Health coaching enhanced older adults' self-efficacy in managing their chronic diseases: A randomized controlled trial

Edwin Ka Hung Chung, Hera Hiu-wah Leung, Dannii Yuen-lan Yeung, Eman Yee-man Leung, Eliza Lai-yi Wong, Eng-kiong Yeoh, Frank Youhua Chen*

*Corresponding author for this work

Research output: Journal Publications and ReviewsRGC 21 - Publication in refereed journalpeer-review

1 Citation (Scopus)
30 Downloads (CityUHK Scholars)

Abstract

Although health coaching is a well-known self-management intervention for individuals with chronic diseases, the research on its effect on older adults is limited. A total of 414 older Hong Kong adults were randomly assigned to the intervention group, which received 12-week health coaching sessions and the control group without intervention. Participants in the intervention group completed assessments at three time points (baseline, postintervention, and 3-month follow-up), and those in the control group completed baseline and 3-month follow-up assessments. Generalized estimating equations first revealed significant improvement in self-efficacy and blood pressures, and such improvements were maintained at follow-up. In addition, the self-efficacy of the intervention group significantly increased while that of the control group significantly decreased from baseline to follow-up. Thus, the overall results demonstrate the effectiveness of the health coaching intervention in improving the self-efficacy of older adults in managing their chronic diseases and health risks. © The Author(s) 2025.
Original languageEnglish
Number of pages12
JournalJournal of Applied Gerontology
Online published22 Apr 2025
DOIs
Publication statusOnline published - 22 Apr 2025

Funding

This study received support from Mr. LAU Tat-chuen of Sino International Industrial Limited. The funder has no role in study design, data collection, data analyses, data interpretation, or manuscript preparation. The authors are grateful for his generous financial support.

Research Keywords

  • health coaching
  • disease management
  • intervention
  • well-being
  • older adults

Publisher's Copyright Statement

  • COPYRIGHT TERMS OF DEPOSITED POSTPRINT FILE: The article is protected by copyright and reuse is restricted to non-commercial and no derivative uses. Users may also download and save a local copy of an article accessed in an institutional repository for the user's personal reference. For permission to reuse an article, please follow our Process for Requesting Permission. Chung, E. K. H., Leung, H. H., Yeung, D. Y., Leung, E. Y., Wong, E. L., Yeoh, E., & Chen, F. Y., Health Coaching Enhanced Older Adults' Self-Efficacy in Managing Their Chronic Diseases: A Randomized Controlled Trial, Journal of Applied Gerontology. Copyright © 2025 by The Author(s). DOI: 10.1177/07334648251336537

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