Preliminary Feasibility Study of a Community-Based Wellness Coaching for Cancer Survivors Program

Abstract Purpose: In the United States, there are almost 17 million cancer survivors who often have poorer health outcomes and an increased risk for developing a second cancer and other chronic illnesses. Evidence suggests substantial cancer burden may be prevented through lifestyle modifications. The purpose of this study was to determine the feasibility of health coaching for the improvement of health, fitness, and overall well-being of cancer survivors in a community setting. Methods: Participants were recruited from community-based cancer agency locations. Health coaching was provided to people diagnosed with cancer anywhere along the cancer survivorship continuum. Coaches provided six individual sessions to each participant. Surveys were sent pre- and post-intervention on topics including fitness, eating habits, perceived stress, anxiety, depression, and quality of life. Results were analyzed using repeated measures multilevel modeling. Results: 48 participants completed an average of 85% of health coaching sessions. Coaching participants noted significant improvements in weekly physical activity, including moderate-vigorous physical activity. Small significant increases were found in healthy eating behavior. Participants reported moderate change in the quality of their sleep and smaller significant changes in sleep duration and sleep efficiency. Moderate significant reductions were found in perceived stress and anxiety, with small but significant decreases in depression. Importantly, participants reported improved quality of life, particularly in areas of physical and emotional well-being. Smaller increases were found in functional and total well-being. Conclusion: Preliminary findings indicate real behavior change in the measured outcomes and suggests health coaching may be an important tool for cancer survivorship.