Intervention Fidelity Focusing on Interaction between Participants and Facilitators in a Telephone-Delivered Health Coaching Intervention for the Prevention and Management of Type 2 Diabetes

Self-management support and lifestyle interventions with an empowerment approach have been found to be effective strategies for health improvement among people at risk for or living with type 2 diabetes. Telephone coaching seems particularly efficient for individuals with low socioeconomic status an...

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Autores principales: Linda Timm, Ida Karlsson, Kristi Sidney Annerstedt, Pilvikki Absetz, Birger C. Forsberg, Meena Daivadanam, Helle Mølsted Alvesson
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/38dba25521684cd9ad497478754d6b6d
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spelling oai:doaj.org-article:38dba25521684cd9ad497478754d6b6d2021-11-25T18:34:43ZIntervention Fidelity Focusing on Interaction between Participants and Facilitators in a Telephone-Delivered Health Coaching Intervention for the Prevention and Management of Type 2 Diabetes10.3390/nu131138622072-6643https://doaj.org/article/38dba25521684cd9ad497478754d6b6d2021-10-01T00:00:00Zhttps://www.mdpi.com/2072-6643/13/11/3862https://doaj.org/toc/2072-6643Self-management support and lifestyle interventions with an empowerment approach have been found to be effective strategies for health improvement among people at risk for or living with type 2 diabetes. Telephone coaching seems particularly efficient for individuals with low socioeconomic status and culturally and linguistically diverse backgrounds. In this mixed methods study, we investigate a telephone-delivered health coaching intervention provided by the diabetes project SMART2D (Self-Management Approach and Reciprocal learning for Type 2 Diabetes) implemented in socioeconomically disadvantaged areas in Stockholm, Sweden. We focus on the interaction between participants and facilitators as part of intervention fidelity. Recorded coaching sessions were scored using an interaction tool and analyzed by exploratory factor analysis and recorded supervisory discussions with facilitators analyzed using thematic analysis. The quantitative analysis showed that the intervention components were delivered as intended; however, differences between facilitators were found. The qualitative data highlighted differences between facilitators in the delivery, especially in relation to dietary and physical activity goalsetting. The level of language skills hindered the delivery flow and the tailoring of sessions to participants’ needs led to different delivery styles. The interaction between facilitators and participants is an important aspect of intervention implementation. Tailoring of interventions is necessary, and language-skilled facilitators are needed to minimize barriers in intervention delivery.Linda TimmIda KarlssonKristi Sidney AnnerstedtPilvikki AbsetzBirger C. ForsbergMeena DaivadanamHelle Mølsted AlvessonMDPI AGarticleType 2 Diabetesprediabeteslifestyle interventionstelephone supportself-managementimplementationNutrition. Foods and food supplyTX341-641ENNutrients, Vol 13, Iss 3862, p 3862 (2021)
institution DOAJ
collection DOAJ
language EN
topic Type 2 Diabetes
prediabetes
lifestyle interventions
telephone support
self-management
implementation
Nutrition. Foods and food supply
TX341-641
spellingShingle Type 2 Diabetes
prediabetes
lifestyle interventions
telephone support
self-management
implementation
Nutrition. Foods and food supply
TX341-641
Linda Timm
Ida Karlsson
Kristi Sidney Annerstedt
Pilvikki Absetz
Birger C. Forsberg
Meena Daivadanam
Helle Mølsted Alvesson
Intervention Fidelity Focusing on Interaction between Participants and Facilitators in a Telephone-Delivered Health Coaching Intervention for the Prevention and Management of Type 2 Diabetes
description Self-management support and lifestyle interventions with an empowerment approach have been found to be effective strategies for health improvement among people at risk for or living with type 2 diabetes. Telephone coaching seems particularly efficient for individuals with low socioeconomic status and culturally and linguistically diverse backgrounds. In this mixed methods study, we investigate a telephone-delivered health coaching intervention provided by the diabetes project SMART2D (Self-Management Approach and Reciprocal learning for Type 2 Diabetes) implemented in socioeconomically disadvantaged areas in Stockholm, Sweden. We focus on the interaction between participants and facilitators as part of intervention fidelity. Recorded coaching sessions were scored using an interaction tool and analyzed by exploratory factor analysis and recorded supervisory discussions with facilitators analyzed using thematic analysis. The quantitative analysis showed that the intervention components were delivered as intended; however, differences between facilitators were found. The qualitative data highlighted differences between facilitators in the delivery, especially in relation to dietary and physical activity goalsetting. The level of language skills hindered the delivery flow and the tailoring of sessions to participants’ needs led to different delivery styles. The interaction between facilitators and participants is an important aspect of intervention implementation. Tailoring of interventions is necessary, and language-skilled facilitators are needed to minimize barriers in intervention delivery.
format article
author Linda Timm
Ida Karlsson
Kristi Sidney Annerstedt
Pilvikki Absetz
Birger C. Forsberg
Meena Daivadanam
Helle Mølsted Alvesson
author_facet Linda Timm
Ida Karlsson
Kristi Sidney Annerstedt
Pilvikki Absetz
Birger C. Forsberg
Meena Daivadanam
Helle Mølsted Alvesson
author_sort Linda Timm
title Intervention Fidelity Focusing on Interaction between Participants and Facilitators in a Telephone-Delivered Health Coaching Intervention for the Prevention and Management of Type 2 Diabetes
title_short Intervention Fidelity Focusing on Interaction between Participants and Facilitators in a Telephone-Delivered Health Coaching Intervention for the Prevention and Management of Type 2 Diabetes
title_full Intervention Fidelity Focusing on Interaction between Participants and Facilitators in a Telephone-Delivered Health Coaching Intervention for the Prevention and Management of Type 2 Diabetes
title_fullStr Intervention Fidelity Focusing on Interaction between Participants and Facilitators in a Telephone-Delivered Health Coaching Intervention for the Prevention and Management of Type 2 Diabetes
title_full_unstemmed Intervention Fidelity Focusing on Interaction between Participants and Facilitators in a Telephone-Delivered Health Coaching Intervention for the Prevention and Management of Type 2 Diabetes
title_sort intervention fidelity focusing on interaction between participants and facilitators in a telephone-delivered health coaching intervention for the prevention and management of type 2 diabetes
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/38dba25521684cd9ad497478754d6b6d
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