What is meant by coaching a patient as it relates to community resources?

1. Bodenheimer T, Willard-Grace R, Ghorob A. Expanding the roles of medical assistants: who does what in primary care? JAMA Intern Med. 2014; 174(7): 1025–1026. [PubMed] [Google Scholar]

2. Ghorob A. Health coaching: teaching patients how to fish. Fam Pract Manag. 2013; 20(3): 40–42. [PubMed] [Google Scholar]

3. Brodin N, Eurenius E, Jensen I, Nisell R, Opava CH; PARA Study Group. Coaching patients with early rheumatoid arthritis to healthy physical activity: a multicenter, randomized, controlled study. Arthritis Rheum. 2008; 59(3): 325–331. [PubMed] [Google Scholar]

4. Benzo R, Vickers K, Novotny PJ, et al. Health coaching and chronic obstructive pulmonary disease re-hospitalization. A randomized study. Am J Respir Crit Care Med. 2016; 194(6): 672–680. [PMC free article] [PubMed] [Google Scholar]

5. Thom DH, Ghorob A, Hessler D, De Vore D, Chen E, Bodenheimer TA. Impact of peer health coaching on glycemic control in low-income patients with diabetes: a randomized controlled trial. Ann Fam Med. 2013; 11(2): 137–144. [PMC free article] [PubMed] [Google Scholar]

6. Turner BJ, Hollenbeak CS, Liang Y, Pandit K, Joseph S, Weiner MG. A randomized trial of peer coach and office staff support to reduce coronary heart disease risk in African-Americans with uncontrolled hypertension. J Gen Intern Med. 2012; 27(10): 1258–1264. [PMC free article] [PubMed] [Google Scholar]

7. Daaleman TP, Fisher EB. Enriching patient-centered medical homes through peer support. Ann Fam Med. 2015; 13(Suppl 1): S73–S78. [PMC free article] [PubMed] [Google Scholar]

8. Fisher EB, Ballesteros J, Bhushan N, et al. Key features of peer support in chronic disease prevention and management. Health Aff (Millwood). 2015; 34(9): 1523–1530. [PubMed] [Google Scholar]

9. Ruggiero L, Moadsiri A, Butler P, et al. Supporting diabetes self-care in underserved populations: a randomized pilot study using medical assistant coaches. Diabetes Educ. 2010; 36(1): 127–131. [PMC free article] [PubMed] [Google Scholar]

10. Willard-Grace R, Chen EH, Hessler D, et al. Health coaching by medical assistants to improve control of diabetes, hypertension, and hyperlipidemia for low-income patients: a randomized controlled trial. Ann Fam Med. 2015; 13(2): 130–138. [PMC free article] [PubMed] [Google Scholar]

11. Fisher EB, Strunk RC, Highstein GR, et al. A randomized controlled evaluation of the effect of community health workers on hospitalization for asthma. Arch Pediatr Adoles Med. 2009; 163(3): 225–232. [PubMed] [Google Scholar]

12. Balaban RB, Galbraith AA, Burns ME, Vialle-Valentin CE, Larochelle MR, Ross-Degnan D. A patient navigator intervention to reduce hospital readmissions among high-risk safety-net patients: a randomized controlled trial. J Gen Intern Med. 2015; 30(7): 907–915. [PMC free article] [PubMed] [Google Scholar]

13. Babamoto KS, Sey KA, Camilleri AJ, Karlan VJ, Catalasan J, Morisky DE. Improving diabetes care and health measures among Hispanics using community health workers: results from a randomized controlled trial. Health Educ Behav. 2009; 36(1): 113–126. [PubMed] [Google Scholar]

14. Palmas W, March D, Darakjy S, et al. Community health worker interventions to improve glycemic control in people with diabetes: a systematic review and meta-analysis. J Gen Intern Med. 2015; 30(7): 1004–1012. [PMC free article] [PubMed] [Google Scholar]

15. Philis-Tsimikas A, Fortmann A, Lleva-Ocana L, Walker C, Gallo LC. Peer-led diabetes education programs in high-risk Mexican Americans improve glycemic control compared with standard approaches: a Project Dulce promotora randomized trial. Diabetes Care. 2011; 34(9): 1926–1931. [PMC free article] [PubMed] [Google Scholar]

16. Spencer MS, Rosland AM, Kieffer EC, et al. Effectiveness of a community health worker intervention among African American and Latino adults with type 2 diabetes: a randomized controlled trial. Am J Public Health. 2011; 101(12): 2253–2260. [PMC free article] [PubMed] [Google Scholar]

17. Ivey SL, Tseng W, Kurtovich E, et al. Evaluating a culturally competent health coach intervention for Chinese-American patients with diabetes. Diabetes Spectr. 2012; 25(2): 93–102. [PMC free article] [PubMed] [Google Scholar]

18. Margolius D, Bodenheimer T, Bennett H, et al. Health coaching to improve hypertension treatment in a low-income, minority population. Ann Fam Med. 2012; 10(3): 199–205. [PMC free article] [PubMed] [Google Scholar]

19. Kivelä K, Elo S, Kyngäs H, Kääriäinen M. The effects of health coaching on adult patients with chronic diseases: a systematic review. Patient Educ Couns. 2014; 97(2): 147–157. [PubMed] [Google Scholar]

20. Thackeray R, Merrill RM, Neiger BL. Disparities in diabetes management practice between racial and ethnic groups in the United States. Diabetes Educ. 2004; 30(4): 665–675. [PubMed] [Google Scholar]

21. Chapman S, Marks A, Chan M. Research Brief: The Increasing Role of Medical Assistants in Small Primary Care Physician Practice: Key Issues and Policy Implications. San Francisco, CA: Center for the Health Professions, University of California San Francisco; 2010. [Google Scholar]

22. Bennett HD, Coleman EA, Parry C, Bodenheimer T, Chen EH. Health coaching for patients with chronic illness. Fam Pract Manag. 2010; 17(5): 24–29. [PubMed] [Google Scholar]

23. UCSF Center for Excellence in Primary Care. Health coaching. http://cepc.ucsf.edu/health-coaching Accessed Oct 15, 2016.

24. Wagner EH, Austin BT, Von Korff M. Organizing care for patients with chronic illness. Milbank Q. 1996; 74(4): 511–544. [PubMed] [Google Scholar]

25. Prochaska JO, Velicer WF. The transtheoretical model of health behavior change. Am J Health Promot. 1997; 12(1): 38–48. [PubMed] [Google Scholar]

26. Linden A, Butterworth SW, Prochaska JO. Motivational interviewing-based health coaching as a chronic care intervention. J Eval Clin Pract. 2010; 16(1): 166–174. [PubMed] [Google Scholar]

27. Strauss A, Corbin J. Basics of Qualitative Research: Grounded Theory: Procedures and Techniques. Newbury Park, CA: Sage Publications; 1990. [Google Scholar]

28. Patton MQ. Enhancing the quality and credibility of qualitative analysis. Health Serv Res. 1999; 34(5 Pt 2): 1189–1208. [PMC free article] [PubMed] [Google Scholar]

29. Janz NK, Becker MH. The health belief model: a decade later. Health Educ Q. 1984; 11(1): 1–47. [PubMed] [Google Scholar]

30. Ajzen I, Albarracin D, Hornick R, eds. Prediction and Change of Health Behavior: Applying the Reasoned Action Approach. Mahwah, NJ: Lawrence Erlbaum Associates; 2007. [Google Scholar]

31. Tannahill A. Health promotion: the Tannahill model revisited. Public Health. 2009; 123(5): 396–399. [PubMed] [Google Scholar]

32. Ryan P. Integrated theory of health behavior change: background and intervention development. Clin Nurse Spec. 2009; 23(3): 161–170, quiz 171–172. [PMC free article] [PubMed] [Google Scholar]

33. Howard LM, Hagen BF. Experiences of persons with type II diabetes receiving health coaching: an exploratory qualitative study. Educ Health (Abingdon). 2012; 25(1): 66–69. [PubMed] [Google Scholar]

34. Parry C, Kramer HM, Coleman EA. A qualitative exploration of a patient-centered coaching intervention to improve care transitions in chronically ill older adults. Home Health Care Serv Q. 2006; 25(3–4): 39–53. [PubMed] [Google Scholar]

35. Katigbak C, Van Devanter N, Islam N, Trinh-Shevrin C. Partners in health: a conceptual framework for the role of community health workers in facilitating patients’ adoption of healthy behaviors. Am J Public Health. 2015; 105(5): 872–880. [PMC free article] [PubMed] [Google Scholar]

36. Joseph-Williams N, Elwyn G, Edwards A. Knowledge is not power for patients: a systematic review and thematic synthesis of patient-reported barriers and facilitators to shared decision making. Patient Educ Couns. 2014; 94(3): 291–309. [PubMed] [Google Scholar]

37. Willard-Grace R, Najmabadi A, Araujo C, et al. “I Don’t See Myself as a Medical Assistant Anymore”: Learning to Become a Health Coach, in our Own Voices. i.e.: inquiry in education Digital Commons at NLU. 2013; 4(2). http://digitalcommons.nl.edu/ie/vol4/iss2/2. Published Nov 11, 2013 Accessed Oct 15, 2016. [Google Scholar]

38. Dubé K, Willard-Grace R, O’Connell B, et al. Clinician perspectives on working with health coaches: a mixed methods approach. Fam Syst Health. 2015; 33(3): 213–221. [PubMed] [Google Scholar]

39. Stacey D, Kryworuchko J, Bennett C, Murray MA, Mullan S, Légaré F. Decision coaching to prepare patients for making health decisions: a systematic review of decision coaching in trials of patient decision AIDS. Med Decis Making. 2012; 32(3): E22–E33. [PubMed] [Google Scholar]

40. Elwyn G, Frosch D, Volandes AE, Edwards A, Montori VM. Investing in deliberation: a definition and classification of decision support interventions for people facing difficult health decisions. Med Decis Making. 2010; 30(6): 701–711. [PubMed] [Google Scholar]


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Participant Characteristics (N = 118)

CharacteristicFocus Groups (n = 30)aInterviews
Patients (n = 42)Family/Friends (n = 17)Health Coaches (n = 17)Clinicians (n = 20)
Age, mean (SD), y55.5 (9.9)53.8 (8.0)48.9 (14.8)29.0 (5.0)42.7 (12.4)
Female, No. (%)20 (66.7)26 (61.9)12 (70.6)10 (58.8)12 (60.0)
English primary language, No. (%)17 (56.7)22 (52.4)9 (52.9)17 (100)20 (100)
Race/ethnicity, No (%)
 Latino/Hispanic14 (46.7)20 (48)8 (47.1)10 (58.8)3 (15.0)
 Black/African American9 (30.0)12 (28.5)6 (35.3)0 (0)1 (5.0)
 White, non-Hispanic3 (10.0)4 (9.5)1 (5.9)1 (5.9)12 (60.0)
 Asian/Pacific Islander1 (3.3)4 (9.5)2 (11.8)5 (29.4)3 (15.0)
 Other3 (10.0)2 (4.8)0 (0.0)1 (5.9)1 (5.0)
Education, No. (%)b
 Less than high school9 (30.0)8 (19.0)3 (17.6)0 (0)NA
 Some high school5 (16.7)8 (19.0)3 (17.6)0 (0)NA
 High school graduate5 (16.7)9 (21.4)4 (23.5)0 (0)NA
 Some college6 (20.0)5 (11.9)3 (17.6)6 (35.3)NA
 College graduate4 (13.3)12 (28.5)4 (23.5)11 (64.7)NA
Employment, No. (%)
 Disabled10 (33.3)18 (42.9)1 (5.9)NANA
 Retired4 (13.3)4 (9.5)3 (17.6)NANA
 Homemaker4 (13.3)2 (4.8)2 (11.8)NANA
 Employed full or part time4 (13.3)18 (42.9)10 (58.8)NANA
 Unemployed5 (16.7)0 (0)1 (5.9)NANA
 Other or missing3 (10.0)0 (0)0 (0)NANA
Born outside United States, No. (%)16 (53.3)24 (57.1)8 (47.1)NANA