319
Participants
Start Date
February 29, 2016
Primary Completion Date
December 31, 2017
Study Completion Date
December 31, 2017
Usual Care
This program is a well-established program within the UC Davis Health System, providing care coordination to individuals with chronic conditions. Patients can self-refer or are referred by their providers for this service. The role of the care coordinator is to assess needs of the patient and coordinate healthcare referrals and appointments for the patient, facilitate communication among members of the healthcare team, identify health goals in collaboration with the patient and assist them in meeting those goals if requested by the patient. Contact is variable and conducted on a case by case basis.
P2E2T2 Program
The P2E2T2 intervention group will receive Nurse Health Coaching using MI, an approach designed to elicit and support behavioral changes and improve self-efficacy (18-21). Nurses delivering the intervention will have completed the Health Science Institutes Registered Health Coach (RHC) training program (www.healthsciences.org). The intervention protocol is as follows:
School of Nursing, University of California, Davis and UC Davis Health System, Sacramento
Patient-Centered Outcomes Research Institute
OTHER
University of California, Davis
OTHER