Supporting Publications

As a model of educational and clinical innovation aimed at patient empowerment and lifestyle modification, IHC is aligned well with the tenets and goals of recently sanctioned federal healthcare reform, specifically the creation of the first National Prevention and Health Promotion Strategy. *

Smith, L. L., PA, Lake, N. H., MD, Simmons, L. A., PhD, Perlman, A., MD, MPH, Wroth, S., MD, & Wolever, R. Q., PhD. (2013, May 1). Integrative Health Coach Training: A Model for Shifting the Paradigm Toward Patient-centricity and Meeting New National Prevention Goals. 

Integrative Health Coaching


Patient Education and Counseling

The effects of health coaching on adult patients with chronic diseases: A systematic review

Positive effects of a coaching program for parents after the diagnosis of CF following newborn screening

Parents are emotionally severely disrupted after their child is diagnosed with CF following Newborn Screening. The Dutch CF Foundation (NCFS) started a coaching program for parents to assist them to regain control of their lives. A coaching program for parents after the diagnosis CF is feasible and useful. Other groups also might benefit from a coaching program. 

Performance Coaching

Physical Exercise in Cystic Fibrosis

The aims of this thesis were to evaluate the effects of different type of training in young adult patients with classic CF on muscular strength, lung function and exercise capacity and to compare baseline data with matched healthy controls. One additional aim was to evaluate the effect of general resistance training (RT) of the upper extremities on hand-grip strength in healthy subjects. 

Individualized Unsupervised Exercise Training

Short-term studies of exercise training have shown benefits in cystic fibrosis. Transferring exercise programs to the community and sustaining them long term is a challenge for the patient. The effectiveness of an individualized unsupervised home based exercise program was examined in adults with cystic fibrosis over a 1 year period. 

Strength vs Aerobic Training in Children With Cystic Fibrosis

Exercise has the potential to improve the ability of a patient with cystic fibrosis (CF) to cope with the physical demands of everyday life, and may improve prognosis. The purpose of this study was to compare the effects of a home-based, semi-supervised, upper-body strength-training regimen with a similarly structured aerobic training regimen.

Posture & Breathing

Breathing in the Gravity Field

This resource covers the basic physiology of breathing, as well as the biomechanics that underlie the breath.

The Value of Blowing Up a Balloon

Suboptimal breathing patterns and impairments of posture and trunk stability are often associated with musculoskeletal complaints such as low back pain. A therapeutic exercise that promotes optimal posture (diaphragm and lumbar spine position), and neuromuscular control of the deep abdominals, diaphragm, and pelvic floor (lumbar-pelvic stabilization) is desirable for utilization with patients who demonstrate suboptimal respiration and posture. 


Meditative Movement for Respiratory Function

Meditative movement, such as tai chi, yoga, and qi gong, may benefit people with cystic fibrosis (CF), as a form of gentle exercise incorporating meditation, breathing, and relaxation. Respiratory function is the most common issue in CF. In this systematic review we synthesized the evidence on the effect of meditative movement on respiratory function in patients with CF.