Yang, L., et al.[2019]

The nurse coaching intervention, which included educational reinforcement and psychosocial support, led to modest improvements in health-promoting behaviors and a decrease in fasting blood glucose levels among individuals with type 2 diabetes.

Participants showed significant psychosocial adaptation, suggesting that individualized nursing care after diabetes education can enhance health outcomes and quality of life for newly diagnosed patients.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The content, integrity, and efficacy of a nurse coaching intervention in type 2 diabetes. Whittemore, R., Chase, S., Mandle, CL., et al.[2018]

Nurse coaches are taking on the role of advocates for health by focusing on environmental and social factors that influence health, aligning with the principles established by Florence Nightingale.

There is a growing demand for nurse coaches to implement evidence-based strategies that promote health and support lifestyle changes, leading to new job opportunities across various health sectors.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Professional Nurse Coaching: Advances in National and Global Healthcare transformation. Dossey, BM., Hess, D.[2021]

References

1. United States pubmed.ncbi.nlm.nih.gov

Effect of a nurse-led intervention program on the physical health and quality of life of individuals with severe mental illness. [2021]

2. United States pubmed.ncbi.nlm.nih.gov

Results of a national survey of certified nurse coaches with implications for advanced practice nurses. [2019]

3. New Zealand pubmed.ncbi.nlm.nih.gov

Coaching and barriers to weight loss: an integrative review. [2022]

4. Ireland pubmed.ncbi.nlm.nih.gov

Does health coaching change patients' trust in their primary care provider? [2022]

5. United States pubmed.ncbi.nlm.nih.gov

The content, integrity, and efficacy of a nurse coaching intervention in type 2 diabetes. [2018]

6. United States pubmed.ncbi.nlm.nih.gov

Advancing the Practice of Health Coaching: Differentiation From Wellness Coaching. [2017]

7. United States pubmed.ncbi.nlm.nih.gov

Using health coaching to improve patients' BP management. [2019]

8. United States pubmed.ncbi.nlm.nih.gov

Health coaching: a fresh approach for improving health outcomes and reducing costs. [2019]

9. United States pubmed.ncbi.nlm.nih.gov

Evaluation of the effectiveness of nurse coaching in improving health outcomes in chronic conditions. [2013]

10. United States pubmed.ncbi.nlm.nih.gov

Professional Nurse Coaching: Advances in National and Global Healthcare transformation. [2021]

11. Canada pubmed.ncbi.nlm.nih.gov

The Use of Telehealth Technology to Support Health Coaching for Older Adults: Literature Review. [2021]