72 Participants Needed

Health Coaching for Cardiovascular Disease

BS
MK
Overseen ByMaryanna Klatt, PhD
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

For patients discharged with a diagnosis of cardiovascular disease coronary artery disease resulting in myocardial infarction and/or congestive heart failure, this study will evaluate if the addition of 12 virtual health coaching sessions over the course of 16 weeks will improve physiological, psychological, and social health outcomes, prove acceptable and satisfactory for these patients with CVD, decrease CVD-related questions and concerns sent to the provider via MyChart, and reduce hospital readmission rates over a 90-day period as compared to patients discharged with the same diagnosis who receive standard post-discharge care. The study will also evaluate the perceptions of physician and advanced practice providers related to the health coach as part of the interprofessional team and the amount of time spent addressing CVD-related patient questions and concerns via MyChart messages.

Do I need to stop my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications. It seems likely that you can continue your medications, as the study focuses on health coaching rather than medication changes.

Is health coaching safe for humans?

Health coaching has been shown to be safe and well-accepted in various studies, including those involving cardiovascular disease risk factors. It involves non-medical personnel providing support and encouragement for behavior change, and has been successfully tested in different settings with high acceptance and feasibility among participants.12345

How does health coaching differ from other treatments for cardiovascular disease?

Health coaching is unique because it focuses on helping patients manage their own health through lifestyle changes and behavior modification, rather than relying solely on medication. It involves regular support and encouragement from a coach, which can be tailored to cultural needs, making it a personalized and cost-effective approach to reducing cardiovascular risk.14567

What data supports the effectiveness of the treatment Health Coaching for Cardiovascular Disease?

Research shows that health coaching can help people with cardiovascular risk factors improve their physical activity, diet, and stress management, which are important for heart health.5891011

Who Is on the Research Team?

BS

Beth Steinberg, PhD, RN

Principal Investigator

Ohio State University

Are You a Good Fit for This Trial?

This trial is for patients recently discharged with cardiovascular diseases like heart attack or heart failure. Participants should have had a myocardial infarction or congestive heart failure and be willing to attend virtual health coaching sessions.

Inclusion Criteria

Physical condition effectively managed by routine healthcare and not requiring urgent medical attention
I have heart disease that led to a heart attack and/or heart failure.
Ability to communicate in English
See 1 more

Exclusion Criteria

Resident of extended care/skilled facility
Prisoners or ward of state
Current alcohol or drug dependency
See 1 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive 12 virtual health coaching sessions over 16 weeks post-discharge

16 weeks
12 visits (virtual)

Follow-up

Participants are monitored for safety and effectiveness after treatment, including hospital readmissions and MyChart messages

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Health Coaching
Trial Overview The study tests if adding 12 virtual health coaching sessions over 16 weeks can improve health outcomes, patient satisfaction, reduce questions to providers via MyChart, and lower hospital readmission rates compared to standard care after discharge.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Health Coaching Intervention GroupExperimental Treatment1 Intervention
Group II: Standard Care GroupActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Ohio State University

Lead Sponsor

Trials
891
Recruited
2,659,000+

Published Research Related to This Trial

Patients referred to health coaching by their physician were much more likely to enroll (21.0% vs 6.0%) and complete the program (8.5% vs 2.7%) compared to those identified through insurer outreach, highlighting the importance of physician involvement in patient engagement.
Both groups showed significant improvements in health risk levels after health coaching, indicating that health coaching can effectively reduce health risks regardless of the referral source, but physician referrals greatly enhance participation.
Impact of Physician Referral to Health Coaching on Patient Engagement and Health Risks: An Observational Study of UPMC's Prescription for Wellness.Parkinson, MD., Hammonds, T., Keyser, DJ., et al.[2021]
In a study involving 441 low-income patients with poorly controlled chronic conditions, those who received 12 months of health coaching showed a significant increase in trust towards their primary care providers compared to those receiving usual care.
The increase in trust was measured using the Trust in Physician Scale, with health coaching resulting in a mean trust level increase of 3.9 compared to 1.5 in the usual care group, suggesting that integrating health coaches into primary care could strengthen patient-provider relationships.
Does health coaching change patients' trust in their primary care provider?Thom, DH., Hessler, D., Willard-Grace, R., et al.[2022]
This review analyzed five studies on life coaching interventions in healthcare, finding that while the evidence is limited, some patients, particularly those who typically do not respond well to standard interventions, showed promising improvements in health outcomes like HbA1c levels.
The studies suggest that life coaching may enhance self-efficacy and self-empowerment, indicating that alternative communication and approaches in patient care can lead to better engagement and outcomes for disadvantaged patients.
Can life coaching improve health outcomes?--A systematic review of intervention studies.Ammentorp, J., Uhrenfeldt, L., Angel, F., et al.[2022]

Citations

Effects of health coaching on behavioral modification among adults with cardiovascular risk factors: Systematic review and meta-analysis. [2021]
Impact of Physician Referral to Health Coaching on Patient Engagement and Health Risks: An Observational Study of UPMC's Prescription for Wellness. [2021]
Does health coaching change patients' trust in their primary care provider? [2022]
Can life coaching improve health outcomes?--A systematic review of intervention studies. [2022]
Improving awareness, accountability, and access through health coaching: qualitative study of patients' perspectives. [2018]
A culturally specific health coaching program targeting cardiovascular disease risk in South Asians: rationale, design, and baseline data. [2013]
Reversing social disadvantage in secondary prevention of coronary heart disease. [2014]
[Health counseling in primary care doctors' offices: a new wind! The Health Coaching Program of the Swiss College of Primary Care Medicine]. [2015]
Coaching Patients Saves Lives and Money. [2019]
Long-term effectiveness of telephone-based health coaching for heart failure patients: A post-only randomised controlled trial. [2018]
11.United Statespubmed.ncbi.nlm.nih.gov
Health coaching: a new and exciting technique to enhance patient self-management and improve outcomes. [2019]
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