The effects of health coaching on adult patients with chronic diseases: A systematic review

• The review describes the effects of health coaching on patients with chronic diseases.
• Health coaching produces positive effects on chronically ill patient's lives.
• Health coaching motivates changes in chronically ill patients’ lifestyle behavior.
• Health coaching improves a patient's physical and mental health status.
• Health coaching supports the management of chronic diseases.

ObjectiveThe aim of this systematic review was to describe the effects of health coaching on adult patients with chronic diseases.MethodsThe reviewers searched electronic databases and performed a manual search for studies published from 2009 to 2013. The inclusion criteria covered health coaching for adults with chronic diseases by health care professionals. The studies were original, randomized controlled trials or quasi-experimental designs.ResultsThirteen studies were selected using the inclusion criteria. The results indicate that health coaching produces positive effects on patients’ physiological, behavioral and psychological conditions and on their social life. In particular, statistically significant results revealed better weight management, increased physical activity and improved physical and mental health status.ConclusionHealth coaching improves the management of chronic diseases. Further research into the cost-effectiveness of health coaching and its long-term effectiveness for chronic diseases is needed.Practice implications Health care professionals play key roles in promoting healthy behavior and motivating good care for adults with chronic diseases. Health coaching is an effective patient education method that can be used to motivate and take advantage of a patient's willingness to change their life style and to support the patient's home-based self-care.