Table 5.
Coaching Assessment data evaluating FAMS protocol success.
Goal setting | ||
Was the patient able to set a SMART goal? | ||
47%: yes, independently | ||
32%: yes, with help from the coach | ||
21%: no, needed the coach to set a goal for them | ||
What type of goal was set? | ||
53%: diet (e.g., decrease to one 12-ounce soda, eat 3 servings of vegetables) | ||
47%: exercise (e.g., walk 15 min or until feet hurt, lift canned goods as weights for 10 min) | ||
| ||
Discussing helpful & harmful family actions | ||
Could the patient identify helpful family actions he/she had experienced? | ||
74%: yes, independently | ||
16%: yes, with help from the coach | ||
10%: no | ||
Could the patient identify harmful family actions he/she had experienced? | ||
42%: yes, independently | ||
16%: yes, with help from the coach | ||
42%: no | ||
| ||
Skill building | ||
84% engaged in the skill building exercise (percentages below reflect the 16 participants who completed skill building) | ||
Desired change used for skill building: | ||
86%: wanted helpful action (e.g., choose healthy places to eat out, cook meals with me, exercise with me, do accountability calls or texts) | ||
13%: unwanted harmful action (e.g., stop bringing unhealthy food to my house, stop bringing food over after dinner time) | ||
68% were able to role play or teach back the skills learned | ||
Was there any portion of the coaching protocol the patient did not “buy into”? | ||
21% (n = 4) did not accept a connection between health goal and loved ones' actions | ||
5% (n = 1) tried assertive communication with his wife with no results—the assertive communication skill was not a good fit | ||
5% (n = 1) has good support and lacks personal motivation | ||
5% (n = 1) didn't accept idea that family could be harmful to diabetes self-care | ||
| ||
Verbal contract | ||
79% made a verbal contract to implement the skill with an identified family member | ||
Participants' confidence he/she can complete the verbal contract on scale 1–10 (How confident are you that you can use assertive communication to ask your sister to walk with you?) | ||
1 – 6% (not at all confident) | 8 – 18% | 10 – 53% (totally confident) |
7 – 12% | 9 – 12% | |
Participants' confidence in success on scale 1–10 (How confident are you that doing so will result in your sister walking with you?) | ||
1 – 11% (not at all confident) | 8 – 17% | 10 – 50% (totally confident) |
7 – 11% | 9 – 11% |