1. The Impact of Health Coaching
10 July 2014
The Impact of Health Coaching
Dr Alison Carter
Institute for Employment Studies

2. Impact/Evaluation mechanisms
Reflective practice by clinicians when using their health coaching skills
Co-ordinators are encouraged to conduct their own local evaluations to measure results
Programme team are conducting post-training and follow-up surveys on programme quality and application of learning
Independent IES evaluation on impact of health coaching in five clinical practice settings

3. IES Evaluation IES Evaluation Evaluation sites
Not a randomised controlled trial (RCT)
Exploring whether health coaching is a useful approach for clinicians and their patients
Case study approach in five organisations
Evaluation sites
North Norfolk CCG
Cambridgeshire Community Services NHS Trust
Norfolk and Suffolk NHS Foundation Trust
Norfolk and Norwich University Hospitals NHS Foundation Trust
Hawthorn Drive (GP surgery)

4. At each case study site
Describe the intervention and process of implementation and contextualise it
Explore views on usefulness for clinicians and their patients
Explore views on any changes to thinking or practice
Support local identification of relevant outcome data and examine local evidence of impact (health outcomes and consequences for organisations)

5. Evaluation methods Qualitative Quantitative Scoping
Focus groups with (18) clinicians
Interviews with (3) experts
Organisational case studies
Interviews with co-ordinators & team leaders (9)
Focus groups with (41) clinicians
Follow up interviews in progress with 25 clinicians & 5 co-ordinators
Interviews with 5 local stakeholders
Patient experience surveys
Analysis of relevant local outcome data (clinical and management) where available

6. Professionals Awareness Initial Training “Mind-set” “Practice”
Awareness of campaign
Understand the challenge of behaviour change
Willingness to train
Individuals receive health coaching training
Teams/ organisations engage with programme
Willingness to coach
Greater self belief in coaching skills
Increased use of coaching
Increased coaching skill
More variety in patients coached
Tool to use in specific situations
Integration with existing style/practice

7. Professionals Awareness Initial Training “Mindset” “Practice”
Awareness of campaign
Understand the challenge of behaviour change
Willingness to train
Individuals receive health coaching training
Teams/ organisations engage with programme
Willingness to coach
Greater self belief in coaching skills
Increased use of coaching
Increased coaching skill
More variety in patients coached
Tool to use in specific situations
Integration with existing style/practice
Evidence?
Focus groups with clinicians and Follow-on interviews with clinicians and stakeholders

8. Patients Initial outputs “mind-set” Initial behaviour outputs
Impact on outcomes
Increased…
Awareness of opportunity for self management
Self belief
Willingness and intention to change behaviour
Changed health behaviours
Adoption of self management principles
Reduction in appointments
Health indicators
Improved self-assessment of well-being

9. Patients Initial outputs “mind-set” Initial behaviour outputs
Impact on outcomes
Increased…
Awareness of opportunity for self management
Self belief
Willingness and intention to change behaviour
Changed health behaviours
Adoption of self management principles
Reduction in appointments
Health indicators
Improved self-assessment of well-being
Evidence?
Evidence?
Patient experience surveys
Management /clinical information

11. Early observations Implementation progress has varied enormously
Targeting services or patient groups & selecting the 'right' clinicians for training
Creating the 'right' environment to allow the skills to be used & anticipating adjustments to clinical environments
A highly valued approach for individual clinicians who can provide stories of success with patients
Not yet articulating success criteria or measurement

12. Measurement Challenges
Impact may take some time
Deciding what to measure
Identifying comparison groups can be difficult
No follow up appointments makes pre- and post-intervention comparisons difficult

13. Organisation Evaluations
What are you trying to achieve with health coaching in your organisation? Clinical practice and/or wider strategic goals?
What will success look like?
How will know you know when you have got there?
Can you use data already collected by the organisation or will you develop and implement something new?

14. Organisation Evaluations (2)
WHY are we evaluating?
WHAT was the purpose of the coaching?
WHO is the evaluation for?
HOW much resource do we have for the evaluation?
WHO should be involved in the evaluation?
WHERE will we look for impact?
Do we really need RoI?

15. Top tips Plan before coaching starts
Tell people you will be evaluating
Focus on key indicators
Get perceptual data from multiple sources
Organisation benefits are always asked about
‘Stories’ can be powerful

16. What are your Evaluation issues? What would help you?
10 July 2014
What are your Evaluation issues? What would help you?