Telephone Health and Wellness Coaching for Weight Loss in the Occupational Health Setting: A Mixed Methods Single-Case Study

Published:October 11, 2022DOI:


      • This article describes a health and wellness coaching (HWC) intervention for weight loss in the occupational health setting.
      • HWC meets the 3 primary psychological needs of self-determination theory for autonomy, competence, and relatedness.
      • HWC is a feasible approach to supporting individuals for weight loss.
      • Further research is required to test the effectiveness of this approach in supporting weight loss.


      Occupational health nurse practitioners need to support self-determined health decisions and behavior change for weight loss. This article describes a telephone-based health and wellness coaching intervention. A mixed methods single-case study approach was used. Nine coaching conversations were analyzed using the self-determination theory as an underpinning theoretical framework. Health-related quality of life improved, and there was a 4.46% reduction in body weight. Three main themes emerged from the coaching conversations: owning goals (desired outcomes and motivation to change, setting SMART [Specific, Measurable, Achievable, Relevant, and Time-Bound] goals, and behavior strategies), accountability (self-monitoring behavior and outcomes), and support (realizing perceived barriers and enablers).


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      Ann Marie Mahon, MSc, RGN, is a clinical nurse manager at the Occupational Health Department, Health Service Executive West in Sligo, Ireland.


      Helen McGloin, PhD, RGN, NB-HWC, is a health and wellness coach and lecturer at the School of Nursing, Health Sciences and Disability Studies, St. Angelas College in Sligo, Ireland, and can be contacted at [email protected] .