The Impact of Nurse Health-Coaching Strategies on Cognitive—Behavioral Outcomes in Older Adults

Kathleen Potempa, Susan Butterworth, Marna Flaherty-Robb, Margaret Calarco, Deanna Marriott, Bidisha Ghosh, Amanda Gabarda, Jordan Windsor, Stacia Potempa, Candia Laughlin, Karen Harden, Patricia Schmidt, Alexis Ellis and Philip Furspan ()
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Kathleen Potempa: School of Nursing, University of Michigan, Ann Arbor, MI 48109, USA
Susan Butterworth: School of Medicine, University of Tennessee Health Science Center, Memphis, TN 38163, USA
Marna Flaherty-Robb: School of Nursing, University of Michigan, Ann Arbor, MI 48109, USA
Margaret Calarco: School of Nursing, University of Michigan, Ann Arbor, MI 48109, USA
Deanna Marriott: School of Nursing, University of Michigan, Ann Arbor, MI 48109, USA
Bidisha Ghosh: School of Nursing, University of Michigan, Ann Arbor, MI 48109, USA
Amanda Gabarda: Q Consult, St. Petersburg, FL 33707, USA
Jordan Windsor: Q Consult, St. Petersburg, FL 33707, USA
Stacia Potempa: School of Nursing, University of Michigan, Ann Arbor, MI 48109, USA
Candia Laughlin: School of Nursing, University of Michigan, Ann Arbor, MI 48109, USA
Karen Harden: School of Nursing, University of Michigan, Ann Arbor, MI 48109, USA
Patricia Schmidt: School of Nursing, University of Michigan, Ann Arbor, MI 48109, USA
Alexis Ellis: School of Nursing, University of Michigan, Ann Arbor, MI 48109, USA
Philip Furspan: School of Nursing, University of Michigan, Ann Arbor, MI 48109, USA

IJERPH, 2022, vol. 20, issue 1, 1-11

Abstract: The practice of nurse health coaching (NHC) draws from the art and science of nursing, behavioral sciences, and evidence-based health-coaching methods. This secondary analysis of the audio-recorded natural language of participants during NHC sessions of our recent 8-week RCT evaluates improvement over time in cognitive–behavioral outcomes: change talk, resiliency, self-efficacy/independent agency, insight and pattern recognition, and building towards sustainability. We developed a measurement tool for coding, Indicators of Health Behavior Change (IHBC), that was designed to allow trained health-coach experts to assess the presence and frequency of the indicators in the natural language content of participants. We used a two-step method for randomly selecting the 20 min audio-recorded session that was analyzed at each time point. Fifty-six participants had high-quality audio recordings of the NHC sessions. Twelve participants were placed in the social determinants of health (SDH) group based on the following: low income (Keywords: nurse health coaching; social determinants of health; change talk; health behavior change; natural language analysis (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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