There are a number of ways to measure outcomes:

Outcomes questionnaires 

Self-management questionnaires:

The aim of Health & Wellbeing Coaching is to improve people’s levels of knowledge, skills and confidence to self-manage effectively.

Some questionnaires that measure this are:

Insignia’s Patient Activation Measure (PAM)

The Chronic Disease Self-Efficacy Scale (CDSMP)

These are essentially different from questionnaires such as the ONS4 and the Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS) which measure wellbeing. 

It is worth bearing this in mind if using these as outcomes measures for Health & Wellbeing Coaching as changes in people’s confidence to self-manage effectively (as measured by PAM or CDSMP questionnaires) are less prone to fluctuation and more meaningful from the self-management point of view, than changes in their sense of wellbeing (as measured by the ONS4 and the WEMWBS), which can be affected by many things on a day-to-day or month-to-month basis. The two types of questionnaire would be expected to give similar outcomes, and often might, because someone who is self-managing well is likely to also be experiencing a greater sense of wellbeing, and vice verse; however, they are measuring different things.

Feedback questionnaires

Feedback questionnaires can be a helpful way of assessing the patient experience both with statements they can agree or disagree with and a free-text box.

These give an idea of how patients are using and experiencing health & wellbeing coaching.

You can see a sample Feedback Questionnaire in the links at the bottom of this page.

Patient stories

Patient stories or case studies can provide qualitative data around how people are benefiting from Health & Wellbeing Coaching. 

Measurable and self-reported outcomes

For example, weight, BMI, Blood Pressure, HbA1C.

Service Usage data

For example, number of clinical appointments in the 12 months before and 12 months after completing coaching. Although the reasons for clinical appointments are many and varied and attending necessary clinical appointments is essential, people who are struggling to manage with long term health conditions typically have higher levels of clinical service usage than those who are self-managing effectively (see Health Foundation study).