Presentation: Health Coaching for effective diabetes management- World Coaching Congress, 2017

PowerPoint Presentation

Smile Healthy to Your Diabetes: Health Coaching: A new Person Centred complementary Approach for Diabetes Type 2 Management at the Clinics

AB Cinar (DDS, MBA, PhD, DSci)Senior Research Fellow & Credited Coach (ICC), Mental Training Practioner (ISU) University of Dundee, Scotland, UK

Bridging the bridge between academia and professional coaching businessAB CINAR-2017

1. Insight to How is it to be a patient?

2. How can I make a difference to my life and my patients life?: Smile Healthy Approach

3.Coaching as a Leadership Approach for Self and the Patient: Learning-Acting-Growing together with every patient

We together will be able to explore, examine and discuss:

Smile Healthy to Your Diabetes

Building the bridge between academia and coaching profession


Am I fat ?Oh NO !


HOW I FEEL

WHAT I THINK FOR MY WELL-BEINGGOAL(S)VALUE(S)BELIEF(S)

WHAT ARE MY CHALLENGESREALITIES

WHAT I WANT


If you know others and you know yourself, you will not be imperiled in a hundred battles,

If you do not know others but you know yourself, you will win one and lose one,

If you do not know others and do not know yourself, you will be imperiled in every single battle.Sun Tzu, The Art of War

Making the Mindful Leader: In The Wiley-Blackwell Handbook of the Psychology of Leadership,Change, and Organizational Development


Leaders self-concept (self-management-credibility)Build Your Brand as an Emerging Leader

SterotypeWhat do I want?

Self-awareness for othersSkills and mindset

Value-based Role model Become a Person of Influence

Coaching

Continous Learn-Act-GrowCuriosityIntuitionCommitmentMeta-viewQuestionsListeningMirroringEmpowermentPresence.

FROM TRANSITION To TRANSFORMATION: SMILE HEALTHY COACHING

2. How can I make a difference to my life and my patients life?:Smile Healthy Approach

Smile Healthy To Your Diabetes (2010-2015, Denmark-Turkey) Approach


`How to make a difference to my patients life? Smile Healthy Approach

Designed, launched: University of Copenhagen, Denmark.International and multidisciplinary coaching health interventionPI: AB CinarSupervisor: Lone SchouTeam members: Copenhagen (DK): Colleagues, University of Copenhagen; Danish Coaching InstituteIstanbul, Turkey: Yeditepe University; Diabetes Association; Diabetes Clinics, a Public Education and Research HospitalGrants: IDF, TRYG Fonden, University of Copenhagen, FDIAwards: 100 Best Global Coaching Leaders Award, CHRO ASIA,20172016 50 Outstanding Women in Healthcare Global Listing, World Health & Wellness Congress & Awards-2017


Evidence for Health Coaching

Among the rare studies using Health Coaching as a holistic approach targeting multi-behavioural change To our knowledge it is the first study With a structured framework and a control groupAs a prospective Research assessing the impactof HC on both clinical and behavioural outcomes Focusing on International assessment Using Health Coaching as a Person-centred Multidisciplinary approachCoaching compared to Education is more effective:Diabetes Management Whittemore R et al. Diabetes Educ. 2004; Wolever RQ et al. Diabetes Educ. 2010. Dietary Behavior ModificationSarvestani RS et al. J Adv Nurs. 2009; Stevens VJ et al. Prev Med. 2003.Smoking CessationLancaster T,Stead LF. Cochrane Database Syst Rev. 2005.

Weight ManagementTucker LA et al. Am J Health Promot. 2008Cardiovascular Risk Management Edelman D et al. J Gen Intern Med. 2006; Vale MJ et al. Arch Intern Med. 2003Originality of Our Research


AIMto design and evaluate the impact of health coaching (HC) compared to health education (HE) by using self-reports and clinical measurements to improve oral health and diabetes management among patients with diabetes type 2 (DM2) in Turkey (2010-2012) and Denmark (2012-2015).


Diabetes and Oral Health Growing global pandemic (400 million)Contribute to the etiology of each other (Share common biological mechanisms & same lifestyle related risk factors)Periodontal disease is both risk factor for and complication of diabetesLife-style oriented diseasesPatient compliance and self-management: Person-centred approach as the key for success


RESEARCH METHODOLOGYHealth EducationGroup

Coaching GroupRandomization

Recruited sample(TR:187; DK:114)

Health Education G.Advice Giving

Coaching GroupCoaching SessionsCoaching GroupCoaching SessionsHealth Education G.Advice Giving

BaselineInitiation- Maintenance 6 months Follow-up

12 months *36 monthsOUTCOME MEASURESOUTCOME MEASURESOUTCOME MEASURES

OUTCOME MEASURESa. Clinical MEASURESHbA1c, HDL, LDL, Total TrigliseridPeriodontal HealthBMI, Body-fat%b. Subjective MeasuresHealth Behaviourspsycho-cognItIve measures (self-efficacy, self-esteem, diabetes coping skills,knowledge)C. INTERVIEWS*


Traditional Medical Model

ToldInformedGood patientDoing toReactiveClinician centredOptions presented

Doctor is the expert for the patients healthCoaching

AskedGuidedChallengingDoing with, listeningProactivePatient centredInformed choice

The patient is the expert for his/heJ. OConnor

Bridging the gap between academia and professional coaching businessAB CINAR-2017

13

Internationally credited coaching frameworkSeveral psychological theoriesSelf-Efficacy focusing on EmpowermentShared knowledge by requestVisualization techniquesIntutition exercises, mental relaxationMulti-goals anchored by a visionary goalPersonalized tools and tasksRESEARCH METHODOLOGY - COACHING METHODOLOGY (1-1)


COACHING METHODOLOGYCreating Awareness by DissonanceFacilitating personal visionary goalsChallenging by VALUESCoaching FrameworkCoaching SkillsProfessional-Medical Tools

http://www.healthchange.com/resource_optinal_tools_for_clients


TOOLS FOR SESSION


Tasking with valuesDiet and physical activity monitoringToothbrushing charts+ Affirmations

TOOLS FOR TASKING BETWEEN SESSIONS

Health Diary


RESULTS


Table1. Socio-economic measures at baseline among Health Coaching and Health Education groups

TURKISHHealth Coaching Health EducationN (total =186)*n%n%pEducationPrimary school or lessAt least middle school ( 8-11 years of education)At least university 74543115101602317nsCurrent employmentRetired/not workingEmployed777525987822nsAge (years)49 years50-59 60 years7229551692344125ns

DANISHHealth CoachingHealth Educationn*%n*%pEducationPrimary School up to 10th class10th class (optional)High SchoolTechnical schoolAt least university9631

121216297836

7132618nsCurrent employmentRetired/not workingEmployed11188121108416nsAge49 years 50-59 years60 years1083685686935560.001


HbA1C

Periodontal Disease 20Cinar AB, et al. Clin Oral Investig 2014 18(7):1793-801; Cinar AB, Schou L. Int Dent J 2014; 64:155-6Baseline:

Post-intervention: 6.9%(TR); 7.0%(DK)HEALTH COACHING7.5% (TR); 7.4% (DK) p