Effectiveness of Health Coaching in Smoking Cessation and Promoting the Use of Oral Smoking Cessation Drugs in Patients with Type 2 Diabetes: A Randomized Controlled Trial

Li-Chi Huang, Yao-Tsung Chang, Ching-Ling Lin, Ruey-Yu Chen and Chyi-Huey Bai ()
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Li-Chi Huang: Endocrinology & Metabolism, Cathay General Hospital, Taipei 106438, Taiwan
Yao-Tsung Chang: School of Public Health, Taipei Medical University, Taipei 110301, Taiwan
Ching-Ling Lin: Endocrinology & Metabolism, Cathay General Hospital, Taipei 106438, Taiwan
Ruey-Yu Chen: School of Public Health, Taipei Medical University, Taipei 110301, Taiwan
Chyi-Huey Bai: School of Public Health, Taipei Medical University, Taipei 110301, Taiwan

IJERPH, 2023, vol. 20, issue 6, 1-12

Abstract: Introduction: This study looked into the effectiveness of a 6 month health coaching intervention in smoking cessation and smoking reduction for patients with type 2 diabetes. Methods: The study was carried out via a two-armed, double-blind, randomized-controlled trial with 68 participants at a medical center in Taiwan. The intervention group received health coaching for 6 months, while the control group only received usual smoking cessation services; some patients in both groups participated in a pharmacotherapy plan. The health coaching intervention is a patient-centered approach to disease management which focuses on changing their actual behaviors. By targeting on achieving effective adult learning cycles, health coaching aims to help patients to establish new behavior patterns and habits. Results: In this study, the intervention group had significantly more participants who reduced their level of cigarette smoking by at least 50% than the control group ( p = 0.030). Moreover, patients participating in the pharmacotherapy plan in the coaching intervention group had a significant effect on smoking cessation ( p = 0.011), but it was insignificant in the control group. Conclusions: Health coaching can be an effective approach to assisting patients with type 2 diabetes participating in a pharmacotherapy plan to reduce smoking and may help those who participate in pharmacotherapy plan to quit smoking more effectively. Further studies with higher-quality evidence on the effectiveness of health coaching in smoking cessation and the use of oral smoking cessation drugs in patients with type 2 diabetes are needed.

Keywords: health coaching; smoking cessation; smoking reduction; cigarette; type 2 diabetes; motivational interviewing (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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