A Rubric to Assess the Design and Intervention Quality of Randomized Controlled Trials in Health and Wellness Coaching.

Am J Lifestyle Med

Department of Human Kinetics, St Francis Xavier University, Antigonish, NS, Canada (SH); Exercise & Sport Sciences, Ithaca College, Ithaca, NY, USA (GAS); and Edman Wellness Services, Media, PA, USA (JE).

Published: August 2022

Objective: To collect health and wellness coaching (HWC) literature related to treatment of obesity and Type 2 Diabetes (T2D) for systematic assessment using a novel rubric.

Data Source: Pubmed, CINAHL, and PsychInfo.

Study Inclusion And Exclusion: Given 282 articles retrieved, only randomized and controlled trials meeting a HWC criteria-based definition were included; studies with intervention <4 months or <4 sessions were excluded.

Data Extraction: Rubric assessment required details of two theoretical frameworks (i.e., study design and HWC intervention design) be extracted from each included paper.

Data Synthesis: Data were derived from a 28-item rubric querying items such as sampling characteristics, statistical methods, coach characteristics, HWC strategy, and intervention fidelity.

Results: 29 articles were reviewed. Inter-rater rubric scoring yielded high intraclass correlation (r = .85). Rubric assessment of HWC literature resulted in moderate scores (56.7%), with study design scoring higher than intervention design; within intervention design, T2D studies scored higher than obesity.

Conclusions: A novel research design rubric is presented and successfully applied to assess HWC research related to treatment of obesity and T2D. Most studies reported beneficial clinical findings; however, rubric results revealed moderate scores for study and intervention design. Implications for future HWC research are discussed.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11339769PMC
http://dx.doi.org/10.1177/15598276221117089DOI Listing

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