Community-based health coaching, exercise, and health service utilization

J Aging Health. 2005 Dec;17(6):697-716. doi: 10.1177/0898264305277959.


Objective: The outcomes of the California Public Employees Retirement System's Health Matters program, a replication of a health promotion and fitness program known as the Senior Wellness Program (SWP), are reported.

Method: A randomized controlled design (n = 504) was used. Eligibility included one or more qualifying chronic health conditions, age 65 or older, member of a participating health plan, and owner of a CalPERS long-term care insurance policy. Disability risk factors were measured via questionnaires and included health status, pain, exercise, depression, and social activity. Activity was compiled in project records.

Results: At 12 months, Health Matters members were engaged in significantly more stretching and aerobic exercise than the controls. Depressive symptoms decreased among those with moderate or higher symptom scores.

Discussion: Health Matters extends the SWP model to younger, more active, and healthier individuals with improvements in duration of exercise and stretching; use of other health promotion activities was low.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged*
  • Body Mass Index
  • California
  • Chronic Disease
  • Communication
  • Community Health Services / methods*
  • Depression
  • Exercise*
  • Health Promotion / methods*
  • Health Services / statistics & numerical data*
  • Humans
  • Patient Care Team
  • Patient Education as Topic / methods*
  • Randomized Controlled Trials as Topic
  • Self Care*
  • Surveys and Questionnaires