%0 Journal Article
%T Patient Engagement in Health Coaching and Self-Management Abilities in Chronic Obstructive Pulmonary Disease.
%A Benzo MV
%A Kelpin SS
%A Werneburg B
%A Hoult J
%A Clark MM
%A Novotny P
%A Benzo R
%J Am J Lifestyle Med
%V 18
%N 2
%D 2024 Mar-Apr
%M 38559791
暂无%R 10.1177/15598276221120523
%X Objective: Health coaching has the potential to improve self-management abilities (SM) in patients with Chronic Obstructive Pulmonary Disease (COPD). Patient engagement with health care providers has a beneficial effect on patient outcomes. We examined the association of patient engagement with the health coach on SM abilities in patients with COPD. Methods: We analyzed the association between the degree of engagement measured by the Working Alliance Inventory (WAI-SR) and the SM measured by the Self-Management-Ability-Scale-30 (SMAS-30) at the end of a COPD health coaching intervention. Results: The cohort included 146 moderate to severe COPD patients. The WAI-SR total score was 85% of the maximum possible scores indicating a high degree of engagement between the health coach and the patients. The WAI-SR Task and Bond domains were positively associated with SM abilities after adjusting for lung function (FEV1 %) and depression symptoms (PHQ-2). Conclusion: The degree of engagement between a health coach and patients is associated with the perception of SM abilities in patients with COPD. Our results may inform self-management intervention and clinical practice.