Health coaching improves interventional effects in high-risk population of stroke / 中华全科医师杂志

ABSTRACT

Objective To assess the effect of health coaching on interventional effect in high-risk population of stroke. Methods A baseline survey was conducted among 897 residents aged 40 years and above selected by cluster sampling method in a community of Shijiazhuang city from January 2016 to June 2016, and 178 subjects were identified as high risk population of stroke. The high-risk subjects were randomly divided into two groups the control group (n=89) was given routine health education, while the intervention group (n=89) received health coaching based on motivational interview for 13 months. The behavioral risk factors and self-efficacy scores were compared between two groups before and after intervention. Results There were no significant differences in behavioral risk factors between the two groupsfor hypertension 72 vs. 74 cases (χ2=0.152,P=0.67),for hyperglycocemia 44 vs.48 cases (χ2=0.360,P=0.55), for dyslipidemia 62 vs. 60 cases (χ2=0.104,P=0.75), for smoking 35 vs.32 cases (χ2=0.215,P=0.64), for obesity 50 vs. 52 cases (χ2=0.092, P=0.76), for lack of exercises 72 vs. 70 cases (χ2=0.139, P=0.71), for atrial fibrillation 14 vs. 16 cases (χ2=0.160,P=0.19). And there was no significant difference in self-efficacy scores between the two groups [(5.3 ± 1.2) vs. (5.6 ± 2.0), t=0.997, P=0.32]. After intervention, there were significant differences between the two groups in behavioral risk factorsfor hypertension 25 vs. 34 cases(χ2=19.984, P<0.05), for hyperglycaemia 16 vs. 32 cases(χ2=8.448, P<0.05), for dyslipidemia 30 vs. 48 cases(χ2=13.216, P<0.05),for smoking 20 vs.28 cases(χ2=7.583,P<0.05),for obesity 18 vs.38 cases(χ2=14.158,P<0.05),for lack of exercises 28 vs. 36 cases(χ2=10.235,P<0.01),for atrial fibrillation 5 vs. 13 cases (χ2=6.451,P<0.05). And the self-efficacy scores of intervention group were higher than those of control group[(8.4±2.1) vs. (6.8±2.2), t=4.852, P<0.01]. Conclusion Health coaching based on motivational interview is beneficial to reduce risk factors and improve self-efficacy in high risk population of stroke, which is worthy of popularization.