1. Live Well! Bien Vivre!
Claude Vautour

2. Intent / Goal / Aim
Live Well! Bien Vivre! is a preventative piece of the New Brunswick Diabetes Strategy Self-referral health coaching program with a client led approach that focuses on prevention and management of chronic diseases Continue to evolve Live Well! Bien Vivre! to reach more people in New Brunswick

3. Diabetes & prediabetes
Problem / Issue
New Brunswickers are disproportionately affected by chronic diseases
77%
Chronic diseases
63%
obesity
35%
Diabetes & prediabetes
Without intervention things will only continue to worsen
GNB - 63% obesity 2010
GNB- 77% of New Brunswickers reported having been diagnosed with one or more chronic diseases (*CCHS Cycle 3.1, 2005).
CDA - 35% Diabetes & Pre diabetes

4. 3500 Group Coaching Participants
Measurement
73% of clients have 1 or more self reported chronic disease 53
Average Age
6 Coaches
6 Regions
Over 1000 Coaching Clients
3500 Group Coaching Participants
Provincially
20% male
30% female

5. Intervention / Actions
Self-Management Support
Coaches are connectors
They link their clients to resources in their community
Coaches teach their client how to set and maintain wellness goals
Coaches facilitate positive behaviour change.
Continuity
Bridge Between Clinician & Patient
Five Roles of a Health Coach
Health Coaching for Patients –Bennett, Coleman, Parry & Bodenheimer
Emotional Support
Navigation of the Health Care System

6. Impact / Outcomes Before After Self efficacy Self Perceived wellness
Results of self reported client surveys
Before
After
Self efficacy
Self Perceived wellness
Fruit & Vegetables
Physical Activity
54% of clients reported normal
43% of clients reported as being in `poor` health
63% of clients ate 3 or less servings per day
65% of clients participated in light weekly to rarely
60% of clients reported high
86% of clients reported as being `fair - good` health
67% of clients ate 4 – 7 servings per day
73% had moderate to vigorous physical activity
We see a 30% shift from the low range of activity into the higher end of the spectrum

7. Lessons Learned / Challenges
81% of clients reached and maintained their goals
Most used coaching practices focus on re-enforcing behaviours and teaching self management skills
We plan to continue to infuse coaches into more health care settings