Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

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

Kathleen Potempa
ORCID logo ,
Susan Butterworth
ORCID logo ,
Marna Flaherty-Robb
,
Margaret Calarco
,
Deanna Marriott
,
Bidisha Ghosh
,
Amanda Gabarda
,
Jordan Windsor
,
Stacia Potempa
,
Candia Laughlin
,
Karen Harden
,
Patricia Schmidt
,
Alexis Ellis
,
Philip Furspan
* ORCID logo
Version 1 : Received: 7 November 2022 / Approved: 14 November 2022 / Online: 14 November 2022 (02:18:20 CET)

A peer-reviewed article of this Preprint also exists.

Potempa, K.; Butterworth, S.; Flaherty-Robb, M.; Calarco, M.; Marriott, D.; Ghosh, B.; Gabarda, A.; Windsor, J.; Potempa, S.; Laughlin, C.; Harden, K.; Schmidt, P.; Ellis, A.; Furspan, P. The Impact of Nurse Health-Coaching Strategies on Cognitive—Behavioral Outcomes in Older Adults. Int. J. Environ. Res. Public Health 2023, 20, 416. Potempa, K.; Butterworth, S.; Flaherty-Robb, M.; Calarco, M.; Marriott, D.; Ghosh, B.; Gabarda, A.; Windsor, J.; Potempa, S.; Laughlin, C.; Harden, K.; Schmidt, P.; Ellis, A.; Furspan, P. The Impact of Nurse Health-Coaching Strategies on Cognitive—Behavioral Outcomes in Older Adults. Int. J. Environ. Res. Public Health 2023, 20, 416.

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 & 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-minute 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 (<$20,000/year), early-onset hypertension, and social disadvantages. Our analyses significantly improved Change Talk and the other four factors over time. Our factor analyses indicated two distinct factors at each measurement point of the study, demonstrating the stability of the outcome measures over time. Our newly developed measurement tool, IHBC, proved stable in structure over time and sensitive to change. This NHC program shows promise in improving cognitive-behavioral indicators associated with health behavior change in both non-SDH and SDH individuals.

Keywords

nurse health coaching; social determinants of health; change talk; health behavior change; natural language analysis

Subject

Public Health and Healthcare, Nursing

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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