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The effect of a single visit to a health coach on perceived health in 50-year old residents in a high-income country -- a randomised controlled trial [with consumer summary]
Ryd S, Persson G, Gunnarsson RK
Scandinavian Journal of Primary Health Care 2022 Apr;40(1):129-138
clinical trial
6/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To evaluate the one-year-effect of a single visit to a health coach on perceived health and exercise level in 50-year-old citizens. DESIGN: One factor design randomised controlled trial. SETTING: Participants were randomly selected from the Swedish Population Register. SUBJECTS: 50-year-old residents of the town of Alingsas, Sweden (n = 105). INTERVENTION: The intervention group (n = 52) received a single one-hour visit to a health coach. The control group (n = 53) received no intervention. MAIN OUTCOME MEASURES: Change over 12 months in the SF-36 dimensions physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, mental health, physical component summary and mental component summary. Reported health transition at follow-up. Change in exercise level. RESULTS: The control group changed their perceived health more favourable than the intervention group in the following dimensions of the SF-36; general health (p = 0.0055 to 0.025), role-emotional (p = 0.034 to 0.040) and mental component summary (p = 0.033 to 0.073). CONCLUSION: A single visit to a health coach does not improve perceived health or exercise-level in 50-year-old citizens. On the contrary it may make perceived health worse.

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