RT Journal Article
SR Electronic
T1 What is the effect of health coaching on physical activity participation in people aged 60 years and over? A systematic review of randomised controlled trials
JF British Journal of Sports Medicine
JO Br J Sports Med
FD BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine
SP 1425
OP 1432
DO 10.1136/bjsports-2016-096943
VO 51
IS 19
A1 Oliveira, Juliana S
A1 Sherrington, Catherine
A1 Amorim, Anita B
A1 Dario, Amabile B
A1 Tiedemann, Anne
YR 2017
UL http://bjsm.bmj.com/content/51/19/1425.abstract
AB Background Physical inactivity is common in older age, yet increased activity benefits older people in terms of preventing chronic disease and maximising independence. Health coaching is a behaviour change intervention that has been shown to increase physical activity in clinical populations. This systematic review and meta-analysis investigated the effect of health coaching on physical activity, mobility, quality of life and mood in older people.Methods MEDLINE, EMBASE, CENTRAL, PsycINFO, PEDro, SPORTDiscus, LILACS and CINAHL databases were used to identify randomised controlled trials which evaluated the effect of health coaching on physical activity (primary outcome) among people aged 60+. Secondary outcomes were mobility, quality of life and mood. We calculated standardised mean differences (SMDs, Hedges’ g) with 95% CIs from random effects meta-analyses.Results 27 eligible trials were included. Health coaching had a small, statistically significant effect on physical activity (27 studies; SMD = 0.27; 95% CI 0.18 to 0.37; p<0.001). There was no evidence of an effect of health coaching on mobility (eight studies; SMD = 0.10; 95% CI −0.03 to 0.23; p=0.13), quality of life (eight studies; SMD = 0.07; 95% CI −0.06 to 0.20; p<0.05) or mood (five studies; SMD = 0.02; 95% CI −0.12 to 0.16; p=0.83).Conclusions Health coaching significantly increased physical activity in people aged 60+. There was no evidence of an effect of health coaching on quality of life, mobility and mood, so different approaches may be required to impact on these outcomes.