Preliminary investigation of the student-delivered Community Outreach teleheAlth program for Covid education and Health promotion (COACH)-Reference-Cited by-同舟云学术

Preliminary investigation of the student-delivered Community Outreach teleheAlth program for Covid education and Health promotion (COACH)

Published:2022-07-28 Issue:1 Volume:40 Page:30-38
ISSN:1460-2229
Container-title:Family Practice
language:en
Short-container-title:

Author:

Yang Michelle C¹²^ORCID,Clayton Cam³^ORCID,Harris Devin⁴⁵^ORCID,Pelletier Chelsea⁶^ORCID,Schmidt Julia⁷^ORCID,Zwicker Jill G⁷⁸⁹^ORCID,Sakakibara Brodie M²⁷^ORCID

Affiliation:

1. Graduate Programs in Rehabilitation Sciences, University of British Columbia , Vancouver, BC , Canada

2. Centre for Chronic Disease Prevention and Management, University of British Columbia , Kelowna, BC , Canada

3. Vancouver Fraser Medical Program, University of British Columbia , Vancouver, BC , Canada

4. Department of Emergency Medicine, University of British Columbia , Vancouver, BC , Canada

5. Quality and Patient Safety, Interior Health Authority , Kelowna, BC , Canada

6. School of Health Sciences, University of Northern British Columbia , Prince George, BC , Canada

7. Department of Occupational Science and Occupational Therapy, University of British Columbia , Vancouver, BC , Canada

8. Department of Pediatrics, University of British Columbia , Vancouver, BC , Canada

9. BC Children’s Hospital Research Institute , Vancouver, BC , Canada

Abstract

Abstract Background COVID-19 public health restrictions (i.e. physical distancing) compromise individuals’ ability to self-manage their health behaviours and may increase the risks of adverse health events. Objectives To evaluate the student-delivered Community Outreach teleheAlth program for Covid education and Health promotion (COACH) on health-directed behaviour (self-management) among older adults (≥65 years of age, n = 75). Secondary objectives estimated the influence of COACH on perceived depression, anxiety, and stress; social support; health-related quality of life; health promotion self-efficacy; and other self-management domains. Methods COACH was developed to provide chronic disease management and prevention support among older adults via telephone or videoconferencing platforms (i.e. Zoom). In this single-group, pre-post study, our primary outcome was measured using the health-directed behaviour subscale of the Health Education Impact Questionnaire. Secondary measures included the Depression, Anxiety and Stress Scale, Medical Outcomes Study: Social Support Survey, MOS Short Form-36, and Self-Rated Abilities for Health Practices Scale. Paired sample t-tests were used to analyse outcome changes. Results Mean age of participants was 72.4 years (58.7% female; 80% ≥2 chronic conditions). Health-directed behaviour significantly improved after COACH (P < 0.001, d = 0.45). Improved health promotion self-efficacy (P < 0.001, d = 0.44) and decreased mental health were also observed (P < 0.001, d = −1.69). Discussion COACH likely contributed to improved health-directed behaviour and health promotion self-efficacy despite the diminished mental health-related quality of life during COVID-19. Our findings also highlight the benefits of using health professional students for the delivery of virtual health promotion programs. Clinical Trial Information ClinicalTrials.gov ID: NCT04492527

Funder

Canada Research Chair

Publisher

Oxford University Press (OUP)

Subject

Family Practice

Link

https://academic.oup.com/fampra/article-pdf/40/1/30/49136667/cmac079.pdf

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