This study explored the development, feasibility, and impact of a nine-week health coaching intervention on the quality of life and well-being of breast cancer survivors. Guided by Social Cognitive Theory, Self-Determination Theory, and the PERMAH model, the intervention was delivered virtually using one-on-one coaching sessions grounded in motivational interviewing, goal setting, and support. A mixed-methods design combined quantitative assessments of quality of life, life satisfaction, fatigue, sleep, and emotional functioning with qualitative interviews exploring participants’ lived experiences. Quantitative findings showed a statistically significant improvement in the PERMAH domain of accomplishment, along with positive trends in emotional well-being, energy, and sleep. Qualitative themes of empowerment, resilience, motivation, trust, body-image acceptance, and meaning-making explained how coaching fostered confidence, emotional regulation, and renewed purpose. Participants reported high satisfaction and strong engagement throughout the program. Findings indicate that health coaching is a feasible, acceptable, and a promising strategy for addressing survivorship needs and advancing quality of life and well-being beyond treatment.
","abstract_html":"<p>This study explored the development, feasibility, and impact of a nine-week health coaching intervention on the quality of life and well-being of breast cancer survivors. Guided by Social Cognitive Theory, Self-Determination Theory, and the PERMAH model, the intervention was delivered virtually using one-on-one coaching sessions grounded in motivational interviewing, goal setting, and support. A mixed-methods design combined quantitative assessments of quality of life, life satisfaction, fatigue, sleep, and emotional functioning with qualitative interviews exploring participants’ lived experiences. Quantitative findings showed a statistically significant improvement in the PERMAH domain of accomplishment, along with positive trends in emotional well-being, energy, and sleep. Qualitative themes of empowerment, resilience, motivation, trust, body-image acceptance, and meaning-making explained how coaching fostered confidence, emotional regulation, and renewed purpose. Participants reported high satisfaction and strong engagement throughout the program. Findings indicate that health coaching is a feasible, acceptable, and a promising strategy for addressing survivorship needs and advancing quality of life and well-being beyond treatment.</p>","abstract_has_math":false,"creators":["Nwogu, Uloma S"],"institution":null,"degree_name":"Public Health, DPH","degree_level":"Open Access Dissertation","degree_discipline":"School of Community and Global Health","degree_department":null,"school":null,"contributors":["Rachaline Napier","Stewart I. Donaldson"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2025,"date_issued":"2025-01-01T08:00:00Z","date_published":"2025-01-01T08:00:00Z","updated_at":"2026-07-24T01:41:17Z","subjects":["Behavior Change Theory","Breast Cancer Survivorship","Health Coaching Intervention","PERMAH","Psychosocial Well-being","Quality of Life","Public Health"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://scholarship.claremont.edu/cgu_etd/1060","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Rachaline Napier","Stewart I. Donaldson"]},{"key":"dc:creator","label":"Author","values":["Nwogu, Uloma S"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.available","label":"Dc Date Available","values":["2026-05-10T07:00:00Z"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["School of Community and Global Health"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Open Access Dissertation"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Public Health, DPH"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Behavior Change Theory","Breast Cancer Survivorship","Health Coaching Intervention","PERMAH","Psychosocial Well-being","Quality of Life","Public Health"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://scholarship.claremont.edu/cgu_etd/1060"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["This study explored the development, feasibility, and impact of a nine-week health coaching intervention on the quality of life and well-being of breast cancer survivors. Guided by Social Cognitive Theory, Self-Determination Theory, and the PERMAH model, the intervention was delivered virtually using one-on-one coaching sessions grounded in motivational interviewing, goal setting, and support. A mixed-methods design combined quantitative assessments of quality of life, life satisfaction, fatigue, sleep, and emotional functioning with qualitative interviews exploring participants’ lived experiences. Quantitative findings showed a statistically significant improvement in the PERMAH domain of accomplishment, along with positive trends in emotional well-being, energy, and sleep. Qualitative themes of empowerment, resilience, motivation, trust, body-image acceptance, and meaning-making explained how coaching fostered confidence, emotional regulation, and renewed purpose. Participants reported high satisfaction and strong engagement throughout the program. Findings indicate that health coaching is a feasible, acceptable, and a promising strategy for addressing survivorship needs and advancing quality of life and well-being beyond treatment.
"]},{"key":"dc:title","label":"Title","values":["Exploring How a Health Coaching Intervention Can Help Improve the Quality of Life and Wellbeing of Breast Cancer Survivors"]}]}],"canonical_facts":{"dc:contributor":["Rachaline Napier","Stewart I. Donaldson"],"dc:creator":["Nwogu, Uloma S"],"dc:date.available":["2026-05-10T07:00:00Z"],"dc:description.abstract":["This study explored the development, feasibility, and impact of a nine-week health coaching intervention on the quality of life and well-being of breast cancer survivors. Guided by Social Cognitive Theory, Self-Determination Theory, and the PERMAH model, the intervention was delivered virtually using one-on-one coaching sessions grounded in motivational interviewing, goal setting, and support. A mixed-methods design combined quantitative assessments of quality of life, life satisfaction, fatigue, sleep, and emotional functioning with qualitative interviews exploring participants’ lived experiences. Quantitative findings showed a statistically significant improvement in the PERMAH domain of accomplishment, along with positive trends in emotional well-being, energy, and sleep. Qualitative themes of empowerment, resilience, motivation, trust, body-image acceptance, and meaning-making explained how coaching fostered confidence, emotional regulation, and renewed purpose. Participants reported high satisfaction and strong engagement throughout the program. Findings indicate that health coaching is a feasible, acceptable, and a promising strategy for addressing survivorship needs and advancing quality of life and well-being beyond treatment.
"],"dc:identifier":["https://scholarship.claremont.edu/cgu_etd/1060"],"dc:subject":["Behavior Change Theory","Breast Cancer Survivorship","Health Coaching Intervention","PERMAH","Psychosocial Well-being","Quality of Life","Public Health"],"dc:title":["Exploring How a Health Coaching Intervention Can Help Improve the Quality of Life and Wellbeing of Breast Cancer Survivors"],"thesis:degree_discipline":["School of Community and Global Health"],"thesis:degree_level":["Open Access Dissertation"],"thesis:degree_name":["Public Health, DPH"]},"updated_at":"2026-07-24T01:41:17Z"}