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Use of cognitive-behavioral career coaching to reduce work anxiety and depression in public employees
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作者 Mkpoikanke Sunday Otu Maximus Monaheng Sefotho 《World Journal of Clinical Cases》 SCIE 2024年第2期322-334,共13页
BACKGROUND Public employees worldwide are increasingly concerned about work anxiety and depression.Cognitive-behavioral career coaching has emerged as a promising strategy for addressing these mental health disorders,... BACKGROUND Public employees worldwide are increasingly concerned about work anxiety and depression.Cognitive-behavioral career coaching has emerged as a promising strategy for addressing these mental health disorders,which can negatively impact on a person's overall well-being and performance.AIM To examine whether cognitive-behavioral career coaching reduces work anxiety and depression among Nigerian public employees.METHODS A total of 120 public employees(n=60)suffering from severe anxiety and depression were randomly assigned to the treatment or control groups in this study.Cognitive behavioral coaching was provided twice a week to those in the treatment group,whereas no treatment was given to those in the control group.As part of the study,the Hamilton Anxiety Rating Scales and Beck Depression Inventory were used to collect data.RESULTS Analysis of covariance of the data from participants indicates a significant effect of cognitive-behavioral career coaching on work anxiety and depression.CONCLUSION Insights into the underlying mechanisms by which cognitive behavior career coaching exerts its effects have been gained from this study.Also,the study has gathered valuable data that can inform future practice and guide the development of strategies for supporting mental health at work. 展开更多
关键词 Cognitive-behavioral career coaching Work anxiety Depression Public employees North Central Nigeria
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What is the role of cognitive-behavioral career coaching in mitigating work anxiety and depression among public employees?
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作者 Haewon Byeon 《World Journal of Clinical Cases》 SCIE 2024年第34期6679-6683,共5页
This editorial explores the study by Mkpoikanke Sunday Otu and Maximus Monaheng Sefotho on the use of cognitive-behavioral career coaching(CBCC)to reduce work anxiety and depression among public employees.Public secto... This editorial explores the study by Mkpoikanke Sunday Otu and Maximus Monaheng Sefotho on the use of cognitive-behavioral career coaching(CBCC)to reduce work anxiety and depression among public employees.Public sector workers often face significant psychological stressors,leading to mental health issues that impair well-being and job performance.The study employed a grouprandomized trial design,involving 120 public employees diagnosed with severe anxiety and depression.Participants were divided into a treatment group,receiving CBCC,and a control group with no intervention.Results showed a significant reduction in anxiety and depression levels in the treatment group,sustained through follow-up assessments.The findings underscore the clinical relevance of CBCC as an effective intervention for improving mental health among public employees.Future research should explore the scalability of CBCC across different sectors and cultural contexts,as well as its integration with other mental health interventions.This editorial advocates for the broader implementation of CBCC practices in public service to enhance employee productivity and psychological well-being.By addressing cognitive distortions and fostering adaptive coping mechanisms,CBCC can help public employees navigate complex professional environments,ultimately contributing to a healthier and more efficient workforce. 展开更多
关键词 Cognitive-behavioral career coaching Public sector employees Mental Health ANXIETY DEPRESSION
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E-Coach健康教育管理模式在护理领域的应用进展
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作者 赵丽爽 黄慧 +1 位作者 田凤美 谭丽萍 《护理研究》 北大核心 2024年第6期1004-1009,共6页
从E-Coach健康教育管理模式的概述、常见干预形式与干预周期、在疾病护理管理中的应用效果以及未来发展趋势与建议方面进行综述,以期为E-Coach健康教育管理模式在我国的应用、发展提供借鉴。
关键词 E-coach模式 健康教育 互联网 护理 综述
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Requirement Engineering for E-Coaching in Higher Education
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作者 Essam Almuhsin Ben Soh +1 位作者 Alice Li Azmat Ullah 《Engineering(科研)》 CAS 2023年第5期275-290,共16页
This paper presents a requirement engineering for developing an e-coaching environment in the higher education sector. This research demonstrates that IT experts encounter challenges in establishing a system that matc... This paper presents a requirement engineering for developing an e-coaching environment in the higher education sector. This research demonstrates that IT experts encounter challenges in establishing a system that matches a university’s expectations, as they are usually uncertain about its goals and system requirements. The paper illustrates a business goal-focused requirement induction technique, which encompasses demonstrating the business procedures through Business Process Modelling Notation (BPMN), assessing the university goals via the tree diagram, and drawing out the system requirements from the university objectives through UML state diagrams. A case study of supporting the development of a new IT course is used as a case study and applied using BPMN. 展开更多
关键词 E-coaching System Requirements Requirement Engineering E-coaching Process Business Goals
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The use of health coaching in controlling blood pressure of hypertensive patients in the family:literature review
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作者 Ayunda Puteri Rizanti Tantut Susanto Fahruddin Kurdi 《Nursing Communications》 2023年第8期1-5,共5页
Background:Family is an essential element in caring for clients with hypertension.Appropriate hypertension management can reduce health risks during the treatment.Health coaching in family is a critical intervention t... Background:Family is an essential element in caring for clients with hypertension.Appropriate hypertension management can reduce health risks during the treatment.Health coaching in family is a critical intervention to control and manage hypertension through providing education,information,and skills intervention are needed to support lifestyle improvements,manage chronic conditions,and prevent complications of hypertension.This literature study describes health coaching for controlling blood pressure among clients with hypertension in the family.Methods:Narrative literature review was performed to select the article that relates to health coaching of hypertension in the family using search engines including PubMed,ProQuest,SpringerLink,ScienceDirect,and Google Scholar by using keywords health coaching,family,hypertension,and blood pressure.The analysis of articles was carried out using four stages based on the PRISMA flowchart diagram.Results:The results indicated eight articles that were analyzed in this study.Interactive health coaching interventions based on a healthy lifestyle carried out with patients and families effectively improve medication adherence and reduce systolic and diastolic blood pressure.Meanwhile,health coaching applied regarding the principles including motivation,discussion,interviews and goal setting to influence behavior change and self-management.Conclusions:That health coaching applied for families with clients with hypertension is effect on reducing blood pressure and other changes,including knowledge,self-efficacy,and behavior towards health services for patients with hypertension.Therefore,health coaching for the family could be used as a family intervention for clients with hypertension during home health care. 展开更多
关键词 health coaching FAMILY HYPERTENSION blood pressure
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Flow and sound fields of scaled high-speed trains with different coach numbers running in long tunnel
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作者 Qiliang Li Yuqing Sun +1 位作者 Menghan Ouyang Zhigang Yang 《Railway Engineering Science》 EI 2024年第3期401-420,共20页
Segregated incompressible large eddy simulation and acoustic perturbation equations were used to obtain the flow field and sound field of 1:25 scale trains with three,six and eight coaches in a long tunnel,and the aer... Segregated incompressible large eddy simulation and acoustic perturbation equations were used to obtain the flow field and sound field of 1:25 scale trains with three,six and eight coaches in a long tunnel,and the aerodynamic results were verified by wind tunnel test with the same scale two-coach train model.Time-averaged drag coefficients of the head coach of three trains are similar,but at the tail coach of the multi-group trains it is much larger than that of the three-coach train.The eight-coach train presents the largest increment from the head coach to the tail coach in the standard deviation(STD)of aerodynamic force coefficients:0.0110 for drag coefficient(Cd),0.0198 for lift coefficient(Cl)and 0.0371 for side coef-ficient(Cs).Total sound pressure level at the bottom of multi-group trains presents a significant streamwise increase,which is different from the three-coach train.Tunnel walls affect the acoustic distribution at the bottom,only after the coach number reaches a certain value,and the streamwise increase in the sound pressure fluctuation of multi-group trains is strengthened by coach number.Fourier transform of the turbulent and sound pressures presents that coach number has little influence on the peak frequencies,but increases the sound pressure level values at the tail bogie cavities.Furthermore,different from the turbulent pressure,the first two sound pressure proper orthogonal decomposition(POD)modes in the bogie cavities contain 90%of the total energy,and the spatial distributions indicate that the acoustic distributions in the head and tail bogies are not related to coach number. 展开更多
关键词 Flow and sound fields Scaled high-speed trains Different coach numbers Long tunnel Proper orthogonal decomposition
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E-Coach慢病管理模式在根治性前列腺切除术患者中的应用
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作者 赵秀芬 杨名钫 +3 位作者 程思思 曾超男 胡秋兰 杨丽珠 《卫生职业教育》 2024年第19期152-156,共5页
目的探究E-Coach慢病管理模式在根治性前列腺切除术患者管理中的应用效果。方法采用方便抽样法,选择2022年11月至2023年5月于昆明市某三甲医院泌尿外科住院部行根治性前列腺切除术的82例患者为研究对象,随机分到试验组与对照组,每组41... 目的探究E-Coach慢病管理模式在根治性前列腺切除术患者管理中的应用效果。方法采用方便抽样法,选择2022年11月至2023年5月于昆明市某三甲医院泌尿外科住院部行根治性前列腺切除术的82例患者为研究对象,随机分到试验组与对照组,每组41例。试验组采用E-Coach慢病管理模式,对照组采用传统管理模式。分别对两组生活质量、随访率、凯格尔运动依从性进行比较。结果试验组前列腺癌复合指数量表得分为(13.83±1.93)分,对照组为(31.03±3.96)分;试验组随访率为97.62%,对照组为65.79%;试验组凯格尔运动总依从率为100.00%,对照组为84.21%,两组比较差异有统计学意义(P<0.001)。结论E-Coach慢病管理模式可以提高根治性前列腺切除术患者的生活质量、随访率和凯格尔运动依从性,值得临床推广。 展开更多
关键词 E-coach慢病管理模式 根治性前列腺切除术 前列腺癌 生活质量
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Stroke Coach方案对中青年脑卒中患者知识、态度水平及自我管理行为的影响
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作者 叶俏慧 黄丽华 +6 位作者 许燕飞 潘菁菁 裘露丹 陈忠美 陈志芬 周文姬 余丹妮 《浙江临床医学》 2023年第10期1550-1552,共3页
目的探讨Stroke Coach方案对中青年脑卒中患者知识、态度水平及自我管理行为的影响。方法选取入组患者70例,对照组采用常规护理干预,观察组在对照组的基础上增加Stroke Coach方案,两组患者干预前后均采用脑卒中患者知识、态度问卷及脑... 目的探讨Stroke Coach方案对中青年脑卒中患者知识、态度水平及自我管理行为的影响。方法选取入组患者70例,对照组采用常规护理干预,观察组在对照组的基础上增加Stroke Coach方案,两组患者干预前后均采用脑卒中患者知识、态度问卷及脑卒中患者自我管理行为评定量表进行评估。结果观察组干预后SKAQ知识总分、态度总分显著优于对照组(P<0.05)。两组患者SKAQ得分的组间效应(F=34382.385)、组内效应(F=618.395)、交互效应(F=230.936)具有统计学意义(P<0.05)。观察组干预后的自我管理总分及各维度(除社交管理和情绪管理外)得分与对照组比较差异有统计学意义(P<0.05)。两组患者自我管理行为得分的组间效应(F=44735.998)、组内效应(F=375.364)、交互效应(F=114.458)具有统计学意义(P<0.05)。结论Stroke Coach方案可提高中青年脑卒中患者的知识、态度水平及自我管理行为,但对社交管理和情绪管理作用不明显。 展开更多
关键词 STROKE coach 脑卒中 中青年 危险因素
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Considering a Relationship Between Dysfunctional Coaching Styles in Youth Sports and the Development of Hazardous Attitudes in Players 被引量:1
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作者 Mark Cogburn Rita Horton Shawn E. McNeil 《Psychology Research》 2017年第8期445-452,共8页
关键词 运动员 青少年 风格 教练 危险 心理健康 最佳状态 非结构化
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基于E-Coach慢性病管理理论的健康信念宣教对门诊糖尿病患者的护理效果 被引量:4
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作者 张莉 唐莉莉 +1 位作者 郭曼丽 蔡敏 《护理实践与研究》 2023年第11期1660-1664,共5页
目的探讨E-Coach慢病管理理论下健康信念宣教护理在糖尿病门诊患者中的应用效果。方法选取医院门诊2021年7—11月就诊的糖尿病患者100例为对照组,选取2021年7月—2022年4月就诊的糖尿病患者100例为观察组。对照组实施常规健康宣教,观察... 目的探讨E-Coach慢病管理理论下健康信念宣教护理在糖尿病门诊患者中的应用效果。方法选取医院门诊2021年7—11月就诊的糖尿病患者100例为对照组,选取2021年7月—2022年4月就诊的糖尿病患者100例为观察组。对照组实施常规健康宣教,观察组实施E—Coach慢性病管理理论下健康信念宣教,对比分析两组患者血糖指标、自我管理行为及不良事件发生率。结果干预前,两组患者血糖三项指标HbA1c、FBG、2 hPBG、健康行为(SD-SCA-6)各维度得分相比,差异无统计学意义(P>0.05)。干预3个月后,观察组患者血糖三项指标均有所改善,观察组改善情况优于对照组,差异有统计学意义(P<0.05);观察组SD-SCA-6除吸烟维度得分降低,其他各维度即血糖监测、饮食管理、运动管理、足部护理、用药管理得分均提高,组间差异均有统计学意义(P<0.05);观察组患者低血糖、高渗性昏迷、酮症酸中毒、再入院不良事件总发生率低于对照组,但差异无统计学意义(P>0.05)。结论对糖尿病患者实施E—Coach慢性病管理理论下健康信念宣教,可改善患者自我管理行为,有效控制血糖水平。 展开更多
关键词 糖尿病 门诊患者 E—coach慢病管理 健康信念 血糖指标水平 自我管理行为 不良事件
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The Impact of a Community Pharmacy-Based Coaching Program on Patient Confidence and Lifestyle
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作者 Feng Chang Nishi S. Gupta +1 位作者 Laura Smith Dan Stringer 《Open Journal of Preventive Medicine》 2014年第6期499-503,共5页
Objective: Like their urban counterparts, rural populations are experiencing increased health risks due to chronic disease. However, disease management is more problematic due to isolation, increased difficulty in get... Objective: Like their urban counterparts, rural populations are experiencing increased health risks due to chronic disease. However, disease management is more problematic due to isolation, increased difficulty in getting to medical appointments, and reduced numbers of medical personnel. We undertook a pilot study to investigate the feasibility and utility of health coaching for rural residents with type 2 diabetes mellitus (DM2) from a local pharmacy. Methods: Using the pharmacy database to identify qualified individuals, a nursing student recruited four individuals aged 40 - 79, with a history of DM2 of 3 - 15 years, to participate in the pilot project. Individual in-person interviews were conducted to identify specific goals to effectively self-manage their condition and to rate their confidence in their ability to fulfill these goals. Three monthly sessions were held to review and update goals, and to record blood pressure, waist circumference and weight measurements. Results: At the end of the study, all four achieved success in reaching and maintaining their personal dietary and physical activity goals. Significantly, all participants expressed increased confidence in their ability to self-manage their diabetes after health coaching. Conclusion: The provision of health coaching services from local pharmacies has potential to support rural clients in chronic disease management in medically under-serviced rural areas. 展开更多
关键词 DIABETES MELLITUS HEALTH coaching PHARMACY
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The Effect of Youth Coaching Styles on “Winner, Non-Winner” and “Loser” Scripts in Young Athletes
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作者 Mark Cogburn Joshua Hollis Rita Horton 《Health》 2019年第11期1493-1500,共8页
Purpose and Motivation: Youth coaches continue to be among the most important influences in the lives of children and adolescents. This article looks at four specific youth coaching styles and how three of the coachin... Purpose and Motivation: Youth coaches continue to be among the most important influences in the lives of children and adolescents. This article looks at four specific youth coaching styles and how three of the coaching approaches evoke poor coping skills and weaken resiliency behaviors in children and adolescents. Problem: The authors present an overview of how youth coaching styles contribute to unconscious powerful Transactional Analysis (TA) life scripts that can negatively impact children into adulthood. The authors examine four unique coaching styles and their effect on the Winner, Loser, and Non-Winner life scripts found in the Transactional Analysis literature. Methods: While the literature is quite limited on this topic, themes and inferences were drawn from previously published professional literature. Results: Findings reflect how specific coaching styles may evoke winner, loser and non-winner scripts in young athletes, and that these scripts can influence children later in life. Conclusion: The authors recommend using the positive-structured coaching style in youth sports to promote resiliency, fun, and improved coping skills in youth playing sports. 展开更多
关键词 coaching STYLES YOUTH Sports Transactional Analysis MENTAL Health ATHLETES
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Use of the IRT Model to Validate Test Items from a Technology Assisted Health Coaching Program
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作者 Elysia Garcia Subhash Aryal +2 位作者 Emily Spence-Almaguer Danielle Rohr Scott T. Walters 《Open Journal of Statistics》 2018年第3期519-532,共14页
Item Response Theory (IRT) models have been extensively used in the field of education to identify link between a response to a test item and underlying latent capability of the test taker. We demonstrate the benefit ... Item Response Theory (IRT) models have been extensively used in the field of education to identify link between a response to a test item and underlying latent capability of the test taker. We demonstrate the benefit of using IRT model to analyze health data using data from M. chat program such that statisticians can use the method in lieu of traditional methods including Cronbach’s alpha, discriminant analysis and factor analysis. M. chat is a technology based health coaching program and the baseline survey from the participants in the program includes response in different but correlated domains of diet, social habits, leisure practices, mental health, substance abuse, self-sufficiency and medication adherence. We analyzed baseline data from 416 subjects using IRT models. Our results indicated that responses pertaining to alcohol and substance abuse were the most discriminating items with an average discrimination estimate of approximately 4.99 whereas the least discriminating items were the diet habits, with an average estimate of -0.476. 展开更多
关键词 IRT M. CHAT PROGRAM HEALTH coaching
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Awake Craniotomy and Coaching
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作者 Carla Ruis Irene M. C. Huenges Wajer +1 位作者 Pierre A. J. T. Robe Martine J. E. van Zandvoort 《Open Journal of Medical Psychology》 2014年第5期382-389,共8页
Background: The importance of monitoring cognition during awake craniotomy has been well described in previous studies. The relevance of being coached during such a procedure has received less attention and questions ... Background: The importance of monitoring cognition during awake craniotomy has been well described in previous studies. The relevance of being coached during such a procedure has received less attention and questions still remain unanswered about what factors are the most important herein. Objective: The aim of this study was to qualitatively analyze what factors were, according to our patients, important in being coaching during awake craniotomy. Methods: Twenty-six patients who underwent awake craniotomy received a questionnaire about their experiences during the procedure. The questions concerned different aspects of the pre-operative part, the operation itself and coaching aspects. Answers were qualitatively analyzed by two investigators and per question, different answer categories were made. Results: Two thirds of the 20 patients who responded to the questionnaire reported anxiety in the days before or during the operation, varying from general anxiety for being awake during surgery to anxiety for very specific aspects such as opening the skull. The constant presence of the neuropsychologist and a transparent communication during the procedure were most frequently (65% of all the answers) reported as helpful in staying calm. Conclusion: Results of this descriptive study show that patients experience different anxieties before and during an awake craniotomy and give more insight into what factors are important for patients in being coached during such an operation. This study gives directions for clinicians in improving their role as a coach. 展开更多
关键词 coaching AWAKE CRANIOTOMY ANXIETY REASSURANCE COGNITION
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A Pilot Study of Health Coaching on Older Adults’ Personal Healthcare and Maintenance during the Outbreak of Covid-19 in Singapore
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作者 Yuanyuan Cao Yuezhong Liu +1 位作者 Joshua Ho Yin Lai Yin-Leng Theng 《Health》 2021年第2期165-177,共13页
With a rapidly ageing population in Singapore, older adults and their family members face challenges of age-related diseases, caregiver stress, and increasing demand for caregiving services. To address this pressing i... With a rapidly ageing population in Singapore, older adults and their family members face challenges of age-related diseases, caregiver stress, and increasing demand for caregiving services. To address this pressing issue, this pilot study aims to introduce online health coaching for older adults in Singapore and evaluate its effectiveness on maintenance of personal healthcare. In the midst of the COVID-19 outbreak, older adults’ activities were largely restricted by measures on social distancing. The online health coaching provided a solution for older adults to achieve a healthy lifestyle in a contactless manner. In this pilot study, 18 older adults (≥55 years old) who were willing to be coached by trained health coaches (n = 10) for 8 weeks (once a week) were recruited. Pre- and post-surveys with older adults were conducted. Furthermore, health coaching booklet was used to control the quality of coaching and to record diet and exercise plans. The pilot study demonstrated that the health coaching provided older adults with knowledge of nutrition and exercise, raised their awareness of well-being in terms of daily meals and regular exercise, and provided an alternative to maintain a healthy lifestyle amidst global pandemic. Additionally, we also identified that the older adults’ satisfactions with health coaching were positively associated with educational levels (R<sup>2</sup> = 0.31). Lastly, this pilot study highlighted that health coaching standardization process for older adults is critical for researchers and healthcare practitioners in the future. 展开更多
关键词 Health coaching Personal Health Care Health Maintenance Quality of Life
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The Effect of Online Wellness Coaching for Nursing Students during the COVID-19 Lockdown on Well-Being: A Qualitative Study
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作者 Şeyma Zehra Altunkurek 《International Journal of Mental Health Promotion》 2021年第4期577-588,共12页
Aim:The aim of this study was to explore and describe the lived experience of 3rd-year nursing students who participated in an online wellness coaching program during the COVID-19 pandemic lockdown.Methods:This qualit... Aim:The aim of this study was to explore and describe the lived experience of 3rd-year nursing students who participated in an online wellness coaching program during the COVID-19 pandemic lockdown.Methods:This qualitative research study on an online wellness coaching program included 30 female students,aged 21 to 30 years,who were confined to their home during the COVID-19 outbreak for two months.The students were asked to describe their feelings and responses during the COVID-19 lockdown.Results:Four thematic clusters emerged in the data analysis:what the students felt during the quarantine period,what the wellness coaching practice added to the students’lives,what changes resulted from the application and whether the students would like the application to continue and recommend the application.The study showed that students had a high level of stress,fear and anxiety at home during the COVID-19 outbreak.With the online wellness coaching application,they experienced a decrease in social isolation,an improved ability to cope with stress,and improved positivity and well-being.Conclusion:Findings from this study demonstrate that online wellness coaching during the COVID-19 quarantine has a positive effect on students’well-being. 展开更多
关键词 Wellness coaching mental health NURSING COVID-19 ANXIETY lockdown
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基于大数据平台下E-coach管理模式在下肢动脉硬化闭塞症患者运动康复中的构建及应用研究 被引量:1
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作者 王芷彤 陈粹 +2 位作者 刘祯帆 周丹 赖璇 《卫生职业教育》 2023年第16期137-141,共5页
构建基于大数据平台的E-coach下肢动脉硬化闭塞症运动康复管理模式,并分析其可行性。研究表明,基于大数据平台的E-coach下肢动脉硬化闭塞症运动康复管理模式能够提高患者下肢运动康复的依从性,改善患者的步行能力和运动耐力,促进其血管... 构建基于大数据平台的E-coach下肢动脉硬化闭塞症运动康复管理模式,并分析其可行性。研究表明,基于大数据平台的E-coach下肢动脉硬化闭塞症运动康复管理模式能够提高患者下肢运动康复的依从性,改善患者的步行能力和运动耐力,促进其血管康复,提高患者生活质量。 展开更多
关键词 大数据平台 E-coach管理模式 下肢动脉硬化闭塞症
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The Effect of Coaching and Team Effectiveness on Job Involvement for Logistics Industry Company
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作者 Chuang Yuh Shy Yi-Chung Hu Lee Ping Chuan 《Management Studies》 2018年第2期96-107,共12页
Logistics industry recently has worker’s age problem,since the logistics industry has a hard working environment,also young age workers are lack of interest in labour intensive industries.Logistics industry requires ... Logistics industry recently has worker’s age problem,since the logistics industry has a hard working environment,also young age workers are lack of interest in labour intensive industries.Logistics industry requires a lot of stillness workers.Based on the basic labour and logistics management,it is a critical issue of possibilities to improve employees’job burnout,reduce work stress,and increase job involvement.Team effectiveness affecting self-efficacy,job involvement and social support which affect work performance is the major factor as in this research.This study empirically tests team effectiveness affects social support,self-efficacy,and job involvement.This study distributes questionnaires of a total of 270 samples,and 234 returned,the return ration is 86.6%.The analysis technology used structural equation modeling(SEM)analysis as well. 展开更多
关键词 coaching SELF-EFFICACY TEAM EFFECTIVENESS social support JOB INVOLVEMENT
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Coaching and Ethical Leadership: A Competence Executive Coaching Model for the Development of Ethical Leadership
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作者 Lurdes Neves 《Psychology Research》 2014年第4期285-300,共16页
关键词 道德 教练 能力 模型开发 诚信 文献综述 电流转换 概念框架
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Effectiveness of health coaching on diabetic patients: A systematic review and meta-analysis
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作者 Nashwa Mohamed Radwan Hisham Al Khashan +1 位作者 Fahad Alamri Ahmed Tofek El Olemy 《Traditional Medicine Research》 2019年第6期314-325,共12页
、Background:Using health coaching to improve the quality of life and health outcomes of the patients with diabetes mellitus,has emerged as a possible intervention.However,the few published randomized controlled trial... 、Background:Using health coaching to improve the quality of life and health outcomes of the patients with diabetes mellitus,has emerged as a possible intervention.However,the few published randomized controlled trials using health coaching for patients with diabetes mellitus have reported mixed results.The present meta-analysis aimed to determine the effectiveness of health coaching on modifying health status and quality of life among diabetic patients and to clarify the characteristics of coaching delivery that make it most effective.Methods:This study searched for articles on randomized controlled trials of health coaching interventions targeting type 2 diabetic patients that were published in the English language from January 2005 through December 2018 in the Cochrane,Medline,PubMed,Trip,and Embase databases.Patients in the control group received usual diabetes mellitus care,and those in the experimental group received health coaching based on usual diabetes mellitus care.The primary outcomes included Hemoglobin A1c(HbA1c)and cardiovascular disease risk factors,including systolic blood pressure,diastolic blood pressure,triglyceride,high-density lipoprotein cholesterol(HDL-C),low-density lipoprotein cholesterol,total cholesterol,and body weight.The secondary outcomes included quality of life,self-efficacy,self-care skills,and psychological outcomes.Results:Health coaching intervention has a significant effect on HbA1c[mean difference(MD)=-0.35,confidence interval(CI)=-0.47,-0.22,I2=83%,P<0.001]and HDL-C(MD=-0.50,CI=-0.93,-0.07,I2=10%,P=0.02).The most effective strategy for health coaching delivery associated with improvement of HbA1c was decreasing the number of sessions and increasing the duration of each session.However,no significant difference was found for weight,SBP,diastolic blood pressure,triglyceride,low-density lipoprotein cholesterol,or total cholesterol.Mixed results were reported for the effect of health coaching on quality of life,self-efficacy,self-care skills,and depressive symptoms outcome.Conclusion:Health coaching intervention has a significant effect on HbA1c and HDL-C,and the most effective strategy is decreasing the number of sessions while increasing session duration.However,these results should be interpreted with caution as the evidence comes from studies at some risk of bias with considerable heterogeneity and imprecision. 展开更多
关键词 HEALTH coaching Type 2 diabetes MELLITUS Randomized controlled trials HEMOGLOBIN A1C Weight High-density LIPOPROTEIN CHOLESTEROL
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