健康的社会决定因素是影响健康结果的环境条件,比如住房,交通运输,和邻里。在这份报告中,我们调查了3例参与健康指导干预研究的有社会危险因素的参与者.这项研究是以科学为基础的,为中西部州的老年参与者提供护士健康教练模型,旨在装备和授权他们实现和维持他们的健康和最佳功能,以支持在家中独立生活。该计划是一个为期8周的虚拟教练方法,使用每周,30分钟,与参与者进行双向视频辅导。对于三种情况中的每一种,我们描述了参与的模式,随着教练的发展,早期和后期的健康目标,以及所取得的成果的类型。从这些案例研究中,我们说明了社会决定因素如何影响目标的类型,进程,以及健康教练计划参与者取得的潜在成果。从这些见解中,我们提出了卫生政策和服务的方向以及未来的研究考虑。
Social determinants of health are the conditions in the environment that influence health outcomes, such as housing, transportation, and neighborhoods. In this report, we examine 3 cases of participants with social risk factors who participated in a health coaching intervention study. The study was a science-based, nurse health coaching model provided to older adult participants in a Midwestern state designed to equip and empower them to achieve and maintain their health and optimum function to support independent living at home. The program was an 8-week virtual coaching method using weekly, 30-minute, 2-way video coaching sessions with participants. For each of the 3 cases, we describe the patterns of engagement, early and later health goals as coaching progressed, and the types of outcomes achieved. From these
case studies, we illustrate how social determinants may affect the types of goals, processes, and potential outcomes achieved by participants of health coaching programs. From these insights, we propose directions in health policy and services and future research considerations.