Exploring How a Health Coaching Intervention Can Help Improve the Quality of Life and Wellbeing of Breast Cancer Survivors

<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>

Name thesis:degree_name

Public Health, DPH

Level thesis:degree_level

Open Access Dissertation

Discipline thesis:degree_discipline

School of Community and Global Health

Year dc:date.available

2025

Author dc:creator

• Nwogu, Uloma S

Contributors dc:contributor

• Rachaline Napier
• Stewart I. Donaldson

• Behavior Change Theory
• Breast Cancer Survivorship
• Health Coaching Intervention
• PERMAH
• Psychosocial Well-being
• Quality of Life
• Public Health

Repository record dc:identifier

https://scholarship.claremont.edu/cgu_etd/1060

OAI identifier oai:identifier

oai:scholarship.claremont.edu:cgu_etd-2082