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 groups:for 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 factors:for 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.