Does health coaching change patients' trust in their primary care provider?

ObjectiveTo assess the impact of health coaching on patients' in their primary care provider.MethodsRandomized controlled trial comparing health coaching with usual care.ParticipantsLow-income English or Spanish speaking patients age 18-75 with poorly controlled type 2 diabetes, hypertension and/or hyperlipidemia.Main outcome measurePatient trust in their primary care provider measured by the 11-item Trust in Physician Scale, converted to a 0-100 scale.AnalysisLinear mixed modeling.ResultsA total of 441 patients were randomized to receive 12 months of health coaching (n = 224) vs. usual care (n = 217). At baseline, the two groups were similar to those in the usual care group with respect to demographic characteristics and levels of trust in their provider. After 12 months, the mean trust level had increased more in patients receiving health coaching (3.9 vs. 1.5, p = 0.47), this difference remained significant after adjustment for number of visits to primary care providers (adjusted p = .03).ConclusionsHealth coaching appears to increase patients trust in their primary care providers.Practice ImplicationsPrimary care providers should consider adding health coaches to their team as a way to enhance their relationship with their patients.