Health Coaching Research Articles

“Veteran to Veteran, There's Automatically a Trust”: A Qualitative Study of Veterans’ Experiences in a Peer Health-Coaching Program for Hypertension

IntroductionVeteran peer Coaches Optimizing and Advancing Cardiac Health (VetCOACH) was a randomized controlled trial to test the effectiveness of a peer support intervention to reduce blood pressure among Veterans with hypertension and one or more cardiovascular risks. We studied participant perceptions of the intervention, including barriers and facilitators to participation, factors promoting behavior change, and disease self-management practices. MethodsWe enrolled participants at their exit visit for the VetCOACH study. Participants received primary care at the Veterans Administration health care system and had multiple cardiovascular disease risks, including a diagnosis of hypertension. We conducted a qualitative content analysis of semi-structured interviews about their experience with the VetCOACH intervention. ResultsInterview participants (n=29) were 60 years of age on average (SD 8.6), 71% male, and 55% White. They had mean systolic blood pressure of 138 mmHg (SD 18) at baseline. We identified themes across three major categories, which follow the general progression of the intervention: participation, relationship-building, and behavior change. Scheduling flexibility, shared identity and experiences with the coach, acquisition of new knowledge and skills, and goal-setting were important determinants of participants’ experiences in the program. In the participation category, the themes were scheduling, visit modality, life circumstances, and staffing. In the relationship category, the themes were the coach's professional role, shared identity and experiences, and social support. In the behavior change category, the themes were memory, attention, decision-processes; goal-setting; skills and knowledge; and environmental context and resources. We report differences across patients varying by blood pressure reduction following the intervention and number of coaching visits. ConclusionsParticipants generally reported positive experiences in a peer support intervention for Veterans with hypertension. Participant perceptions provide important insights to the intervention design and implementation. These findings may inform future implementation of peer support among Veterans in hypertension and chronic disease self-management more generally.

Does Health Coaching Reduce the Risk of Type 2 Diabetes?

Even with decades of medical advancements and the National Diabetes Prevention Program, the incidence obesity and type 2 diabetes mellitus (T2DM) continues to rise. This pilot study explored the effect of lifestyle coaching on weight and engagement in care among adults with or at risk for prediabetes. It used a virtual, group health coaching program called Aligning Nutrition, Exercise and Wellbeing (ANEW-AP), facilitated by board-certified health coaches. Weight loss varied, yet no participants gained weight, and overall engagement in care slightly increased.

Goal Setting, Movement Behaviors, and Perceived Health during an Online Health Coaching Intervention

The purpose of this study was to examine the associations of goal setting, movement behaviors, and health perceptions in young adults after an online health coaching intervention. Participants were young adults from a university within the western United States (N=257; 57.2% female). Participants met with health coaches in an online setting for one hour and goals were set for two behavior areas. Physical activity (PA), sitting time, sleep, and perceptions of general health and emotional wellbeing (health perceptions) were collected at baseline and at 2- and 4-weeks after the coaching session. Mediation analyses determined the associations of the health coaching session with goal setting on self-reported general health and emotional wellbeing and the indirect associations of each movement behavior. No movement behavior positively mediated the associations between the health coaching session and any of the health perception outcomes, although PA, sitting time, and weeknight sleep at 2-weeks associated with general health at 4-weeks (b=0.17–0.39, p<0.01) and associated with emotional wellbeing at 4-weeks (b=0.16–0.21, p<0.01). Emotional wellbeing mediated the associations of the health coaching session on general health (IE=0.19, p<0.001) and general health mediated the association of the health coaching session on emotional wellbeing (IE=0.09, p<0.001). Movement behaviors correlated with self-reported general health and emotional wellbeing, but no positive mediating associations were observed. Emotional wellbeing mediated the associations of the health coaching session on general health and vice-versa, suggesting a bidirectional association between the two health perceptions.

Cost-Effectiveness of a Home Telemonitoring System for Asian Adults with Type 2 Diabetes Mellitus.

Background: Telemonitoring programs have been found to be effective in improving diabetic control by promoting patients' self-management of diabetes through medication adherence, dietary modifications, and exercise. Nonetheless, few studies have assessed the cost-effectiveness of telemonitoring for the self-management of diabetes based on real-world data. Methods: A randomized controlled trial entitled Optimizing care of Patients via Telehealth In Monitoring and Augmenting their control of Diabetes Mellitus was conducted among adults with Type 2 Diabetes Mellitus in Singapore. Individuals in the intervention group (n = 159) underwent a telemonitoring program comprising of remote patient monitoring, education, individualized health coaching, and teleconsultations, whereas individuals in the control group (n = 160) received regular care. Economic evaluation was conducted from health care system and societal perspectives in 2020 in Singapore dollars, using health outcomes and costs documented at baseline and at 6 month follow-up. One-way sensitivity analyses and bootstrapping to generate scatter plot on cost-effectiveness planes were done. Results: The adjusted reduction in HbA1c scores was greater in the intervention group by -0.41 (95% confidence interval [CI], -0.65 to -0.17), while the change in utility scores was higher in the intervention group by 0.011 (95% CI, -0.016 to 0.0378). From a health care perspective, the incremental cost-effectiveness ratio (ICER) of the telemonitoring program per unit improvement in HbA1c, per additional case of well-controlled diabetes, and per unit improvement in quality adjusted life years was SGD 580.44, SGD 9100.15, and SGD 21,476.36, respectively. From a societal perspective, the ICERs were SGD 817.20, SGD 12,812.02, and SGD 30,236.36, respectively. Conclusions: The Optimizing care of Patients via Telehealth In Monitoring and Augmenting their control of Diabetes Mellitus telemonitoring program was effective and potentially cost-effective for the management and control of diabetes among patients in primary care.

Evaluating the Impact of a Virtual Health Coaching Lifestyle Program on Weight Loss after Sleeve Gastrectomy: A Prospective Study.

Bariatric surgery (BS) is a leading treatment for obesity; however, adverse side effects (e.g., pain and infection) can deter patients or affect weight maintenance. This study investigates how a post-operative virtual health coaching lifestyle program, monitoring virtual weekly goal progress made by patients, affects weight loss after BS, specifically sleeve gastrectomy. Patients recruited for this 6-month study were classified with a BMI > 30 kg/m2 90 days post-operatively. Patients were prescribed lifestyle support delivered by certified health and wellness coaches (InHealth Lifestyle Therapeutics™). Demographic variables (e.g., age, weight, height, and gender) were obtained and compared according to initial, 3-, 6-month, and current weight through repeated measures ANOVA and post hoc comparison. Thirty-eight adult participants were included, with a mean age of 52 years ± 12.9 and with a majority (n = 35; 97%) of them being female. There were significant differences in weight reported across all five time points (p < 0.05), with the greatest weight difference seen between the initial (250.3 ± 45.5 lbs.) and final time points (226.7± 40.4 lbs.). This study suggests post-operative virtual health coaching can enhance weight loss outcomes after sleeve gastrectomy. Further research is needed to assess the long-term effects and cost-effectiveness of such a form of coaching for bariatric surgery patients.

Robots as Mental Health Coaches: A Study of Emotional Responses to Technology-Assisted Stress Management Tasks Using Physiological Signals.

The current study investigated the effectiveness of social robots in facilitating stress management interventions for university students by evaluating their physiological responses. We collected electroencephalogram (EEG) brain activity and Galvanic Skin Responses (GSRs) together with self-reported questionnaires from two groups of students who practiced a deep breathing exercise either with a social robot or a laptop. From GSR signals, we obtained the change in participants' arousal level throughout the intervention, and from the EEG signals, we extracted the change in their emotional valence using the neurometric of Frontal Alpha Asymmetry (FAA). While subjective perceptions of stress and user experience did not differ significantly between the two groups, the physiological signals revealed differences in their emotional responses as evaluated by the arousal-valence model. The Laptop group tended to show a decrease in arousal level which, in some cases, was accompanied by negative valence indicative of boredom or lack of interest. On the other hand, the Robot group displayed two patterns; some demonstrated a decrease in arousal with positive valence indicative of calmness and relaxation, and others showed an increase in arousal together with positive valence interpreted as excitement. These findings provide interesting insights into the impact of social robots as mental well-being coaches on students' emotions particularly in the presence of the novelty effect. Additionally, they provide evidence for the efficacy of physiological signals as an objective and reliable measure of user experience in HRI settings.

652-P: Impact of a Six-Month Digital Health Coaching Program on Individuals with Type 2 Diabetes Mellitus Experiencing Food Insecurity in Rural Areas

652-P: Impact of a Six-Month Digital Health Coaching Program on Individuals with Type 2 Diabetes Mellitus Experiencing Food Insecurity in Rural Areas

Effect of Digital Health Coaching on Self-Efficacy and Patient-Reported Outcomes in Individuals with Acute Myeloid and Chronic Lymphocytic Leukemia: A Pilot Randomized Controlled Trial.

Promotion of self-efficacy can enhance engagement with health care and treatment adherence in patients with cancer. We report the outcomes of a pilot trial of a digital health coach intervention in patients with leukemia with the aim of improving self-efficacy. Adult patients with newly diagnosed acute myeloid leukemia (AML) and chronic lymphocytic leukemia (CLL) were randomized 1:1 to a digital health coach intervention or standard of care. The primary outcome of self-efficacy was measured by the Cancer Behavior Inventory (CBI) score. A total of 147 patients (37 AML, 110 CLL) were enrolled from July 2020 to December 2022. In the AML cohort, there was a mean increase in CBI score of 7.03 in the digital health coaching arm compared to a mean decrease of -3.57 in the control arm at 30 days (p = 0.219). There were no significant associations between the intervention and other patient-reported outcomes for patients with CLL. There were numerical, but not statistically significant increases in self-efficacy metrics in AML patients who received digital health coaching. Although this trial was underpowered due to enrollment limitations during a pandemic, digital health coaching may provide benefit to patients with hematologic malignancy and warrants further investigation.

Health Coaching Intervention to Improve Self-Care Management of Hypertension Among Older People in Indonesia: A Randomized Controlled Study Protocol.

One-third of the global population is predicted to be diagnosed with hypertension (HTN) in 2025, with the percentage highest among older people. Without proper self-care management, uncontrolled HTN causes negative health consequences and decreases the quality of life. The previous scoping review identified various challenges that older adults may face in dealing with HTN and that effective approaches should consider each individual's circumstances and attributes. This study aims to investigate the efficacy and sustainable impact of an Indonesian adaptation of an 8-week nurse health coaching intervention on self-care management and self-efficacy among older people with HTN. The coaching sessions will last for 30 min weekly for 8 weeks. The data will be measured at three points: baseline (initial), 1 week after the eighth health coaching session, and 3 months after concluding the intervention. This study will be the first health coaching intervention research based on motivational interviewing and cognitive behavioral therapy approach with Indonesian background adjustment. The study result will help develop a guideline for nurses and other health workers providing health coaching for older people in Indonesia and other countries with similar characteristics in terms of sociodemographics or lifestyle. thaiclinicaltrials.org Identifier: TCTR20230410001 (Date of registration: April 9, 2023).

Experience of Telephone-Based Diabetes Health Coaching Among Community-Based Adults With Type 2 Diabetes

Background In the past decade, diabetes health coaching, also referred to as diabetes coaching, has emerged as a patient-centered intervention to help individuals with type 2 diabetes gain independence with self-management. This study explores the perceived experience of receiving telephone-based diabetes health coaching among adults living with type 2 diabetes. Method A qualitative exploration with an interpretive descriptive design was carried out. Participants from the intervention group of a larger randomized controlled trial who had received a telephone-based diabetes coaching intervention throughout 1 year were invited to participate in a telephone interview with open-ended questions. Results Twelve participants were interviewed, and four major themes emerged: 1) adapting to ongoing challenges with type 2 diabetes, reflecting how coaching helped individuals integrate diabetes into their daily lives by addressing misconceptions, improving knowledge, encouraging awareness, and easing the transition from oral medication to insulin injections; 2) heightened mindfulness of diabetes-related wellness, capturing the greater attention participants gave to their overall well-being and self-management behaviors; 3) behavior change guided by the participant, highlighting the differences in participants’ motivation, readiness to make changes, and external factors that influenced their ability to make self-management behavior changes; and 4) valuing a supportive relationship, illustrating that most participants felt that the unique coach-client relationship was reliable, holistic, nonjudgmental, and encouraging. Conclusion Participants found diabetes coaching to be positive and highlighted the various ways it was able to support their ability to manage diabetes.

Report on the 4th Board Meeting of the International Human Phenome Consortium.

Phenome has become a consensus as the next innovation source of biomedicine. As the global network dedicated to large-scale research efforts on human phenome and promoting the Human Phenome Project, the Board of International Human Phenome Consortium (IHPC) plays an essential role to guide the strategy and implementation of international human phenome project and to ensure coordination across the IHPC members. The 4th International Human Phenome Consortium Board Meeting was held virtually on December 13, 2022. During the meeting, the keynote speeches highlighted the latest advancements in phenomics. The construction and discoveries of the first human phenome Atlas had shown promising potential in limb development, disease prevention, and early diagnosis. Combining genome-phenome sequencing, analysis, and wellness coaching enhanced individual wellness. Phenomics trajectories from healthy to diseased states and recovery provided insight into the metabolic risk spaces associated with COVID-19. Board members from Ghana, Malaysia, India, and Russia presented their own plans and research progress. The IHPC Board deliberated on the "Framework Guidelines for Human Phenome-related Measurements" and "Proposal of the PhenoBank Initiative". The meeting also featured a presentation of the annual report of the IHPC Journal Phenomics. Laboratory coordination, interoperable databases, and standardized platforms were productively discussed, which would enable concerted research efforts of the Human Phenome Project.

Insights Into the Use of a Digital Healthy Aging Coach (AGATHA) for Older Adults From Malaysia: App Engagement, Usability, and Impact Study.

Digital inclusion is considered a pivotal social determinant of health, particularly for older adults who may face significant barriers to digital access due to physical, sensory, and social limitations. Avatar for Global Access to Technology for Healthy Aging (AGATHA) is a virtual healthy aging coach developed by the World Health Organization to address these challenges. Designed as a comprehensive virtual coach, AGATHA comprises a gamified platform that covers multiple health-related topics and modules aimed at fostering user engagement and promoting healthy aging. The aim of this study was to explore the perception and user experience of Malaysian older adults in their interactions with the AGATHA app and its avatar. The focus of this study was to examine the engagement, usability, and educational impact of the app on health literacy and digital skills. We performed a qualitative study among adults 60 years and older from suburban and rural communities across six states in Malaysia. Participants were purposefully recruited to ensure representation across various socioeconomic and cultural backgrounds. Each participant attended a 1-hour training session to familiarize themselves with the interface and functionalities of AGATHA. Subsequently, all participants were required to engage with the AGATHA app two to three times per week for up to 2 weeks. Upon completion of this trial phase, an in-depth interview session was conducted to gather detailed feedback on their experiences. Overall, the participants found AGATHA to be highly accessible and engaging. The content was reported to have a comprehensive structure and was delivered in an easily understandable and informative manner. Moreover, the participants found the app to be beneficial in enhancing their understanding pertaining to health-related issues in aging. Some key feedback gathered highlighted the need for increased interactive features that would allow for interaction with peers, better personalization of content tailored to the individual's health condition, and improvement in the user-experience design to accommodate older users' specific needs. Furthermore, enhancements in decision-support features within the app were suggested to better assist users in making health decisions. The prototype digital health coaching program AGATHA was well received as a user-friendly tool suitable for beginners, and was also perceived to be useful to enhance older adults' digital literacy and confidence. The findings of this study offer important insights for designing other digital health tools and interventions targeting older adults, highlighting the importance of a user-centered design and personalization to improve the adoption of digital health solutions among older adults. This study also serves as a useful starting point for further development and refinement of digital health programs aimed at fostering an inclusive, supportive digital environment for older adults.

Domain-specific Embeddings for Question-Answering Systems: FAQs for Health Coaching

FAQs are widely used to respond to users’ knowledge needs within knowledge domains. While LLM might be a promising way to address user questions, they are still prone to hallucinations i.e., inaccurate or wrong responses, which, can, inter alia, lead to massive problems, including, but not limited to, ethical issues. As a part of the healthcare coach chatbot for young Nigerian HIV clients, the need to meet their information needs through FAQs is one of the main coaching requirements. In this paper, we explore if domain knowledge in HIV FAQs can be represented as text embeddings to retrieve similar questions matching user queries, thus improving the understanding of the chatbot and the satisfaction of the users. Specifically, we describe our approach to developing an FAQ chatbot for the domain of HIV. We used a predefined FAQ question-answer knowledge base in English and Pidgin co-created by HIV clients and experts from Nigeria and Switzerland. The results of the post-engagement survey show that the chatbot mostly understood the user’s questions and could identify relevant matching questions and retrieve an appropriate response.

Management of work stress among arts and science school administrators in Nigeria using rational emotive occupational health coaching: A randomized controlled trial evaluation.

The working circumstances of the administrators are appalling due to the nature of education in Nigeria. These administrators put in a lot of overtime to fulfill the expectations of their positions, which stresses them out. But there is no information in the literature about how administrators of science schools deal with their demanding environments. Therefore, the aim of this study was to evaluate how administrators of secondary scientific schools in the Southeast could manage work-related stress by using rational and emotive occupational health coaching. A randomized controlled trial (RCT) experimental design was used for the investigation, with 106 people divided into 2 groups-one for the intervention and one for the control. A selection of these participants came from southeast Nigerian special scientific schools. The Occupational Stress Index (OSI) and the Perceived Stress Scale (PSS) served as the foundation for our data collection procedure. A posttest was given following the 12-week intervention, and then there was a 2-month follow-up assessment. Repeated analysis of variance (ANOVA) was utilized to ascertain the effects both within and across groups. It was revealed that rational emotive occupational health coaching had significant effect on the management of work stress among southeast secondary arts and science school administrators, F (2, 208) = 1452.484, P = <.050, ŋ2 = .933, and F (1, 104) = 18076.988, P = <.050, ŋ2 = .994). The management of work stress among southeast secondary arts and science school administrators was significantly improved through rational emotive occupational health coaching.

Telephone Health Coaching and Remote Exercise Monitoring (TeGeCoach) in Peripheral Arterial Occlusive Disease.

Supervised exercise programs are used to treat intermittent claudication (IC). Home-based exercise programs have been developed to lower barriers to participation. We studied the effects of one such exercise program (TeGeCoach) on self-reported walking ability in patients with IC. In a pragmatic multicenter randomized controlled trial (registration number NCT03496948), 1982 patients with symp - tomatic IC insured by one of three German statutory health insurance funds received either telephone health coaching with remote exercise monitoring (TeGeCoach; n = 994) or routine care (n = 988). The primary outcome was the change in Walking Impairment Questionnaire (WIQ) scores after 12 and 24 months in the intention-to-treat population. The secondary outcomes were healthrelated quality of life, symptoms of depression or anxiety, health competence, patient activation, alcohol use, and nicotine depen - dence. There was a significant group difference in WIQ score in favor of TeGeCoach (p < 0.0001), amounting to 6.30 points at 12 months (Bonferroni-corrected 95% CI [4.02; 8.59], Cohen's d = 0.26) and 4.55 points at 24 months ([2.20; 6.91], d = 0.19). Some of the secondary outcomes also showed positive results in favor of TeGeCoach at 12 months with small effect sizes (d ≥ 0.20), including physical health-related quality of life and patient activation. The average daily step count was not higher in the TeGeCoach group. Significant improvements regarding symptom burden demonstrate the benefit of a home-based exercise program and thus expand the opportunities for guideline-oriented treatment of IC. Future studies should additionally address the effect of home-based exercise programs on clinical variables by means of, for example, the 6-minute walk test.

Advanced Dietitian Using Machine Learning

The "Advanced Artificial Intelligence Dietitian" (AI-Dietitian) project explores the potential of AI to revolutionize personalized nutrition. Traditional dietary approaches often struggle with individual complexities and lack continuous guidance. We propose an AI-powered system that transcends these limitations, offering: · Comprehensive Data Integration: The AI-Dietitian analyzes diverse data sets, including medical records, genetic information, activity trackers, and food intake sensors, building a holistic understanding of individual needs and preferences. · Adaptive &amp; Personalized Plans: Leveraging advanced machine learning algorithms, the AI-Dietitian generates dynamic, personalized meal plans that adapt to real-time data and user feedback, ensuring continued effectiveness and adherence. · Continuous Coaching &amp; Support: The AI-Dietitian acts as a virtual coach, providing real-time feedback, nutritional education, and motivational support through natural language interaction and personalized content. · Predictive &amp; Preventative Healthcare: The AI-Dietitian leverages its predictive capabilities to identify potential health risks and recommend preventative dietary interventions, promoting long-term health and well-being. This project addresses the limitations of traditional dietetics and explores the ethical considerations of AI in healthcare. We believe the AI-Dietitian has the potential to democratize personalized nutrition, promoting healthier communities and reducing healthcare costs. Keywords: Artificial Intelligence, Machine Learning, Personalized Nutrition, Health Coaching, Predictive Healthcare, Ethical AI

Peer health coach experiences promoting a nondiet approach in a university health coaching program

PurposeResearch shows peer health education programs on university campuses can support students in pursuing sustainable health-related behavior changes. However, few programs deliver peer health education through a nondiet, weight-inclusive framework. Research shows that health educators who challenge the status quo of diet culture and weight-focused health interventions may face unique challenges when sharing this perspective with others. Thus, the purpose of this study was to examine the experiences of peer educators who provided critical health education by introducing a nondiet, weight-inclusive approach to health.Design/methodology/approachFive health coaches from a university health coaching program at a mid-sized southwestern university participated in a semi-structured interview. The data were analyzed through interpretative phenomenological analysis.FindingsPeer educators faced numerous challenges when introducing nondiet, weight-inclusive approaches such as lacking credibility as a peer to challenge weight-centric messages, feeling conflicted about honoring clients’ autonomy when clients are resistant to a weight-inclusive approach and feeling uncomfortable when discussing client vulnerabilities. Peer educators also identified several strategies that helped them navigate these challenges such as being intentional with social media, using motivational interviewing to unpack clients’ concerns about weight, and seeking group supervision.Originality/valueGiven the reality that health coaches will face challenges sharing weight-inclusive health approaches, educators and supervisors should explicitly incorporate strategies and training methods to help peer health coaches prepare for and cope with such challenges. More research is also needed to examine effective ways to introduce weight-inclusive approaches to college students.

Self-determined motivational health coaching (‘SAMI’) during outpatient treatment to promote physical activity of people with serious mental illness: a pilot controlled trial

Background Brief motivational coaching, integrated into health care; seems promising to address physical inactivity of people with serious mental illness (SMI). Aims To test the impact of a self-determined health coaching approach (the “SAMI” intervention) during outpatient mental health treatment on moderate-to-vigorous physical activity (MVPA) of people with SMI. Methods Adults (mean age = 41.9, SD = 10.9) with an ICD-10 diagnosis of mental illness were semi-randomized to the SAMI-intervention group (IG) or control group (CG). The IG received 30 minutes of health coaching based on the self-determination theory (SDT). MVPA and sedentary time (ST) were measured with the International Physical Activity Questionnaire – short form (IPAQ-SF) and symptoms of mental illness with the Brief Symptom Inventory (BSI-18), each at baseline and follow-up (3–4 months). Differences in primary (MVPA) and secondary (ST, BSI-18) outcomes were evaluated using negative binomial regressions and general linear models. Results In the IG (n = 30), MVPA increased from 278 (interquartile range [IQR] = 175–551) to 435 (IQR = 161–675) min/week compared to a decrease from 250 (IQR = 180–518) to 155 (IQR = 0–383) min/week in the CG (n = 26; adjusted relative difference at follow-up: Incidence Rate Ratio [IRR] = 2.14, 95% CI: 1.17–3.93, p = 0.014). There were no statistically significant differences in ST and BSI-18. Conclusions Brief self-determined health coaching during outpatient treatment could increase post-treatment MVPA in people with SMI, potentially up to a clinically relevant level. However, great uncertainty (for all outcomes) weakens the assessment of clinical relevance.

Abstract PS02-08: The Effect of a Digital Health Coaching Program on Patient Reported Outcomes of Women with Breast Cancer

Abstract Background Understanding the impact of a digital health coaching (DHC) program on patient-reported outcomes in women with breast cancer is imperative as web-based platforms and mobile phone applications to address health care needs flood the marketplace. This study evaluated the effect of a DHC program on patient-reported outcomes, including global health (primary outcome), symptom burden, quality of life, healthcare utilization, and financial toxicity among women undergoing active treatment for breast cancer. Methods English-speaking adult women undergoing active treatment for breast cancer were randomized to receive usual care or a 6-month DHC program, consisting of weekly telephone calls from a Health Advisor, unlimited patient-initiated communication via phone, text, or email, and digital delivery of additional health-behavior content. Patient-reported outcomes (PROs) were collected using validated measures at baseline, and 1, 3, and 6 months. Summary statistics were used to describe participant characteristics. Linear mixed models were used to assess the effect of the intervention on outcomes. Results Participants (n=254, planned enrollment=440) were enrolled from August 2019 to December 2022 and randomized equally to the control and intervention groups (n=127 each). Demographic data are presented in Table 1. Participants had a mean age of 48 (SD =10.15) years; 74% were White; 19.7% were Hispanic. In both groups, several PRO scores changed over time with some improving (quality of life and symptom severity) and others worsening (symptom interference and financial toxicity) compared to baseline (time effects). Of those enrolled in the intervention group 69% were retained in the DHC program, with an overall average of 4.6 months of engagement for all participants. There were no significant group (intervention versus control) effects or group by time interaction effects observed. Trends within and between groups are presented in Table 2. Though not statistically significant, there were fewer ER visits in the intervention group at each timepoint. Conclusions: While differential improvements in the DHC group were not observed, interesting trends in PROs over the 6-month enrollment period were observed in both groups. Participants reported improvements in quality of life and worsening of financial toxicity. Interestingly, slight improvements in symptom severity over time were observed in both groups while symptom interference worsened. Potential reasons for failure to detect a treatment effect for DHC may include ineffectiveness of DHC on the selected outcomes, the intervention not being strong enough as currently delivered to detect a treatment effect, varying uptake of DHC in the intervention group, heterogeneity of the sample, or the study being underpowered due to COVID restrictions affecting enrollment. Table 1. Demographic and clinical characteristics of the study population (n = 254) Table 2. Trends in Patient Reported Outcomes and Healthcare Utilization Citation Format: Meagan Whisenant, Eileen Hacker, Loretta Williams, Joyce Dains, Bryan Fellman, Trinity Isaac, Valerie Shelton, Austin Barr, Carolyn Harty, Mazi Rasulnia, Kelly Brassil. The Effect of a Digital Health Coaching Program on Patient Reported Outcomes of Women with Breast Cancer [abstract]. In: Proceedings of the 2023 San Antonio Breast Cancer Symposium; 2023 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2024;84(9 Suppl):Abstract nr PS02-08.

Feasibility and acceptability of a tailored health coaching intervention to improve type 2 diabetes self-management in Saudi Arabia: a mixed-methods randomised feasibility trial

BackgroundAround one-third of the population of Saudi Arabia have been diagnosed with type 2 diabetes, a condition often requiring lifestyle changes. Personalised health coaching, a strategy developed to assist individuals...