Linking High Risk Postpartum Women with a Technology Enabled Health Coaching Program to Reduce Diabetes Risk and Improve Wellbeing: Program Description, Case Studies, and Recommendations for Community Health Coaching Programs

Figure 4

Multimodal adaptation of the STAR MAMA HIT/health coaching hybrid model to meet community needs. This model breaks down the different modes of implementation of the STAR MAMA model to illustrate the flexibility of supporting self-managed care within the clinic to community spectrum. Both components of the model, HIT and health coaching, have the capacity to interact uni- or bidirectionally with the patient in the clinic or community setting. (1) STAR MAMA: the STAR MAMA intervention is a blend of weekly HIT phone calls to eligible patients and health coaching calls for support and follow-up. (2) ATSM: this is one component of the STAR MAMA model, in which patients receive weekly phone calls for 20 weeks on various topics regarding postpartum health. The calls can be implemented in the community setting unidirectionally, in which the patient listens to educational narratives, or the phone calls can be programmed to offer an interactive component. (3) Health coaching: trained health coaches can provide topic-based counseling to patients regarding specific topics tailored to the patient’s needs. Or the health coach can receive triggers from an HIT system (if both are used in conjunction) to follow-up with patient on high risk issues.