Exploring How a Health Coaching Intervention Can Help Improve the Quality of Life and Wellbeing of Breast Cancer Survivors
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.
Behavior Change Theory, Breast Cancer Survivorship, Health Coaching Intervention, PERMAH, Psychosocial Well-being, Quality of Life, Public Health
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