Coaching to strengthen critical success factors in integrative care for chronic fatigue patients: the Patient Needs-Resources Model

Research output: Contribution to journalArticlepeer-review

2 Downloads (Pure)


Theoretical and empirical studies discover that an integrative approach is particularly important in chronic disorders and multiple long-term conditions, such as chronic fatigue. Chronic fatigue syndrome (CFS) is a classic example of a potentially severe, multisystemic illness with a wide diversity of symptoms and the corresponding diagnostic complexity. The prevalence of CFS-like syndromes expanded in the context of the COVID-19 pandemic, increasing the disorder and treatment burden. Thus, this article aimed to draw attention to the possibilities to strengthen the integrative approach to diagnosing and treating chronic disorders and multiple long-term conditions. The main critical success factors identified for integrative approaches were: a holistic approach, that provides a more comprehensive diagnostic and personalized treatment strategy, a multidisciplinary team, and patient engagement. The strengths and weaknesses of these factors were explored and coaching was identified as a potential unifying and reinforcing element. Coaching has a wide spectrum of manifestations clearly representing a holistic approach, that has been successfully used in multidisciplinary team building. Moreover, coaching exposes support addressing the patient engagement issues identified by the Patient Needs-Resources Model (PN-R Model) such as low levels of self-efficacy, optimism, and subjective well-being. Coaching may assist patients to identify and prioritize their goals, becoming aware of their personal resources, developing strategies for managing symptoms, and building skills to increase their self-efficacy and active engagement in the treatment process. Therefore, the authors emphasize coaching as a perspective element of optimization of patient care, that requires additional theoretical and long-term empirical research.
Original languageEnglish
Article number1202930
Number of pages7
JournalFrontiers in Neuroscience
Volume 17
Publication statusPublished - 21 Jul 2023


  • myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS)
  • Holistic approach
  • Multidisciplinary team
  • Patient engagement
  • health-related quality of life (HRQoL)
  • holistic approach
  • multidisciplinary team
  • patient engagement

Field of Science*

  • 3.3 Health sciences
  • 5.1 Psychology

Publication Type*

  • 1.1. Scientific article indexed in Web of Science and/or Scopus database


Dive into the research topics of 'Coaching to strengthen critical success factors in integrative care for chronic fatigue patients: the Patient Needs-Resources Model'. Together they form a unique fingerprint.

Cite this