Nahabedian, Noushig (2025) Organisational considerations necessary to introduce a health coaching service in NHS settings for mental health patients. Doctoral thesis, Birkbeck, University of London.
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Abstract
This thesis aims to examine the organisational consideration required to establish a health coaching service for patients within a mental health National Health Service (NHS). This takes place within the context of growing pressure on mental health services in the United Kingdom, where there is an increase in demand and access to mental health provision in conjunction with a decrease in mental health professionals, funding and resources. An approach to alleviate these issues can be derived from business settings where coaching has evidenced the positive impact on individuals through empowerment, self-efficacy and goal attainment. Whilst coaching has taken place within health settings, predominantly in physical health, there has been no wider thought given to the considerations required to introduce a health coaching service which is safe, timely, equitable, efficient, effective and patient-centred. Such an exercise could bring value to mental health patients and the healthcare workforce. To address the aims of this thesis, two studies were conducted. The first study was a systematic review which examined the impact of health coaching on patients. Searches identified 3813 papers, of which only five met the inclusion criteria of using validated measures of mental health conditions. Four of the five studies evidenced that health coaching has a positive impact on mental health status and condition-based reporting. However, all five research papers noted the absence of long-term data as a limitation of the literature, which is due to the cessation of the health coaching once the research has concluded. Health coaching as an intervention can no longer be provided as the systemic considerations are not implemented to sustain a new intervention. Using the Skivington et al., (2021) framework, there is sufficient evidence to progress research from identification of the intervention to the organisational feasibility of introducing a service. Therefore, study 2 used a qualitative design to explore the organisational considerations needed in order to be able to establish, sustain and evaluate a health coaching service. Eleven qualified coaches working in a mental health NHS Trust were recruited to take part in a semi-structured interview which identified five over-arching themes; safety, infrastructure, readiness, equitable, and effective. This thesis makes two contributions. First, it consolidates the results from extant literature in relation to health coaching from a mental health lens. Second, it provides new knowledge by presenting the practical considerations required to introduce a complex service in the NHS.
Metadata
| Item Type: | Thesis |
|---|---|
| Copyright Holders: | The copyright of this thesis rests with the author, who asserts his/her right to be known as such according to the Copyright Designs and Patents Act 1988. No dealing with the thesis contrary to the copyright or moral rights of the author is permitted. |
| Depositing User: | Acquisitions And Metadata |
| Date Deposited: | 11 Mar 2025 10:52 |
| Last Modified: | 22 Sep 2025 02:00 |
| URI: | https://eprints.bbk.ac.uk/id/eprint/55142 |
| DOI: | https://doi.org/10.18743/PUB.00055142 |
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