Abstract
To determine whether the Health Partner Program is effective in training long-term cancer survivors to be health coaches. We randomly assigned cancer survivors who were selected through a rigorous screening process to either the Health Partner Program or the waiting-list control group. The program consisted of 8 weeks of training in health management, leadership, and coaching. At baseline, 8, and 16 weeks, we measured primary outcomes using the Seven Habit Profile (SHP), the Korean Leadership Coaching Competency Inventory (KCCI), Ed Diner's Satisfaction with Life Scale (SWLS), and the Posttraumatic Growth inventory (PTGI) and secondary outcomes using the Hospital Anxiety and Depression Scale (HADS), the Impact of Event Scale-Revised (IES-R), and the Medical Outcomes Study (MOS) short form 36-item questionnaire (SF- 36). We recruited 70 subjects and randomly assigned 34 to the intervention group. The Sharpen the Saw habit of the SHP increased significantly more in intervention group than in the control group (p = 0.049), as did most PTGI factors. The intervention group also showed a significantly greater enhancement of vitality (p = 0.015) and mental health (p = 0.049) SF-36 scores but no improvement in KCCI, SWLS, HADS, or IES-R scores. The intervention group also showed a greater clinically meaningful improvement in the "Think Win-Win" of SHP (p = 0.043) and in the personal strength score (p = 0.025) and total score (p = 0.015) of the PTGI. Long-term cancer survivors can benefit from the Health Partner Program to become health coaches.
Highlights
As a result of early detection of cancer and improvements in its treatment, the population of cancer survivors has increased (Parry et al, 2011)
To determine whether the Health Partner Program is effective in training long-term cancer survivors to be health coaches
Long-term cancer survivors can benefit from the Health Partner Program to become health coaches
Summary
As a result of early detection of cancer and improvements in its treatment, the population of cancer survivors has increased (Parry et al, 2011). A growing body of randomized controlled trials of self-management for cancer survivors—behavioral interventions based on the transtheoretical model or cognitive behavioral therapy—has resulted in improved. We describe a novel transtheoretical model-based health management program for cancer survivors called Leadership and Coaching for Health (LEACH) designed to help patients take better care of themselves while empowering them to take care of others in a chronic care model. LEACH includes two training programs—the Health Master Coach Program for professionals and the Health Partner Program for long-term cancer survivors. We conducted a randomized controlled trial comparing its efficacy with that of routine care and hypothesized that cancer survivors trained in the program would show more improvement in leadership skills, coaching technique, and satisfaction of life and more post-traumatic positive growth than the waiting-list control group. We determined the impact of the training on a wide range of modifiable health behaviors and on the health-related quality of life (HRQOL)
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