PICO Summary

Coaching: helping another person to improve awareness, to set and achieve goals in order to improve a particular behavioural performance.

Human-papillomavirus (HPV) DNA testing has been proposed as an alternative to primary cervical cancer screening using cytological testing. Review of the evidence shows that available data are conflicting for

Wellness coaches at My Balanced Life, LLC are trained to help people with a variety of health issues that do not require the professional expertise of a medical doctor. We focus on the theory of primary and secondary foods. Wellness coaches at My Balanced Life, LLC work with clients to improve their overall well-being. Our coaches are trained and licensed in their fields specialize in relationship management, risk reduction, pain management, nutrition, and exercise. Our coaches assist clients with the tools they need to live a healthier life.

One definition of coaching is “Coaching is unlocking a person’s potential to maximize their own performance.” (Coaching for performance, Sir John Whitmore 1992). Or to expand on this; Simply defined, coaching is one person guiding another through a process, leading to performance enhancement. The applications can vary, support to achieve a specific project, helping an individual to do better what they already do well, or developing a skill they don't yet possess.

Primary source: I accessed Ovid from the KU Online Library to find “studies written by the researchers who conducted them” (Polit & Beck, 2012, p.95). Some of the search terms that I used were diabetes management obstacles, diabetes management guidelines, diabetes obstacles, and poor diabetes management. I found an interesting article describing a study that was done in five Texas clinics to help manage diabetes within a set population. This study used community health workers to assist patients with their diabetes management. “Interventions utilizing community health workers (CHWs) to assist with diabetes management have demonstrated improvements in patient outcomes” (Walton, Snead, Collinsworth, and Schmidt, 2012, p.161). These healthcare workers created a plan of care for diabetic patients to participate in that provided these patients with longer doctors’ visits with more teaching and patient assessment. It also included more follow up care with continued longer doctors’ visits to ensure that they were on track with managing their diabetes. This study used statistical analysis to measure patients HbA1c levels throughout the study to measure the effectiveness of the study.

As a school nurse in an urban middle school setting conducting a study to test the effect of a coaching intervention for students with Type 1 Diabetes, I would first need to formulate my PICO question. In this case it would be “In middle school students with Type 1 Diabetes, what is the effectiveness of coaching intervention on student understanding?” Type 1 diabetes is a chronic condition which usually occurs during childhood or adolescence due to genetics and exposure to certain viruses (Mayoclinic.org, 2016).

A Coach is somebody who develops, improves or promotes changes in a persons ability and understanding. Coaches work with another person or a group of people and develops them as people using sport to progress them in their development. All coaches have certain responsibilities towards performers, their sport, their profession and themselves. Below I have identified what a coach may be required to fulfil.

Patients with type 2 diabetes and risk for developing diabetes are encouraged to attend education sessions. Research has shown that collaborative goal setting has been an effective tool in assisting type 2 diabetics in improving their glycemic control as part of a self-management education program (Anderson, Christison-Lagay, & Procter-Gray). Although goal setting has been shown to be an effective tool with the diabetic population, there is little evidence to prove that collaborative goal setting can improve glycemic control in the pre-diabetic population.

Health coaching intervention research aims can be explored using either a theoretical or conceptual model approach since this novel intervention is relevant to several existing perspectives, therefore conflicting views can arise in determining what is the most appropriate model adaptation. Currently, a model consensus on the use of health coaches has not been established, but based on this review it appears to be most grounded to the CCM, a theoretical framework. Implications for future research concerning health coaching include further exploration of this intervention and its influence and relevance to existing viewpoints.

There are a number of definitions to what coaching is; I feel that I can personally relate to the following definition:

Evidence-based health coaching service for individuals to promote client-centered sustainable health behavior and lifestyle adjustments.

Understanding the amalgamation of theories of a systematic review of strategies in the P4 promotion increases the understanding of individual behaviors in designing programs. As a healthcare administrator, it is the duty to emphasize to change the process in practice to improve health with learned knowledge and skill. The health belief theory provides an individual with the perception to link their ability to modify factors of self-control, changing the past experiences of segregation, and change is difficult; however, not to change is fatal. The likelihood to change the outcome of self-efficacy during continued teaching-learning addressing risk factors of smoking, alcohol consumption, and physical activity leading to cardiovascular

What is coaching – “The coach works with the clients to achieve a speedy, increased and sustainable effectiveness in their lives and careers through focused learning. The coach’s sole aim is to work with the client to achieve all of the client’s potential-as defined by the client” The Coaching Manual Starr, J 2008.

This assignment really lead me to a new direction for sources searching. The PubMed website is full of peer reviewed articles that have a proven, non-biased information that can be used for academic research. For this assignment we had to formulate a question using a PICO model. My question was “Do children who consume sweet produces have higher incidents of caries?”. I always heard it growing up that sugar cause caries. Based on my research sugar does cause childhood caries. For example, there was a study consisting of sixty preschoolers, which were divided in 3 groups. The first group were caries-free children, the second were children with low caries and the third group were children with severe caries. Saliva was cultured in order to do

Let's face it. Working out is hard work. Not only do you have to find the motivation to complete the tasks at hand, but you have to keep it up week after week. This is one of the main benefits of a fitness coach. They will help you stay on track, when it comes to your diet and exercise program, and will help keep things fresh and exciting.