The Role of the Health Coach in a Global Pandemic

Overview

Journal Glob Adv Health Med

Specialty Public Health

Date 2021 Aug 16

PMID 34395059

Citations 3

Authors

Meg A Jordan

Affiliations

Soon will be listed here.

Abstract

Background: While medical teams were perplexed about the novel SARS-CoV-2 infection, transmission and impairment of organ systems and immune function, viral infections spread worldwide. Complex intersectional issues of co-morbidities coupled with marginalized, diverse ethnic/racial populations emerged as significant risks to contracting severe COVID-19.

Objective: Since a healthy lifestyle is fundamental for lowering risk to chronic diseases, public health initiatives to manage this and future pandemics should include strategies that assist individuals to improve health status through targeted behavior changes. This conceptual paper builds a case for certified professional health coaches as primary actors in future preventive strategies, with expanded skills in addressing social determinants of health and "next generational" cultural competencies.

Methods: This concept paper primarily synthesizes fast-tracked research in 2020 regarding the demographic impact of COVID-19, specifically those groups suffering the highest morbidity and mortality rates. Exploring these intersectional issues through a conceptual lens provides strategies for certified health coaches to contribute their expertise in behavioral change within the larger contextual settings of racial/ethnic disparities and social inequities.

Results: As the co-morbidities and other chronic conditions related to COVID-19 among individuals and families in low-income communities are worsened by dual forces (lifestyle/behavioral choices and ingrained structural inequities), adding the support of certified health coaches to build trust, provide more convenient access to address vaccine hesitancy, and dispell falsehoods, is an effective means for advancing health and wellbeing. Group coaching and one-on-one coaching can work in tandem with public health initiatives for reducing chronic disease burden and addressing social determinants of health (SDoH). Skills are identified in coaching SDoH with expanded cultural competencies for health coaches.

Conclusion: Certified professional health coaches can make a positive impact on general risk reduction of chronic diseases within ethnic/racial minorities, thereby supporting population health in facing future contagions with greater health resilience.

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References

Perlman A, Abu Dabrh A . Health and Wellness Coaching in Serving the Needs of Today's Patients: A Primer for Healthcare Professionals. Glob Adv Health Med. 2020; 9:2164956120959274. PMC: 7509728. DOI: 10.1177/2164956120959274. View

de Leon Siantz M . Leading change in diversity and cultural competence. J Prof Nurs. 2008; 24(3):167-71. DOI: 10.1016/j.profnurs.2008.01.005. View

Lawson K, Jonk Y, OConnor H, Riise K, Eisenberg D, Kreitzer M . The impact of Telephonic Health Coaching on Health Outcomes in a High-risk Population. Glob Adv Health Med. 2014; 2(3):40-7. PMC: 3833538. DOI: 10.7453/gahmj.2013.039. View

Dossey B, Hess D . Professional Nurse Coaching: Advances in National and Global Healthcare transformation. Glob Adv Health Med. 2014; 2(4):10-6. PMC: 3833548. DOI: 10.7453/gahmj.2013.044. View

Ho F, Petermann-Rocha F, Gray S, Jani B, Katikireddi S, Niedzwiedz C . Is older age associated with COVID-19 mortality in the absence of other risk factors? General population cohort study of 470,034 participants. PLoS One. 2020; 15(11):e0241824. PMC: 7644030. DOI: 10.1371/journal.pone.0241824. View

Prochaska J, Velicer W . The transtheoretical model of health behavior change. Am J Health Promot. 1997; 12(1):38-48. DOI: 10.4278/0890-1171-12.1.38. View

Jaiswal J, Halkitis P . Towards a More Inclusive and Dynamic Understanding of Medical Mistrust Informed by Science. Behav Med. 2019; 45(2):79-85. PMC: 7808310. DOI: 10.1080/08964289.2019.1619511. View

Sforzo G, Kaye M, Todorova I, Harenberg S, Costello K, Cobus-Kuo L . Compendium of the Health and Wellness Coaching Literature. Am J Lifestyle Med. 2018; 12(6):436-447. PMC: 6236633. DOI: 10.1177/1559827617708562. View

Guo Y, Liu X, Deng M, Liu P, Li F, Xie N . Epidemiology of COVID-19 in older persons, Wuhan, China. Age Ageing. 2020; 49(5):706-712. PMC: 7337701. DOI: 10.1093/ageing/afaa145. View

10.

Conn S, Curtain S . Health coaching as a lifestyle medicine process in primary care. Aust J Gen Pract. 2019; 48(10):677-680. DOI: 10.31128/AJGP-07-19-4984. View

11.

Hashim M . Patient-Centered Communication: Basic Skills. Am Fam Physician. 2017; 95(1):29-34. View

12.

Yang N, Wroth S, Parham C, Strait M, Simmons L . Personalized health planning with integrative health coaching to reduce obesity risk among women gaining excess weight during pregnancy. Glob Adv Health Med. 2013; 2(4):72-7. PMC: 3833555. DOI: 10.7453/gahmj.2013.033. View

13.

Mendelson M, Nel J, Blumberg L, Madhi S, Dryden M, Stevens W . Long-COVID: An evolving problem with an extensive impact. S Afr Med J. 2021; 111(1):10-12. DOI: 10.7196/SAMJ.2020.v111i11.15433. View

14.

Adams L, Richmond J, Corbie-Smith G, Powell W . Medical Mistrust and Colorectal Cancer Screening Among African Americans. J Community Health. 2017; 42(5):1044-1061. PMC: 5654700. DOI: 10.1007/s10900-017-0339-2. View

15.

Wolever R, Dreusicke M, Fikkan J, Hawkins T, Yeung S, Wakefield J . Integrative health coaching for patients with type 2 diabetes: a randomized clinical trial. Diabetes Educ. 2010; 36(4):629-39. DOI: 10.1177/0145721710371523. View

16.

Dror A, Eisenbach N, Taiber S, Morozov N, Mizrachi M, Zigron A . Vaccine hesitancy: the next challenge in the fight against COVID-19. Eur J Epidemiol. 2020; 35(8):775-779. PMC: 8851308. DOI: 10.1007/s10654-020-00671-y. View

17.

Grasselli G, Greco M, Zanella A, Albano G, Antonelli M, Bellani G . Risk Factors Associated With Mortality Among Patients With COVID-19 in Intensive Care Units in Lombardy, Italy. JAMA Intern Med. 2020; 180(10):1345-1355. PMC: 7364371. DOI: 10.1001/jamainternmed.2020.3539. View

18.

Jonk Y, Lawson K, OConnor H, Riise K, Eisenberg D, Dowd B . How effective is health coaching in reducing health services expenditures?. Med Care. 2015; 53(2):133-40. DOI: 10.1097/MLR.0000000000000287. View

19.

Jordan M . Health coaching for the underserved. Glob Adv Health Med. 2014; 2(3):75-82. PMC: 3833542. DOI: 10.7453/gahmj.2013.025. View

20.

Boehmer K, Guerton N, Soyring J, Hargraves I, Dick S, Montori V . Capacity Coaching: A New Strategy for Coaching Patients Living With Multimorbidity and Organizing Their Care. Mayo Clin Proc. 2019; 94(2):278-286. PMC: 6388414. DOI: 10.1016/j.mayocp.2018.08.021. View