Abstract：
PURPOSE:A randomized controlled trial found that patients with diabetes had lower HbA1c levels after 6 months of peer health coaching than patients who did not receive coaching. This paper explores whether the peer coaches in that trial, all low-income patients with diabetes, mastered and utilized an evidence-based health coaching training curriculum. The curriculum included 5 core features: ask-tell-ask, closing the loop, know your numbers, behavior-change action plans, and medication adherence counseling. METHODS:This paper includes the results of exams administered to trainees, exit surveys performed with peer coaches who completed the study and those who dropped out, observations of peer coaches meeting with patients, and analysis of in-depth interviews with peer coaches who completed the study. RESULTS:Of the 32 peer coach trainees who completed the training, 71.9% lacked a college degree; 25.0% did not graduate from high school. The 26 trainees who passed the exams attended 92.7% of training sessions compared with 80.6% for the 6 trainees who did not pass. Peer coaches who completed the study wanted to continue peer coaching work and had confidence in their abilities despite their not consistently employing the coaching techniques with their patients. Quotations describe coaches' perceptions of the training. CONCLUSIONS:Of low-income patients with diabetes who completed the evidenced-based health coaching training, 81% passed written and oral exams and became effective peer health coaches, although they did not consistently use the techniques taught.
journal_name
Ann Fam Medjournal_title
Annals of family medicineauthors
Goldman ML,Ghorob A,Hessler D,Yamamoto R,Thom DH,Bodenheimer Tdoi
10.1370/afm.1756subject
Has Abstractpub_date
2015-08-01 00:00:00pages
S36-41eissn
1544-1709issn
1544-1717pii
13/Suppl_1/S36journal_volume
13 Suppl 1pub_type
杂志文章,随机对照试验abstract：BACKGROUND:We wanted to identify differences between diabetic patients who smoke and those who do not smoke to design more effective strategies to improve their diabetes care and encourage smoking cessation. METHODS:A random sample of adult health plan members with diabetes were mailed a survey questionnaire, with tel...
journal_title：Annals of family medicine
pub_type： 杂志文章
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更新日期：2004-01-01 00:00:00
abstract：PURPOSE:Medicine is traditionally considered a healing profession, but it has neither an operational definition of healing nor an explanation of its mechanisms beyond the physiological processes related to curing. The objective of this study was to determine a definition of healing that operationalizes its mechanisms a...
journal_title：Annals of family medicine
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abstract：PURPOSE:This review summarizes the evidence regarding the efficacy of adjuvant steroids for pain reduction in acute pharyngitis. METHODS:We searched for randomized controlled trials, using MEDLINE, EMBASE, and the Cochrane Database of Systematic Reviews, published between 1966 and December 2008. Two reviewers assessed...
journal_title：Annals of family medicine
pub_type： 杂志文章,评审
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更新日期：2010-01-01 00:00:00
abstract：PURPOSE:Overtreatment of screen-detected localized prostate cancer (LPC) is an important public health concern, since the survival benefit of aggressive treatment (surgery or radiation) has not been well established. We investigated the survival expectations of patients who had LPC with and without their chosen treatme...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1926
更新日期：2016-05-01 00:00:00
abstract：PURPOSE:The purpose of this study was to assess patient and practice outcomes after introducing the Asthma APGAR (Activities, Persistent, triGGers, Asthma medications, Response to therapy) tools into primary care practices. METHODS:We used a pragmatic cluster-randomized controlled design in 18 US family medicine and p...
journal_title：Annals of family medicine
pub_type： 杂志文章,多中心研究
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更新日期：2018-03-01 00:00:00
abstract：:William Osler is quoted as saying, "Nothing will sustain you more potently than the power to recognize in your humdrum routine, as perhaps it may be thought, the true poetry of life-the poetry of the commonplace, of the plain, toil-worn woman, with their loves and their joys, their sorrows and their griefs."(1) A fami...
journal_title：Annals of family medicine
pub_type： 杂志文章
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更新日期：2014-05-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章
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更新日期：2021-01-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1210
更新日期：2011-03-01 00:00:00
abstract：PURPOSE:Studies among adults suggest that patient-provider racial concordance is associated with higher satisfaction and partnership with physicians. It remains unknown whether similar findings are true for children. This study examines the association of race/ethnicity concordance with parent reports of children's pri...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.27
更新日期：2003-07-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章,随机对照试验
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更新日期：2017-01-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.907
更新日期：2008-11-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章
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更新日期：2013-05-01 00:00:00
abstract：PURPOSE:Few studies have attempted to link patients' beliefs about racism in the health care system with how they use and experience health care. METHODS:Using telephone survey data from a national sample of 1,479 whites, 1,189 African Americans, and 983 Latinos, we explored patients' beliefs about racism, their prefe...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.282
更新日期：2005-03-01 00:00:00
abstract：PURPOSE:Adolescent mothers are at risk for rapidly becoming pregnant again and for depression, school dropout, and poor parenting. We evaluated the impact of a community-based home-visiting program on these outcomes and on linking the adolescents with primary care. METHODS:Pregnant adolescents aged 12 to 18 years, pre...
journal_title：Annals of family medicine
pub_type： 杂志文章,随机对照试验
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更新日期：2007-05-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章
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更新日期：2017-05-01 00:00:00
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pub_type： 杂志文章
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更新日期：2006-07-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章,meta分析,评审
doi：10.1370/afm.939
更新日期：2009-01-01 00:00:00
abstract：PURPOSE:In 2004, we undertook a consultation with Canadian primary health care experts to define the attributes that should be evaluated in predominant and proposed models of primary health care in the Canadian context. METHOD:Twenty persons considered to be experts in primary health care or recommended by at least 2 ...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.682
更新日期：2007-07-01 00:00:00
abstract：PURPOSE:Our goal was to describe an approach to patient-centered medical home (PCMH) measurement based on delineating the desired properties of the measurement relative to assumptions about the PCMH and the uses of the measure by Blue Cross Blue Shield of Michigan (BCBSM) and health services researchers. METHODS:We de...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1472
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journal_title：Annals of family medicine
pub_type： 杂志文章
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更新日期：2014-03-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章
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journal_title：Annals of family medicine
pub_type： 杂志文章,多中心研究
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更新日期：2018-01-01 00:00:00
abstract：PURPOSE:Qualitative research projects often involve the collaborative efforts of a research team. Challenges inherent in teamwork include changes in membership and differences in analytical style, philosophy, training, experience, and skill. This article discusses teamwork issues and tools and techniques used to improv...
journal_title：Annals of family medicine
pub_type： 杂志文章
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更新日期：2005-07-01 00:00:00
abstract：PURPOSE:The US Preventive Services Task Force (USPSTF) is authorized by the US government to review and disseminate the scientific evidence for clinical preventive services. The purpose of this study was to evaluate the alignment of Medicare preventive services coverage with the recommendations of the USPSTF before imp...
journal_title：Annals of family medicine
pub_type： 杂志文章
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更新日期：2011-01-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章,多中心研究
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更新日期：2019-07-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 历史文章,杂志文章,评审
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更新日期：2018-09-01 00:00:00
abstract：PURPOSE:The purpose of this study was to determine the relationship between the number of patients under a primary care physician's care (panel size) and primary care quality indicators. METHODS:We conducted a cross-sectional, population-based study of fee-for-service and capitated interprofessional and non-interprofe...
journal_title：Annals of family medicine
pub_type： 杂志文章
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更新日期：2016-01-01 00:00:00
abstract：PURPOSE:The purpose of this study was to characterize graduates of family medicine (FM) residencies from 1994 to 2017 and determine whether they continue to practice family medicine after residency. METHOD:We sampled physicians who completed FM residency training from 1994-2017 using 2017 American Medical Association ...
journal_title：Annals of family medicine
pub_type： 杂志文章
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更新日期：2020-07-01 00:00:00
abstract：PURPOSE:Hearing loss, the second most common disability in the United States, is under-diagnosed and under-treated. Identifying it in early stages could prevent its known substantial adverse outcomes. METHODS:A multiple baseline design was implemented to assess a screening paradigm for identifying and referring patien...
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pub_type： 杂志文章
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更新日期：2020-11-01 00:00:00
abstract：PURPOSE:Conducting studies in national practice-based research networks presents logistic and methodologic challenges. Pediatric Research in Office Settings (PROS) has learned valuable lessons in implementing new strategies and adapting to challenges. We describe practical challenges and results of novel applied strate...
journal_title：Annals of family medicine
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1370/afm.1809
更新日期：2015-09-01 00:00:00
