Exploring How a Health Coaching Intervention Can Help Improve the Quality of Life and Wellbeing of Breast Cancer Survivors
Date of Award
2025
Degree Type
Open Access Dissertation
Degree Name
Public Health, DPH
Program
School of Community and Global Health
Advisor/Supervisor/Committee Chair
Jessica Dehart
Dissertation or Thesis Committee Member
Rachaline Napier
Dissertation or Thesis Committee Member
Stewart I. Donaldson
Terms of Use & License Information
This work is licensed under a Creative Commons Attribution 4.0 License.
Rights Information
© 2025 Uloma Nwogu
Keywords
Behavior Change Theory, Breast Cancer Survivorship, Health Coaching Intervention, PERMAH, Psychosocial Well-being, Quality of Life
Subject Categories
Public Health
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.
Recommended Citation
Nwogu, Uloma S.. (2025). Exploring How a Health Coaching Intervention Can Help Improve the Quality of Life and Wellbeing of Breast Cancer Survivors. CGU Theses & Dissertations, 1060. https://scholarship.claremont.edu/cgu_etd/1060.
