{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T14:43:35Z","timestamp":1787496215226,"version":"build-2736575974"},"reference-count":50,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Form Res"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec sec-type=\"background\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Within the past decade, digital coaching programs (DCPs) have emerged as an evidence-based modality to improve mental well-being and emotional intelligence (EI), although there is limited evidence in real-world contexts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"objective\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This pragmatic retrospective cohort study aims to determine the preliminary effectiveness of a DCP in improving mental well-being and EI within a real-world context. We hypothesized that there would be a significant increase in mental well-being and EI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study included 588 people who voluntarily enrolled in an 8-week, blended care DCP offered through their employers from October 2021 to August 2024. The DCP included routine check-ins and consultations with certified coaches. Participants completed the World Health Organization-Five Well-Being Index (WHO-5) at baseline and then weekly until the end of the program, as well as the Brief Emotional Intelligence Scale-10 (BEIS-10) at baseline and the end of the program. Multivariable linear mixed models examined changes in WHO-5 (biweekly) and BEIS-10 (pre-post) scores, adjusting for age, gender, program engagement, and program completion. Multivariable logistic regression models evaluated correlates of clinically meaningful improvements on the WHO-5 (ie, at least a 10-point improvement). We calculated a reliable change index (RCI) for the BEIS-10 and the proportion of participants meeting the RCI criterion from baseline to end of treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In multivariate linear mixed models adjusting for demographics and program characteristics, we observed a significant increase in WHO-5 scores (baseline\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                          <mml:mstyle displaystyle=\"true\" scriptlevel=\"0\">\n                            <mml:mrow>\n                              <mml:mover>\n                                <mml:mi>x<\/mml:mi>\n                                <mml:mo accent=\"false\">\u00af<\/mml:mo>\n                              <\/mml:mover>\n                            <\/mml:mrow>\n                          <\/mml:mstyle>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      =45.6; week 8\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\">\n                          <mml:mstyle displaystyle=\"true\" scriptlevel=\"0\">\n                            <mml:mrow>\n                              <mml:mover>\n                                <mml:mi>x<\/mml:mi>\n                                <mml:mo accent=\"false\">\u00af<\/mml:mo>\n                              <\/mml:mover>\n                            <\/mml:mrow>\n                          <\/mml:mstyle>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      =66.3; Cohen\u2019s\n                      <jats:italic>d<\/jats:italic>\n                      =1.98;\n                      <jats:italic>P<\/jats:italic>\n                      &lt;.001). Over half of the sample (55.4%) experienced a clinically meaningful improvement on the WHO-5. Multivariable logistic regression found that higher engagement was associated with an increased odds of a clinically meaningful improvement on the WHO-5 (adjusted odds ratio [aOR] 1.002, 95% CI 1.001\u20101.003), while program noncompletion (aOR 0.27, 95% CI 0.15\u20100.50) and higher baseline well-being (aOR 0.91, 95% CI 0.89\u20100.92) were associated with reduced odds. BEIS-10 scores also significantly increased from baseline to the end of the program after adjusting for relevant correlates (baseline\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\">\n                          <mml:mstyle displaystyle=\"true\" scriptlevel=\"0\">\n                            <mml:mrow>\n                              <mml:mover>\n                                <mml:mi>x<\/mml:mi>\n                                <mml:mo accent=\"false\">\u00af<\/mml:mo>\n                              <\/mml:mover>\n                            <\/mml:mrow>\n                          <\/mml:mstyle>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      =37.6; week 8\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\">\n                          <mml:mstyle displaystyle=\"true\" scriptlevel=\"0\">\n                            <mml:mrow>\n                              <mml:mover>\n                                <mml:mi>x<\/mml:mi>\n                                <mml:mo accent=\"false\">\u00af<\/mml:mo>\n                              <\/mml:mover>\n                            <\/mml:mrow>\n                          <\/mml:mstyle>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      =41.2; Cohen\u2019s\n                      <jats:italic>d<\/jats:italic>\n                      =1.32;\n                      <jats:italic>P<\/jats:italic>\n                      &lt;.001). The estimated RCI on the BEIS-10 was approximately 5, with 19.7% experiencing a meaningful improvement.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These results demonstrate that DCPs can be a viable option for individuals looking to improve their mental well-being. Additional efforts should focus on establishing reliable change metrics for EI measures. Studies using hybrid effectiveness-implementation trial designs are now needed to further evaluate the real-world effectiveness of this program.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/71828","type":"journal-article","created":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T18:51:08Z","timestamp":1754592668000},"page":"e71828-e71828","source":"Crossref","is-referenced-by-count":2,"title":["Feasibility of a Digital Coaching Program for Improving Mental Well-Being and Emotional Intelligence: Pragmatic Retrospective Cohort Study"],"prefix":"10.2196","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9154-0584","authenticated-orcid":false,"given":"Nicholas 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