Approach to antihypertensive adherence: a feasibility study on the use of student health coaches for uninsured hypertensive adults.

Behavioral Medicine
Lucinda B LeungStephen R Smith

Abstract

Despite pharmacologic advances, medication non-adherence continues to challenge primary care providers in blood pressure (BP) management. Medical, nursing and pharmacy students (n=11) were recruited and trained as health coaches for uninsured, hypertensive patients (n=25) of a free clinic in an uncontrolled open trial. Pre-post analysis was conducted on BP, medication adherence, frequency of home BP monitoring, and health behavior (eg, diet, exercise). Patient satisfaction and feasibility of a student coach model was qualitatively evaluated. In the 12 patients who completed the intervention, an increase in medication adherence as measured by the Brief Medication Questionnaire was observed (P<.01), with a 11 mmHg reduction in systolic BP (P=.03). Qualitative data showed patient satisfaction with the intervention and other health behavior change. This feasibility study shows use of student health coaches to combat medication non-adherence in uninsured, hypertensive adults is promising.

References

Apr 1, 1980·American Journal of Public Health·L A AdayR Andersen
May 1, 1997·Clinical Pharmacokinetics·J Urquhart
Nov 15, 2002·Academic Medicine : Journal of the Association of American Medical Colleges·Peggy J WagnerGinger C Moseley
Oct 8, 2003·Patient Education and Counseling·B L SvarstadC Claesson
Nov 19, 2003·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Glenys A Hamilton
Apr 24, 2004·The Cochrane Database of Systematic Reviews·K SchroederS Ebrahim
Aug 5, 2005·The New England Journal of Medicine·Lars Osterberg, Terrence Blaschke
Nov 8, 2007·JAMA : the Journal of the American Medical Association·Thomas Bodenheimer
Mar 4, 2008·American Journal of Hypertension·Theodore A KotchenEmily L McGinley
May 6, 2008·The Journal of Clinical Hypertension·Donald E MoriskyHarry J Ward
Oct 15, 2008·Hypertension·Theodore A Kotchen
Apr 15, 2009·Journal of Behavioral Medicine·William P SaccoKristen Wells
Jul 11, 2009·Expert Review of Neurotherapeutics·Maurizio PompiliDavid Lester
Apr 9, 2010·The New England Journal of Medicine·David M Cutler, Wendy Everett
Aug 13, 2010·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Marie Krousel-WoodEdward D Frohlich

❮ Previous
Next ❯

Citations

Jan 15, 2014·Global Advances in Health and Medicine : Improving Healthcare Outcomes Worldwide·Ruth Q WoleverNancy Yang
Oct 22, 2014·Current Medical Research and Opinion·Vicki S ConnSabina De Geest
Jul 15, 2015·Research in Social & Administrative Pharmacy : RSAP·Vicki S ConnPam Cooper
Jun 2, 2015·Clinical Journal of Oncology Nursing·Sandra L Spoelstra, Holly Sansoucie
Sep 16, 2015·Journal of the American Society of Hypertension : JASH·Tamara KearAnand Bhattacharya
Feb 24, 2015·Gerontology & Geriatrics Education·Jessica L Krok-SchoenDouglas M Post
Jan 26, 2017·Medicine·Tadesse Melaku AbegazAsim Ahmed Elnour
Jun 11, 2017·Journal of General Internal Medicine·Thomas W VijnHub Wollersheim
Nov 11, 2017·Israel Journal of Health Policy Research·Rani PolakMayer Brezis

❮ Previous
Next ❯

Software Mentioned

STATA

Related Concepts

Related Feeds

Antihypertensive Agents: Mechanisms of Action

Antihypertensive drugs are used to treat hypertension (high blood pressure) which aims to prevent the complications of high blood pressure, such as stroke and myocardial infarction. Discover the latest research on antihypertensive drugs and their mechanism of action here.

Cardiovascular Disease Pathophysiology

Cardiovascular disease involves several different processes that contribute to the pathological mechanism, including hyperglycemia, inflammation, atherosclerosis, hypertension and more. Vasculature stability plays a critical role in the development of the disease. Discover the latest research on cardiovascular disease pathophysiology here.

Related Papers

The New England Journal of Medicine
Lisa Rosenbaum, William H Shrank
Journal of the American Veterinary Medical Association
John T Phillips
The New England Journal of Medicine
Robert Steinbrook
© 2022 Meta ULC. All rights reserved