A protection motivation theory-guided telehealth coaching program for middle-aged adults with cardiometabolic risk: A feasibility trial
Abstract Background Health coaching to address the escalated cardiometabolic risk in middle-aged adults in primary health care is underexplored. This study aimed to examine the feasibility and acceptability of a protection motivation theory-guided telehealth coaching program among middle-aged adults...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-03-01
|
| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-025-22238-w |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849235792130473984 |
|---|---|
| author | Zoe Ching-man Kwok Hon-lon Tam Benny Chung-ying Zee Sally Wai-sze Lo Fiona Wing-ki Tang An Tao Helen Yue-lai Chan |
| author_facet | Zoe Ching-man Kwok Hon-lon Tam Benny Chung-ying Zee Sally Wai-sze Lo Fiona Wing-ki Tang An Tao Helen Yue-lai Chan |
| author_sort | Zoe Ching-man Kwok |
| collection | DOAJ |
| description | Abstract Background Health coaching to address the escalated cardiometabolic risk in middle-aged adults in primary health care is underexplored. This study aimed to examine the feasibility and acceptability of a protection motivation theory-guided telehealth coaching program among middle-aged adults with cardiometabolic risks. Methods This was a pretest–posttest study. The three-month intervention included four nurse-facilitated telehealth sessions tailored to individual cardiometabolic risks. Results Thirty participants were recruited through social media and a community center. The eligibility and enrollment rates were 16.1% and 78.9%, respectively. Attrition at six months after enrollment was 33.3%, and intervention attendance was 82.5%. Most of the participants (76.7%) were satisfied with the program. Significant improvements were noted in the INTERHEART score for cardiometabolic risks, self-efficacy, anxiety, stress, and central obesity but not in health-promoting behaviors, depression, sleep quality, physical activity level, and physiological outcomes at six-month post-enrolment. Conclusion A theory-based telehealth coaching was feasible and well-accepted among middle-aged adults, with potential in reducing cardiometabolic risks among middle-aged adults in primary care. This study revealed significant improvement in cardiometabolic risk, self-efficacy, anxiety, stress, and central obesity but changes for health-promoting behaviors, depression, sleep quality, physical activity level, and physiological outcomes were not noted. Progression to a definitive trial was supported with implication for future trials, including lowering the threshold of cardiometabolic risk to improve subject recruitment, change of assessment sessions to promote adherence to fasting instruction, and use of digital recording to facilitate health coaching process. Trial registration : This trial was retrospectively registered on 05/07/2022 at ClinicalTrials.gov (identifier: NCT05444140). |
| format | Article |
| id | doaj-art-710ffc19ecd847c4851e021f2b09d9cc |
| institution | Kabale University |
| issn | 1471-2458 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj-art-710ffc19ecd847c4851e021f2b09d9cc2025-08-20T04:02:41ZengBMCBMC Public Health1471-24582025-03-0125111210.1186/s12889-025-22238-wA protection motivation theory-guided telehealth coaching program for middle-aged adults with cardiometabolic risk: A feasibility trialZoe Ching-man Kwok0Hon-lon Tam1Benny Chung-ying Zee2Sally Wai-sze Lo3Fiona Wing-ki Tang4An Tao5Helen Yue-lai Chan6The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong KongThe Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong KongThe Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong KongSchool of Nursing, University of TasmaniaThe Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong KongThe Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong KongThe Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong KongAbstract Background Health coaching to address the escalated cardiometabolic risk in middle-aged adults in primary health care is underexplored. This study aimed to examine the feasibility and acceptability of a protection motivation theory-guided telehealth coaching program among middle-aged adults with cardiometabolic risks. Methods This was a pretest–posttest study. The three-month intervention included four nurse-facilitated telehealth sessions tailored to individual cardiometabolic risks. Results Thirty participants were recruited through social media and a community center. The eligibility and enrollment rates were 16.1% and 78.9%, respectively. Attrition at six months after enrollment was 33.3%, and intervention attendance was 82.5%. Most of the participants (76.7%) were satisfied with the program. Significant improvements were noted in the INTERHEART score for cardiometabolic risks, self-efficacy, anxiety, stress, and central obesity but not in health-promoting behaviors, depression, sleep quality, physical activity level, and physiological outcomes at six-month post-enrolment. Conclusion A theory-based telehealth coaching was feasible and well-accepted among middle-aged adults, with potential in reducing cardiometabolic risks among middle-aged adults in primary care. This study revealed significant improvement in cardiometabolic risk, self-efficacy, anxiety, stress, and central obesity but changes for health-promoting behaviors, depression, sleep quality, physical activity level, and physiological outcomes were not noted. Progression to a definitive trial was supported with implication for future trials, including lowering the threshold of cardiometabolic risk to improve subject recruitment, change of assessment sessions to promote adherence to fasting instruction, and use of digital recording to facilitate health coaching process. Trial registration : This trial was retrospectively registered on 05/07/2022 at ClinicalTrials.gov (identifier: NCT05444140).https://doi.org/10.1186/s12889-025-22238-wCardiometabolic diseaseFeasibility trialHealth coachingMiddle-aged adultsPrimary prevention |
| spellingShingle | Zoe Ching-man Kwok Hon-lon Tam Benny Chung-ying Zee Sally Wai-sze Lo Fiona Wing-ki Tang An Tao Helen Yue-lai Chan A protection motivation theory-guided telehealth coaching program for middle-aged adults with cardiometabolic risk: A feasibility trial BMC Public Health Cardiometabolic disease Feasibility trial Health coaching Middle-aged adults Primary prevention |
| title | A protection motivation theory-guided telehealth coaching program for middle-aged adults with cardiometabolic risk: A feasibility trial |
| title_full | A protection motivation theory-guided telehealth coaching program for middle-aged adults with cardiometabolic risk: A feasibility trial |
| title_fullStr | A protection motivation theory-guided telehealth coaching program for middle-aged adults with cardiometabolic risk: A feasibility trial |
| title_full_unstemmed | A protection motivation theory-guided telehealth coaching program for middle-aged adults with cardiometabolic risk: A feasibility trial |
| title_short | A protection motivation theory-guided telehealth coaching program for middle-aged adults with cardiometabolic risk: A feasibility trial |
| title_sort | protection motivation theory guided telehealth coaching program for middle aged adults with cardiometabolic risk a feasibility trial |
| topic | Cardiometabolic disease Feasibility trial Health coaching Middle-aged adults Primary prevention |
| url | https://doi.org/10.1186/s12889-025-22238-w |
| work_keys_str_mv | AT zoechingmankwok aprotectionmotivationtheoryguidedtelehealthcoachingprogramformiddleagedadultswithcardiometabolicriskafeasibilitytrial AT honlontam aprotectionmotivationtheoryguidedtelehealthcoachingprogramformiddleagedadultswithcardiometabolicriskafeasibilitytrial AT bennychungyingzee aprotectionmotivationtheoryguidedtelehealthcoachingprogramformiddleagedadultswithcardiometabolicriskafeasibilitytrial AT sallywaiszelo aprotectionmotivationtheoryguidedtelehealthcoachingprogramformiddleagedadultswithcardiometabolicriskafeasibilitytrial AT fionawingkitang aprotectionmotivationtheoryguidedtelehealthcoachingprogramformiddleagedadultswithcardiometabolicriskafeasibilitytrial AT antao aprotectionmotivationtheoryguidedtelehealthcoachingprogramformiddleagedadultswithcardiometabolicriskafeasibilitytrial AT helenyuelaichan aprotectionmotivationtheoryguidedtelehealthcoachingprogramformiddleagedadultswithcardiometabolicriskafeasibilitytrial AT zoechingmankwok protectionmotivationtheoryguidedtelehealthcoachingprogramformiddleagedadultswithcardiometabolicriskafeasibilitytrial AT honlontam protectionmotivationtheoryguidedtelehealthcoachingprogramformiddleagedadultswithcardiometabolicriskafeasibilitytrial AT bennychungyingzee protectionmotivationtheoryguidedtelehealthcoachingprogramformiddleagedadultswithcardiometabolicriskafeasibilitytrial AT sallywaiszelo protectionmotivationtheoryguidedtelehealthcoachingprogramformiddleagedadultswithcardiometabolicriskafeasibilitytrial AT fionawingkitang protectionmotivationtheoryguidedtelehealthcoachingprogramformiddleagedadultswithcardiometabolicriskafeasibilitytrial AT antao protectionmotivationtheoryguidedtelehealthcoachingprogramformiddleagedadultswithcardiometabolicriskafeasibilitytrial AT helenyuelaichan protectionmotivationtheoryguidedtelehealthcoachingprogramformiddleagedadultswithcardiometabolicriskafeasibilitytrial |