Abstract：
OBJECTIVE: To explore the relationship between health coaches\' responses to emotional cues/concerns and women\'s subsequent engagement with the health coaching mHealth platform.
METHODS: 24 face-to-face video-mediated initial conversations between participants and their health coaches were coded using the VR-CoDES-P method. Women with high risk of developing Gestational Diabetes Mellitus were selected from the study, based on their engagement with the smartphone health coaching platform. 12 women with very low engagement and 12 women with high engagement were identified.
RESULTS: In interactions with women with high goal engagement, coaches had significantly more counseling codes with prior other codes and no instances of non-explicit response codes that reduce space for further disclosure. Analysis showed that interactions with women with high goal engagement were more frequently met by the coach with affect-acknowledging and empathic responses prior to the counseling speech act.
CONCLUSIONS: High goal engagement among women with Gestational Diabetes Mellitus may appear to be associated with coaches facilitating the frequent use of empathy.
CONCLUSIONS: Findings can draw coaches\' attention to the impact that their counseling has on goal engagement, increasing the opportunity for intervention to be person-centered and effective.
METHODS: 24 face-to-face video-mediated initial conversations between participants and their health coaches were coded using the VR-CoDES-P method. Women with high risk of developing Gestational Diabetes Mellitus were selected from the study, based on their engagement with the smartphone health coaching platform. 12 women with very low engagement and 12 women with high engagement were identified.
RESULTS: In interactions with women with high goal engagement, coaches had significantly more counseling codes with prior other codes and no instances of non-explicit response codes that reduce space for further disclosure. Analysis showed that interactions with women with high goal engagement were more frequently met by the coach with affect-acknowledging and empathic responses prior to the counseling speech act.
CONCLUSIONS: High goal engagement among women with Gestational Diabetes Mellitus may appear to be associated with coaches facilitating the frequent use of empathy.
CONCLUSIONS: Findings can draw coaches\' attention to the impact that their counseling has on goal engagement, increasing the opportunity for intervention to be person-centered and effective.
摘要：
目的：探讨健康教练对情绪线索/担忧的反应与女性随后参与健康教练mHealth平台之间的关系。
方法：使用VR-Codes-P方法对参与者与其健康教练之间的24次面对面视频介导的初始对话进行编码。从研究中选择患有妊娠期糖尿病高风险的女性，基于他们对智能手机健康教练平台的参与。确定了12名参与度很低的妇女和12名参与度很高的妇女。
结果：在与具有高目标参与度的女性的互动中，与先前的其他代码相比，教练的咨询代码明显更多，并且没有非明确的响应代码，这减少了进一步披露的空间。分析表明，在咨询言语行为之前，教练会更频繁地与具有高目标参与度的女性进行互动，并做出情感认可和同理反应。
结论：妊娠糖尿病妇女的高目标投入似乎与促进频繁使用移情的教练有关。
结论：研究结果可以吸引教练注意他们的咨询对目标参与度的影响，增加干预以人为中心和有效的机会。
方法：使用VR-Codes-P方法对参与者与其健康教练之间的24次面对面视频介导的初始对话进行编码。从研究中选择患有妊娠期糖尿病高风险的女性，基于他们对智能手机健康教练平台的参与。确定了12名参与度很低的妇女和12名参与度很高的妇女。
结果：在与具有高目标参与度的女性的互动中，与先前的其他代码相比，教练的咨询代码明显更多，并且没有非明确的响应代码，这减少了进一步披露的空间。分析表明，在咨询言语行为之前，教练会更频繁地与具有高目标参与度的女性进行互动，并做出情感认可和同理反应。
结论：妊娠糖尿病妇女的高目标投入似乎与促进频繁使用移情的教练有关。
结论：研究结果可以吸引教练注意他们的咨询对目标参与度的影响，增加干预以人为中心和有效的机会。
