Healthcare professionals’ opinions regarding health coaching for patients with diabetes: A pilot exploration in Indonesia
PDF

Keywords

diabetes
health coaching
healthcare professional
self-management
nursing
Indonesia

How to Cite

Kusumaningrum, N. S. D., Asmara, F. Y., & Nurmalia, D. (2022). Healthcare professionals’ opinions regarding health coaching for patients with diabetes: A pilot exploration in Indonesia. Belitung Nursing Journal, 8(1), 67–74. https://doi.org/10.33546/bnj.1970
Share |

Funder Registry Funding data - Crosreff

Abstract

Background: Diabetes management is applied for the entire patients’ lives, so it requires lifelong sustainable self-management actions to have a positive impact. Integrated care as coaching intervention is considered a program that facilitates and supports patients in managing diabetes more effectively and optimally. However, there are limited studies regarding this program in Indonesia.

Objective: This study aimed to explore the opinions of healthcare professionals concerning the importance of health coaching for patients with diabetes in Indonesia.

Methods: An invitation letter via email was distributed individually to participants from the three provinces of Java, Indonesia, between June and August 2020. The open-ended questions that consist of two sections were developed to explore the matter related to health coaching for patients with diabetes. A descriptive analysis of the participants’ answers was used to explain the data comprehensively and accurately reveal the complete information.

Results: A total of seven healthcare professionals from four professions participated in the study. Based on healthcare professionals’ opinions, this study revealed that the most common reason health coaching needs to be implemented is related to self-management in dealing with diabetes. Health coaching as a tailored-intervention strategy in diabetes self-management requires a multidisciplinary approach and considers the local wisdom to achieve the expected goals in all aspects of patients’ lives. Thus, health coaching as an integral part of diabetes self-management is considered an appropriate program to cope with this problem.

Conclusion: Health coaching for patients with diabetes is useful and reasonable to implement among patients with appropriate strategies, especially in Indonesia and beyond.

https://doi.org/10.33546/bnj.1970
PDF

Supporting Agencies

Institute for Research and Community Services, Diponegoro University, Indonesia [grant number 233-72/UN7.6.1/PP/2020]

Copyright

Copyright (c) 2022 Niken Safitri Dyan Kusumaningrum, Fatikhu Yatuni Asmara, Devi Nurmalia

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Article Metrics

Abstract views: 266 | PDF views: 184

Downloads

Download data is not yet available.

PlumX Metrics

Declaration of Conflicting Interest

The authors declare that there is no conflict of interest in this study.

Acknowledgment

The authors would like to express our gratitude to all healthcare professional experts who participated in this study. We also acknowledge Diponegoro University for the support and grants of this study.

Authors’ Contributions

NSDK initiated the concept, writing, and drafting of the data. FYA and DN provided important intellectual content and contributed feedback while writing a manuscript draft. All authors have provided final approval and agreement for all aspects of the work regarding content.

Data Availability

Due to privacy and ethical concerns, neither the data nor the source of the data can be made available.


References

Bennett, H. D., Coleman, E. A., Parry, C., Bodenheimer, T., & Chen, E. H. (2010). Health coaching for patients with chronic illness. Family Practice Management, 17(5), 24-29.

Burton, R. A., & Thompson, M. (2018). What do patients with diabetes think of health coaching? Findings from interviews with health coach clients. https://www.urban.org/sites/default/files/publication/96336/2001692_chw_client_interviews_brief_finalized_2.pdf

Chairani, F., & Dk, N. S. (2018). Aktivitas fisik pada diabetesi di Persatuan Diabetes Indonesia (Persadia) Salatiga [Physical activity in diabetes at Persatuan Diabetes Indonesia (Persadia) Salatiga]. Jurnal Keperawatan Komunitas, 2(1), 20-24.

Chapman, A., Browning, C. J., Enticott, J. C., Yang, H., Liu, S., Zhang, T., & Thomas, S. A. (2018). Effect of a health coach intervention for the management of individuals with type 2 diabetes mellitus in China: A pragmatic cluster randomized controlled trial. Frontiers in Public Health, 6, 252. https://doi.org/10.3389/fpubh.2018.00252

Chen, R.-Y., Huang, L.-C., Su, C.-T., Chang, Y.-T., Chu, C.-L., Chang, C.-L., & Lin, C.-L. (2019). Effectiveness of short-term health coaching on diabetes control and self-management efficacy: A quasi-experimental trial [Clinical Trial]. Frontiers in public health, 7, 314. https://doi.org/10.3389/fpubh.2019.00314

Chima, C. C., Swanson, B., Anikpezie, N., & Salemi, J. L. (2021). Alleviating diabetes distress and improving diabetes self-management through health coaching in a primary care setting. BMJ Case Reports CP, 14(4), e241759. http://dx.doi.org/10.1136/bcr-2021-241759

Cinar, A. B., Freeman, R., & Schou, L. (2018). A new complementary approach for oral health and diabetes management: Health coaching. International Dental Journal, 68(1), 54-64. https://doi.org/10.1111/idj.12334

Crichton, G. E., Bryan, J., Hodgson, J. M., & Murphy, K. J. (2013). Mediterranean diet adherence and self-reported psychological functioning in an Australian sample. Appetite, 70, 53-59. https://doi.org/10.1016/j.appet.2013.06.088

Dejonghe, L. A. L., Becker, J., Froboese, I., & Schaller, A. (2017). Long-term effectiveness of health coaching in rehabilitation and prevention: A systematic review. Patient Education and Counseling, 100(9), 1643-1653. https://doi.org/10.1016/j.pec.2017.04.012

Giajati, S. A., & Kusumaningrum, N. S. D. (2020). Konsumsi gizi pada penyandang diabetes mellitus di masyarakat [Consumption of nutrition in people with diabetes mellitus in the community]. Journal of Nutrition College, 9(1), 38-43. https://doi.org/10.14710/jnc.v9i1.26424

Grisham, T. (2009). The Delphi technique: A method for testing complex and multifaceted topics. International Journal of Managing Projects in Business, 2(1), 112-130. https://doi.org/10.1108/17538370910930545

Gunawan, J. (2015). Ensuring trustworthiness in qualitative research. Belitung Nursing Journal, 1(1), 10-11. https://doi.org/10.33546/bnj.4

Hermens, H., op den Akker, H., Tabak, M., Wijsman, J., & Vollenbroek, M. (2014). Personalized coaching systems to support healthy behavior in people with chronic conditions. Journal of Electromyography and Kinesiology, 24(6), 815-826. https://doi.org/10.1016/j.jelekin.2014.10.003

Héroux, M., Watt, M., McGuire, K. A., & Berardi, J. M. (2017). A personalized, multi-platform nutrition, exercise, and lifestyle coaching program: A pilot in women. Internet Interventions, 7, 16-22. https://doi.org/10.1016/j.invent.2016.12.002

Howard, L. M., & Ceci, C. (2013). Problematizing health coaching for chronic illness self‐management. Nursing Inquiry, 20(3), 223-231. https://doi.org/10.1111/nin.12004

Indonesian Endocrinology Association. (2015). Consensus of management and prevention of type 2 diabetes mellitus in Indonesia. Jakarta: PERKEMI.

Iversen, M. M., Nefs, G., Tell, G. S., Espehaug, B., Midthjell, K., Graue, M., & Pouwer, F. (2015). Anxiety, depression and timing of insulin treatment among people with type 2 diabetes: Nine-year follow-up of the Nord-Trøndelag Health Study, Norway. Journal of Psychosomatic Research, 79(4), 309-315. https://doi.org/10.1016/j.jpsychores.2015.07.004

Jeon, S. M., & Benavente, V. (2016). Health coaching in nurse practitioner–led group visits for chronic care. The Journal for Nurse Practitioners, 12(4), 258-264. https://doi.org/10.1016/j.nurpra.2015.11.015

Johnson, C., Saba, G., Wolf, J., Gardner, H., & Thom, D. H. (2018). What do health coaches do? Direct observation of health coach activities during medical and patient-health coach visits at 3 federally qualified health centers. Patient Education and Counseling, 101(5), 900-907. https://doi.org/10.1016/j.pec.2017.11.017

Kivelä, K., Elo, S., Kyngäs, H., & Kääriäinen, M. (2014). The effects of health coaching on adult patients with chronic diseases: A systematic review. Patient Education and Counseling, 97(2), 147-157. https://doi.org/10.1016/j.pec.2014.07.026

Knight, B. A., Hickman, I. J., Gibbons, K., & McIntyre, H. D. (2016). Quantitative assessment of dietary intake in adults with Type 1 diabetes following flexible insulin therapy education with an active promotion of dietary freedom. Diabetes Research and Clinical Practice, 116, 36-42. https://doi.org/10.1016/j.diabres.2016.03.016

Kohn, J. B. (2014). How can registered dietitian nutritionists use health coaching techniques? Journal of the Academy of Nutrition and Dietetics, 114(5), 824. https://doi.org/10.1016/j.jand.2014.03.004

Lenzen, S. A., Daniëls, R., van Bokhoven, M. A., van der Weijden, T., & Beurskens, A. (2018). What makes it so difficult for nurses to coach patients in shared decision making? A process evaluation. International Journal of Nursing Studies, 80, 1-11. https://doi.org/10.1016/j.ijnurstu.2017.12.005

Lin, C.-L., Huang, L.-C., Chang, Y.-T., Chen, R.-Y., & Yang, S.-H. (2021). Effectiveness of health coaching in diabetes control and lifestyle improvement: A randomized-controlled trial. Nutrients, 13(11), 3878. https://doi.org/10.3390/nu13113878

Linden, A., Butterworth, S. W., & Prochaska, J. O. (2010). Motivational interviewing‐based health coaching as a chronic care intervention. Journal of Evaluation in Clinical Practice, 16(1), 166-174. https://doi.org/10.1111/j.1365-2753.2009.01300.x

Mullen, P. M. (2003). Delphi: Myths and reality. Journal of Health Organization and Management, 17(1), 37-52. https://doi.org/10.1108/14777260310469319

Ni, Y., Liu, S., Li, J., Dong, T., Tao, L., Yuan, L., & Yang, M. (2019). The effects of nurse-led multidisciplinary team management on glycosylated hemoglobin, quality of life, hospitalization, and help-seeking behavior of people with diabetes mellitus. Journal of Diabetes Research, 2019, 9325146. https://doi.org/10.1155/2019/9325146

Palmer, S., Tubbs, I., & Whybrow, A. (2003). Health coaching to facilitate the promotion of healthy behaviour and achievement of health-related goals. International Journal of Health Promotion and Education, 41(3), 91-93. https://doi.org/10.1080/14635240.2003.10806231

Pamungkas, R. A., & Chamroonsawasdi, K. (2020). Self-management based coaching program to improve diabetes mellitus self-management practice and metabolic markers among uncontrolled type 2 diabetes mellitus in Indonesia: A quasi-experimental study. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 14(1), 53-61. https://doi.org/10.1016/j.dsx.2019.12.002

Rachmawati, N., & Kusumaningrum, N. S. D. (2017). Gambaran kontrol dan kadar gula darah pada pasien diabetes melitus di Poliklinik Penyakit Dalam RSJ Prof. Dr. Soerojo Magelang [Overview of control and blood sugar levels in patients with diabetes mellitus at the Internal Medicine Polyclinic at RSJ Prof. Dr. Soerojo Magelang] [Thesis, Universitas Diponegoro]. Semarang, Indonesia.

Radwan, N. M. (2019). Effectiveness of health coaching on diabetic patients: A systematic review and meta-analysis. Traditional Medicine Research, 4(6), 314-325. https://doi.org/10.12032/TMR20191024143

Ram, J., Selvam, S., Snehalatha, C., Nanditha, A., Simon, M., Shetty, A. S., Godsland, I. F., Johnston, D. G., & Ramachandran, A. (2014). Improvement in diet habits, independent of physical activity helps to reduce incident diabetes among prediabetic Asian Indian men. Diabetes Research and Clinical Practice, 106(3), 491-495. https://doi.org/10.1016/j.diabres.2014.09.043

Rosdiana, A. I., Raharjo, B. B., & Indarjo, S. (2017). Implementasi program pengelolaan penyakit kronis (Prolanis) [Implementation of chronic disease management program]. HIGEIA (Journal of Public Health Research and Development), 1(3), 140-150.

Song, D., Xu, T.-Z., & Sun, Q.-H. (2014). Effect of motivational interviewing on self-management in patients with type 2 diabetes mellitus: A meta-analysis. International Journal of Nursing Sciences, 1(3), 291-297. https://doi.org/10.1016/j.ijnss.2014.06.002

Thojampa, S., & Acob, J. R. U. (2020). Self-management behavior and its impact to glycated hemoglobin among clients medically diagnosed with diabetes mellitus: A correlational study. Belitung Nursing Journal, 6(4), 111-115. https://doi.org/10.33546/bnj.1102

Thom, D. H., Willard-Grace, R., Hessler, D., DeVore, D., Prado, C., Bodenheimer, T., & Chen, E. (2015). The impact of health coaching on medication adherence in patients with poorly controlled diabetes, hypertension, and/or hyperlipidemia: A randomized controlled trial. The Journal of the American Board of Family Medicine, 28(1), 38-45. https://doi.org/10.3122/jabfm.2015.01.140123

Vanacker, P., Standaert, D., Libbrecht, N., Vansteenkiste, I., Bernard, D., Yperzeele, L., & Vanhooren, G. (2017). An individualized coaching program for patients with acute ischemic stroke: Feasibility study. Clinical Neurology and Neurosurgery, 154, 89-93. https://doi.org/10.1016/j.clineuro.2017.01.017

Wolever, R. Q., Caldwell, K. L., Wakefield, J. P., Little, K. J., Gresko, J., Shaw, A., Duda, L. V., Kosey, J. M., & Gaudet, T. (2011). Integrative health coaching: An organizational case study. Explore, 7(1), 30-36. https://doi.org/10.1016/j.explore.2010.10.003

Wolever, R. Q., Simmons, L. A., Sforzo, G. A., Dill, D., Kaye, M., Bechard, E. M., Southard, M. E., Kennedy, M., Vosloo, J., & Yang, N. (2013). A systematic review of the literature on health and wellness coaching: Defining a key behavioral intervention in healthcare. Global Advances in Health and Medicine, 2(4), 38-57. https://doi.org/10.7453%2Fgahmj.2013.042

Wong-Rieger, D., & Rieger, F. P. (2013). Health coaching in diabetes: Empowering patients to self-manage. Canadian Journal of Diabetes, 37(1), 41-44. https://doi.org/10.1016/j.jcjd.2013.01.001