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Open AccessArticle

Improving Chronic Disease Self-Management by Older Home Health Patients through Community Health Coaching

1
Institute for Engaged Aging, 2037 Barre Hall, Clemson University, Clemson, SC 29634, USA
2
School of Nursing, 417 Edwards Hall, Clemson University, Clemson, SC 29634, USA
3
Department of Recreation, Tourism and Therapeutic Recreation, Memorial Hall 119,Winona State University, Winona, MN 55987, USA
4
Walsh Center for Rural Health Analysis, NORC at the University of Chicago, 4350 East-West Hwy, Bethesda, MD 20814, USA
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2018, 15(4), 660; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph15040660
Received: 23 February 2018 / Revised: 22 March 2018 / Accepted: 29 March 2018 / Published: 2 April 2018
(This article belongs to the Special Issue Community Health Intervention to Reduce Chronic Disease)
The purpose of the study was to pilot test a model to reduce hospital readmissions and emergency department use of rural, older adults with chronic diseases discharged from home health services (HHS) through the use of volunteers. The study’s priority population consistently experiences poorer health outcomes than their urban counterparts due in part to lower socioeconomic status, reduced access to health services, and incidence of chronic diseases. When they are hospitalized for complications due to poorly managed chronic diseases, they are frequently readmitted for the same conditions. This pilot study examines the use of volunteer community members who were trained as Health Coaches to mentor discharged HHS patients in following the self-care plan developed by their HHS RN; improving chronic disease self-management behaviors; reducing risk of falls, pneumonia, and flu; and accessing community resources. Program participants increased their ability to monitor and track their chronic health conditions, make positive lifestyle changes, and reduce incidents of falls, pneumonia and flu. Although differences in the ED and hospital admission rates after discharge from HHS between the treatment and comparison group (matched for gender, age, and chronic condition) were not statistically significant, the treatment group’s rate was less than the comparison group thus suggesting a promising impact of the HC program (90 day: 263 comparison vs. 129 treatment; p = 0.65; 180 day 666.67 vs. 290.32; p = 0.19). The community health coach model offers a potential approach for improving the ability of discharged older home health patients to manage chronic conditions and ultimately reduce emergent care. View Full-Text
Keywords: aging; chronic disease management; care transition; health coaching aging; chronic disease management; care transition; health coaching
MDPI and ACS Style

Dye, C.; Willoughby, D.; Aybar-Damali, B.; Grady, C.; Oran, R.; Knudson, A. Improving Chronic Disease Self-Management by Older Home Health Patients through Community Health Coaching. Int. J. Environ. Res. Public Health 2018, 15, 660. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph15040660

AMA Style

Dye C, Willoughby D, Aybar-Damali B, Grady C, Oran R, Knudson A. Improving Chronic Disease Self-Management by Older Home Health Patients through Community Health Coaching. International Journal of Environmental Research and Public Health. 2018; 15(4):660. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph15040660

Chicago/Turabian Style

Dye, Cheryl; Willoughby, Deborah; Aybar-Damali, Begum; Grady, Carmelita; Oran, Rebecca; Knudson, Alana. 2018. "Improving Chronic Disease Self-Management by Older Home Health Patients through Community Health Coaching" Int. J. Environ. Res. Public Health 15, no. 4: 660. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph15040660

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