What is the evidence?

There is growing evidence for health coaching in the UK as an innovation. In the USA it is a profession with standards, accreditation and a stronger research base.

Evaluations show that health coaching can produce positive effects on:

  • Adoption of healthy behaviours, improving physical activity, weight management, BMI, HBA1c and dietary fat
  • People's motivation to self-manage, patient activation and self-efficacy
  • Patient satisfaction and quality of life
  • Savings including about £3.6 million on a rehabilitation ward, £12.5K per physio and £1.5k per person in two other settings
  • Staff satisfaction, resilience, leadership and culture of services

Health coaching works best for those most in need at low levels of activation and is a useful adjunct in cancer, CVD and diabetes pathways.

Better conversation evidence

Read why health coaching is vital for patients and the NHS

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Health coach training in Suffolk feedback 10 years on

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Does health coaching work

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Review of case studies across England stories of impact

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Undertaking research in health coaching economic evaluation

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Other evidence

Read evidence review

Henley Business
School

UK & International Health Coaching Association the case for health coaching

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Compendium of studies access compendium

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Veterans systematic review access review

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Read a case study from Swedenchanging A&E attendance rates

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Definition and issues with study design read consensus statement

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Economic evidence

Read economic evidence from a case study in York

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Read economic evidence from an acute rehab ward in Hampshire

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Read 'realising the value' report on economic modelling

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Policy alignment

Read NHS England new Personalisation Model which includes health coaching

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Read the evidence for care and support planning

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Read the evidence for effective shared decision making

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Read how digital technologies can be used in health coaching

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Read about patient activation

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What NHS professional's say about health coaching

"Conversation doesn't just reshuffle the
cards. It creates new cards."

How talk can change our lives,
Theodore Zeldin

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