Dosing of Health and Wellness Coaching for Obesity and T2D

AJLM CME/CE Article Quiz Volume 17, Issue 3

AJLM CME/CE Article Quiz Volume 17, Issue 3: Dosing of Health and Wellness Coaching for Obesity and Type 2 Diabetes: Research Synthesis to Derive Recommendations 

Prices per Article 
Nonmember - $40
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1 CME/CE Credit
(Full Accreditation information listed below)

Health and wellness coaching (HWC) is an effective intervention for lifestyle disease such as obesity and type 2 diabetes. The evolving HWC profession needs recommendations to guide clinical practice, particularly the appropriate dose of coaching. The purpose of this paper was to systematically review and synthesize HWC literature to derive HWC programming recommendations. Of 102 papers retrieved, 88 were retained with data extracted determining HWC session number, frequency, duration, program length, and total coaching load. Differential analysis yielded no statistical difference in programming variables for randomized control trials and other designs, nor for studies with significant findings v. those not finding statistical significance, allowing these data to be pooled. The HWC intervention for obesity was slightly more intense (15 sessions over 7-8 mo) than the diabetes programming (12 sessions over 9-10 mo). On average, HWC programming applied in the peer-reviewed literature was 12-15 sessions of 35-40 min duration over 7-9 months. These recommendations for HWC programming variables are put forth as initial practice guidelines and should be examined with comparative effectiveness study for optimization. HWC best practice guidelines for other patient groups (e.g., heart disease, cancer, and chronic pain) should also be studied once an adequate literature data base is available.

Learning Objectives

  1. Define health and wellness coaching (HWC) program load.
  2. List the initial HWC programming guidelines.  
  3. Discuss limitations of the proposed HWC programming guidelines.  
  4. Apply the HWC guidelines to a patient scenario. 

This learning activity consists of one AJLM article and one quiz.

1 hour

Assessment and Measurement
A score of 80% or higher on the quiz is required to pass the learning activity.

This course can be viewed on desktop, tablet or mobile device.

Term of Approval
Mary 1, 2023 – April 30, 2026

Access to online material is granted through the term of approval which ends April 30, 2026. 

Accreditation Statement
In support of improving patient care, Rush University Medical Center is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 

Designation Statement
For Medicine: Rush University Medical Center designates journal based activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only credit commensurate with the extent of their participation in the activity. 

For Nursing:
Rush University Medical Center designates this enduring material for a maximum of 1.00 nursing contact hour(s). 

For Pharmacy:
Rush University Medical Center designates this knowledge-based enduring material for a maximum of 1.00 contact hour(s) for pharmacists. 

For Psychologists:
Rush University Medical Center designates this enduring material for 1.00 CE credits in psychology. 

For Dieticians:
This enduring material has been approved by the Commission on Dietetic Registration for 1.00 CPEUs. 

For Social Work:
As a Jointly Accredited Organization, Rush University Medical Center is approved to offer social work continuing education buy the Association of Social Work Boards (ASWB) Approved continuing education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 1.00 general continuing education credits. 

For Physical Therapy or Occupational Therapy:
Rush University is an approved provider for physical therapy/occupational therapy by the Illinois Department of Professional Regulation. Rush University designates this activity for a maximum of 1.00 continuing education credits for physical therapists/ occupational therapists. 
The American Board of Lifestyle Medicine has approved 1.0 maintenance of certification credits for this learning activity. 

Disclosure Statement
As a provider of continuing education, Rush University Medical Center asks everyone who has the ability to control or influence the content of an educational activity to disclose information about all of their financial relationships with ineligible companies within the prior 24 months. There is no minimum financial threshold; individuals must disclose all financial relationships, regardless of the amount, with ineligible companies. Individuals must disclose regardless of their view of the relevance of the relationship to the education. Mechanisms are in place to identify and mitigate any potential conflicts of interest prior to the start of the activity. All information disclosed must be shared with the participants/learners prior to the start of the educational activity.

Unapproved Uses of Drugs/Devices: In accordance with requirements of the FDA, the audience is advised that information presented in this continuing medical education activity may contain references to unlabeled or unapproved uses of drugs or devices. Please refer to the FDA approved package insert for each drug/device for full prescribing/utilization information.

Individuals in control of content have disclosed the following: 

  • Rohit Moghe, PharmD, MSPH, CDCES, Member, Speakers Bureau, Novo Nordisk

All of the relevant financial relationships listed for these individuals have been mitigated. The remaining course director(s), planner(s), faculty, and reviewer(s) of this activity have no relevant financial relationship(s) with ineligible companies to disclose.

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