Evidence map›Paper›PMID 37798658›Full record

Trial reportBMC primary care2023

A randomized trial of a theory-driven model of health coaching for older adults: short-term and sustained outcomes.

Kathleen Potempa, Margaret Calarco, Marna Flaherty-Robb, Susan Butterworth, Deanna Marriott, Stacia Potempa, Candia Laughlin, Patricia Schmidt, Laura Struble, Karen Harden and 3 more

Registry-linked trialAbstract readRandomized Controlled TrialPragmatic Clinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC primary care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05070923 (Healthy Lifetime), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05070923 nacompletednot on this map

Healthy Lifetime (HL): an Internet-based Behavioral Health Coaching Protocol for Older Adults

TypeinterventionalSponsorUniversity of MichiganRan2020 to 2024Enrolled82ConditionsAging WellArmsHealthyLifetime
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. The Impact of Nurse Health-Coaching Strategies on Cognitive-Behavioral Outcomes in Older Adults.International journal of environmental research and public health · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Kathleen PotempaSchool of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI, 48109, USA.
Margaret CalarcoSchool of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI, 48109, USA.
Marna Flaherty-RobbSchool of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI, 48109, USA.
Susan ButterworthThe University of Tennessee Health Science Center, 920 Madison Ave., Memphis, TN, 38163, USA.
Deanna MarriottSchool of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI, 48109, USA.
Stacia PotempaSchool of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI, 48109, USA.
Candia LaughlinSchool of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI, 48109, USA.
Patricia SchmidtSchool of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI, 48109, USA.
Laura StrubleSchool of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI, 48109, USA.
Karen HardenSchool of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI, 48109, USA.
Bidisha GhoshSchool of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI, 48109, USA.
Philip FurspanSchool of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI, 48109, USA. pfurspan@umich.edu.
Alexis EllisSchool of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI, 48109, USA.

Funding

Michigan Center for Urban African American Aging Research - RESEARCH CORE (REC)P30AG015281 · UNIVERSITY OF MICHIGAN AT ANN ARBOR · 1997 to 2025
$4.8M
NIA NIH HHS P30 AG015281
6 · The paper itself

Abstract

backgroundHealthy Lifetime, a theoretically driven, personalized health coaching program delivered electronically, including face-to-face videoconferencing, was developed to intervene in early aging to stave off functional decline and minimize the onset/exacerbation of chronic conditions.

objectiveTo determine the efficacy of a theoretically driven, personalized health coaching program in participants 50 years and older with one or more chronic conditions using a randomized, controlled, pragmatic clinical trial methodology.

methodsParticipants were randomly assigned to the HL (n = 59) or a usual care (n = 63) group. The HL group received health coaching from a trained nurse over eight weeks. Outcomes were measured at baseline, eight weeks, and 20 weeks (after the 12-week no-treatment phase). Regression modeling with fixed-effect repeated measures was used to account for the longitudinal data collection.

resultsFor the HL group, health habits increased at 8 weeks (3.1 units; SE = 1.0; p = .0005; effect size = .15). This difference was sustained at 20 weeks (2.4 units, SE = 0.2; p = .0005). Independent self-care agency improved at 8 weeks in individuals with high blood pressure (13.5 units; SE = 4.37; p = .0023; effect size = .3). However, that difference was not sustained at 20 weeks (p = .47). No significant improvements were shown in the usual care group at 8 weeks or 20 weeks.

conclusionsHL participants significantly improved their health habits at 8 weeks and sustained this improvement at week 20 (after a 12-week no-treatment phase) vs. the usual care group. Changing health habits alone has been shown to reduce all-cause morbidity and mortality in chronic disease. The high-functioning, community-dwelling older adults with chronic diseases we studied is an important target population for primary care practices to intervene early in aging to stave off the complications of chronic disease and functional decline.

trial registrationClinicalTrials.gov (record NCT05070923, 07/10/2021).

Indexed as

HypertensionMentoringAgedAgingChronic DiseaseHealth PromotionHumansAgingChronic diseaseHealth behaviorHealth coachingHealth surveysHypertensionInternetNursesVideoconferencing

Identifiers

PMID37798658
PMCPMC10552322

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.