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However, its effectiveness has not been comprehensively synthesized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To evaluate the effectiveness of health coaching interventions on anxiety, depression, quality of life, self\u2010management behavior, and self\u2010efficacy among older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic search of six English databases (PubMed, Scopus, CINAHL, Cochrane Library, APA PsycInfo, and ProQuest Dissertations &amp; Theses Global) was conducted from inception to October 20, 2024. Standardized mean difference (SMD) and 95% confidence interval (CI) were calculated using meta\u2010analysis with random or fixed effects. Sensitivity analyses, subgroup analyses, and publication bias tests were also performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirty\u2010five randomized controlled trials (RCTs) involving 20,200 older adults were included in this review. Meta\u2010analysis results indicated that health coaching interventions could significantly improve anxiety (SMD: \u22120.09; 95% CI: \u22120.15, \u22120.04;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      : 0%), quality of life (SMD: 0.22; 95% CI: 0.05, 0.39;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      : 76%), self\u2010management behaviors (SMD: 1.15; 95% CI: 0.45, 1.86;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      : 95%), and self\u2010efficacy (SMD: 0.18; 95% CI: 0.02, 0.33;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      : 69%) among older adults, but had no significant effects on depression (SMD: \u22120.26; 95% CI: \u22120.64, 0.12;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      : 98%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Linking Evidence to Action<\/jats:title>\n                    <jats:p>Health coaching interventions may enhance the well\u2010being of older adults. However, the certainty of the current evidence was generally very low to moderate, and substantial heterogeneity existed across studies. Therefore, these findings should be interpreted with caution. More high\u2010quality RCTs with extended follow\u2010up, as well as analyses of differential effects across demographic information, are needed to provide more robust and generalizable evidence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/wvn.70108","type":"journal-article","created":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T07:54:12Z","timestamp":1770623652000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Effectiveness of Health Coaching Interventions on Anxiety, Depression, Self\u2010Management Behaviors, Self\u2010Efficacy, and Quality of Life Among Older Adults: A Systematic Review and Meta\u2010Analysis of Randomized Controlled Trials"],"prefix":"10.1111","volume":"23","author":[{"given":"Yufan","family":"Yang","sequence":"first","affiliation":[{"name":"School of Nursing Peking University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Urology Peking University People's Hospital  Beijing China"},{"name":"The Institute of Applied Lithotripsy Technology Peking University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiting","family":"Chen","sequence":"additional","affiliation":[{"name":"Center for Breast, Peking University People's Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0983-6133","authenticated-orcid":false,"given":"Zhiwen","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Nursing Peking University  Beijing China"},{"name":"Peking University Health Science Centre for Evidence\u2010Based Nursing: A JBI Centre of Excellence  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,8]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102023\u2010078631"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.328.7454.1490"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877\u2010024\u201005310\u20109"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2010.07.015"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.202203\u2010214OC"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201512\u20102503OC"},{"key":"e_1_2_10_8_1","doi-asserted-by":"crossref","unstructured":"Benzo R. 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