Training in health coaching skills for health professionals who work with people with progressive neurological conditions: A realist evaluation
Open Access
- 28 May 2020
- journal article
- research article
- Published by Wiley in Health Expectations
- Vol. 23 (4), 919-933
- https://doi.org/10.1111/hex.13071
Abstract
Background Supporting people to self‐manage their long‐term conditions is a UK policy priority. Health coaching is one approach health professionals can use to provide such support. There has been little research done on how to train clinicians in health coaching or how to target training to settings where it may be most effective. Objective To develop theories to describe how training health professionals in health coaching works, for whom and in what circumstances, with a focus on those working with people with progressive neurological conditions. Design Realist evaluation using mixed methods (participant observation, pre‐ and post‐training questionnaires, and telephone interviews with participants and trainers). Realist data analysis used to develop and refine theories. Intervention Two 1‐day face‐to‐face training sessions in health coaching with 11 weeks between first and second days. Setting and participants Twenty health‐care professionals who work with people with neurological conditions in the UK, two training facilitators. Results Four theories were developed using context‐mechanism‐outcome configurations to describe how training triggers critical reflection; builds knowledge, skills and confidence; how participants evaluate the relevance of the training; and their experiences of implementing the training. Some participants reported a major shift in practice, and others implemented the training in more limited ways. Discussion Fully embracing the role of coach is difficult for health professionals working in positions and settings where their clinical expertise appears most highly valued. Conclusions Training should address the practicality of using coaching approaches within existing roles, while organizations should consider their role in facilitating implementation.Keywords
Funding Information
- Novartis Pharmaceuticals UK Limited
- Health and Care Research Wales
This publication has 46 references indexed in Scilit:
- Coaching for health: holding the curtains so patients can changeBritish Journal of General Practice, 2013
- Strategies to enhance venous thromboprophylaxis in hospitalized medical patients (SENTRY): a pilot cluster randomized trialImplementation Science, 2013
- A realist diagnostic workshopEvaluation, 2012
- Self-managing versus self-management: reinvigorating the socio-political dimensions of self-managementChronic Illness, 2010
- Health Coaching to Improve Healthy Lifestyle Behaviors: An Integrative ReviewAmerican Journal of Health Promotion, 2010
- Facilitators and barriers to engagement in physical activity for people with multiple sclerosis: a qualitative investigationDisability and Rehabilitation, 2010
- Using mixed methods research in medical education: basic guidelines for researchersMedical Education, 2009
- Role theory: A framework to investigate the community nurse role in contemporary health care systemsContemporary Nurse, 2007
- Methods of coping with social desirability bias: A reviewEuropean Journal of Social Psychology, 1985
- Stages and processes of self-change of smoking: Toward an integrative model of change.Journal of Consulting and Clinical Psychology, 1983