Internet-based coaching to improve patient-clinician communication in primary care.

Internet use in healthcare has grown quickly, but nursing has not explored its use in ambulatory settings. We developed an innovative internet-based coaching intervention conducted by nurses, aimed at improving patient communication with clinicians about 3 chronic conditions: pain, depression and impaired mobility. The intervention utilized a secure patient portal to deliver coaching and other information.

Improving patient-clinician communication about chronic conditions: description of an internet-based nurse E-coach intervention.

Background: Studies show that patients who have higher self-efficacy and participate actively in their care have better disease management. Patient-provider Internet portals offer an exciting new venue for empowering and engaging patients in better management of chronic conditions.

Objectives: To describe development of an Internet-based health coaching intervention.