Motivational interviewing-based health coaching as a chronic care intervention

J Eval Clin Pract. 2010 Feb;16(1):166-74. doi: 10.1111/j.1365-2753.2009.01300.x.


Objective: To evaluate the impact of motivational interviewing-based health coaching on a chronically ill group of participants compared with non-participants. Specifically, measures that could be directly attributed to a health coaching intervention on chronic illness were assessed.

Design: Quasi-experimental study design.

Setting: A large medical university in the north-west United States.

Methods: One hundred and six chronically ill programme participants completed a health risk survey instrument prior to enrolment and again at approximately 8 months. Outcomes were compared with 230 chronically ill non-participants who completed the survey twice over a similar time frame. Inverse probability of treatment weights were used in conjunction with the propensity score to correct for selection bias.

Results: Compared with non-participants, programme participants improved their self-efficacy (P = 0.01), patient activation (P = 0.02), lifestyle change score (P = 0.01) and perceived health status (P = 0.03). Fewer participants increased their stages of change risk over time than non-participants (P < 0.01), and more participants decreased their stages of change risk over time than non-participants (P = 0.03).

Conclusion: These results support motivational interviewing-based health coaching as an effective chronic care management intervention in impacting outcome measures that could also serve well as a proxy in the absence of other clinical or cost indices.

Publication types

  • Clinical Trial
  • Comparative Study

MeSH terms

  • Adult
  • Chronic Disease / psychology
  • Chronic Disease / therapy*
  • Disease Management
  • Female
  • Health Promotion / methods*
  • Humans
  • Interviews as Topic / methods*
  • Logistic Models
  • Male
  • Motivation*
  • Occupational Health Services
  • Oregon
  • Self Care* / psychology
  • Self Efficacy