Work

Assessing the Impact of Community Health Coaching on Self-Management of Chronic Illness Among Older Adults: A Cross-Sectional Approach

Year: 2025

Type: article

Abstract: Background: Chronic illnesses among older adults require effective self-management strategies. Community health coaching, which provides personalized guidance and support, has shown promise in improving self-management behaviors and patient activation. This study examines the impact of health coaching on self-management among older adults and investigates the mediating role of patient activation. Methods: A cross-sectional study was conducted with 200 older adults with chronic illnesses attending primary healthcare centers in Riyadh, Saudi Arabia. Data were collected using the Patient Activation Measure (PAM-13), Self-Management Behavior Scale (SMBS), and Health Coaching Perception Questionnaire (HCPQ). Multiple regression and mediation analyses were conducted to assess the relationships between health coaching, patient activation, and self-management behaviors. Results: Health coaching was significantly associated with improved self-management behaviors (β = 0.42, p < 0.001). Higher satisfaction with coaching was related to better medication adherence and dietary modification. Patient activation partially mediated the relationship between health coaching and self-management, with an indirect effect coefficient of 0.22 (p < 0.01). The results highlight the role of activation in enhancing health coaching effectiveness. Conclusion: Community health coaching positively influences self-management behaviors in older adults, with patient activation serving as a critical mediator. Integrating health coaching into primary care could improve chronic illness management and support healthy aging.

Source: Clinical Interventions in Aging

DOI: 10.2147/cia.s509637

Authors: Mohammed Almutairi, Ashwaq Almutairi, Abdulaziz Alodhialah

Institutions: King Saud University, Monash University

Language: English

Topic: Chronic Disease Management Strategies

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,836