Document Type

Thesis - Open Access

Award Date


Degree Name

Master of Science (MS)


Health and Nutritional Sciences

First Advisor

Kendra Kattelmann


Barriers, Community Coaching, Extension, Facilitators, Rural, Wellness Coalition


Objective: To quantitatively assess coaches perceived confidence in coaching rural wellness coalitions and to qualitatively determine barriers and facilitators to success in coaching rural wellness coalitions.
Design: A mixed methods design was utilized with quantitative (scorecard) and qualitative (key informant interviews) methodologies.
Setting: Six rural South Dakota wellness coalitions.
Participants: Extension wellness coalition coaches (n=7), one previous and six current.
Intervention: A component of the broader SDSU Extension 1416 Centers for Disease Control (CDC) and Supplemental Nutrition Assistance Program Education (SNAP-Ed) intervention.
Analysis: STATA was utilized for the quantitative scorecard data by running paired ttests. NVivo was utilized in the analysis of the qualitative key informant interview data by coding transcript to themes and then using a query matrix.
Results: Perceived confidence scores of coaches were found to be significantly different at post-intervention compared to pre-intervention (13.6 (8.6) vs 19.7 (9.3), P=0.02). Key facilitators for the Extension Coaches included: perception of coach role, Extension resources, community members, wellness coalition policy, systems, and environmental changes, and community champion community involvement and availability. One key barrier was lack of training when starting.
Conclusions and Implications: Extension coaches can expect confidence in their coaching abilities to increase over time. This includes being better equipped to handle barriers and an understanding of facilitators to aid in coalition success. Future research should examine additional training for Extension coaches, particularly prior to facilitating wellness coalitions.

Library of Congress Subject Headings

Health coaches.
Rural health.
Community health services.
Health promotion.
Health behavior.



Number of Pages



South Dakota State University


Copyright © 2020 the Author