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Purpose  To systematically review the evidence for health coaching as an intervention to improve health‐related quality of life ( HRQ oL) and reduce hospital admissions in people with chronic obstructive pulmonary disease ( COPD ).    Methods  We systematically searched  MEDLINE ,  EMBASE , Psyc INFO , and  CINAHL  from database inception to August 2018 to identify all randomized controlled trials ( RCT s) of health coaching for people with  COPD . Eligible health coaching interventions had to include three components: goal setting, motivational interviewing, and  COPD ‐related health education. Data were extracted on study characteristics and the effects of the intervention on  HRQ oL, hospital admissions, physical activity, self‐care behaviour, and mood. Study quality was appraised by two authors using the Cochrane tool for assessing the risk of bias in  RCT s. Effect sizes (standardized mean differences [ SMD ] or odds ratios [ OR ]) with 95% confidence intervals ( CI s) were calculated and pooled using random effects meta‐analyses.    Results  Of 1578 articles, 10  RCT s were included. Meta‐analysis showed that health coaching has a significant positive effect on  HRQ oL ( SMD  = −0.69, 95%  CI : −1.28, −0.09,  p  =   .02, from  k  = 4) and leads to a significant reduction in  COPD ‐related hospital admissions ( OR  = 0.46, 95%  CI : 0.31, 0.69,  p  =   .0001, from  k  = 5), but not in all‐cause hospital admissions ( OR  = 0.70, 95%  CI : 0.41–1.12,  p  =   .20, from  k  = 3). Three of four studies reported significant improvements to self‐care behaviours such as medication adherence and exercise compliance.    Conclusions  This is the first systematic review to show that health coaching may be a candidate intervention to improve  HRQ oL and reduce costly hospital admissions in people with  COPD .Statement of contribution    What is already known on this subject?COPD  is a leading cause of death worldwide and considerably reduces  HRQ oL. In turn,  HRQ oL is associated with a range of adverse health outcomes in  COPD .  Health coaching is a self‐management intervention for people with long‐term conditions such as  COPD . Studies have examined whether health coaching improves  HRQOL  and other health outcomes in people with  COPD , but no systematic review has been conducted.What does this study add?The first systematic review and meta‐analysis of  RCT s of health coaching for people with  COPD .  Health coaching may be a candidate intervention for improving  HRQ oL and reducing  COPD ‐related hospital admissions in people with  COPD .  The need to establish the most effective health coaching components, delivery modality, and economic impact.

british journal of health psychology

Does health coaching improve health‐related quality of life and reduce hospital admissions in people with chronic obstructive pulmonary disease? A systematic review and meta‐analysis