Annals of family medicine
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Annals of family medicine · May 2016
Randomized Controlled Trial Observational StudyWhat Happens After Health Coaching? Observational Study 1 Year Following a Randomized Controlled Trial.
Health coaching is effective for chronic disease self-management in the primary care safety-net setting, but little is known about the persistence of its benefits. We conducted an observational study evaluating the maintenance of improved cardiovascular risk factors following a health coaching intervention. ⋯ Results support the conclusion that most improved clinical outcomes persisted 1 year after the completion of the health coaching intervention.
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Annals of family medicine · May 2016
Randomized Controlled TrialEncouraging Patient-Centered Care by Including Quality-of-Life Questions on Pre-Encounter Forms.
Patient participation in clinical decision making improves outcomes, including quality of life (QOL), but the typical problem-oriented approach may impede consideration of functional goals. We wondered if patients could encourage primary care physicians to pay attention to their QOL goals by writing them on pre-encounter forms. ⋯ Patients were able to articulate their QOL goals on paper, but that did not prime them or their physicians to alter the process or content of the clinical encounters. In fact, providing QOL information was associated with reduced physician empathy.