Health coaching to improve hypertension treatment in a low-income, minority population.

Annals of Family Medicine
David MargoliusDavid H Thom

Abstract

Poor blood pressure control is common in the United States. We conducted a study to determine whether health coaching with home titration of antihypertensive medications can improve blood pressure control compared with health coaching alone in a low-income, predominantly minority population. We randomized 237 patients with poorly controlled hypertension at a primary care clinic to receive either home blood pressure monitoring, weekly health coaching, and home titration of blood pressure medications if blood pressures were elevated (n = 129) vs home blood pressure monitoring and health coaching but no home titration (n = 108). The primary outcome was change in systolic blood pressure from baseline to 6 months. Both the home-titration arm and the no-home-titration arm had a reduction in systolic blood pressure, with no significant difference between them. When both arms were combined and analyzed as a before-after study, there was a mean decrease in systolic blood pressure of 21.8 mm Hg (P <.001) as well as a decrease in the number of primary care visits from 3.5 in the 6 months before the study to 2.6 during the 6-month study period (P <.001) and 2.4 in the 6 months after the study (P <.001). The more coaching encounters patient...Continue Reading

Associated Clinical Trials

References

Oct 16, 2004·American Journal of Hypertension·Peter RuddRobert F Debusk
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Feb 19, 2010·Journal of General Internal Medicine·James E BaileyWilliam C Cushman
Mar 10, 2012·Journal of the American Board of Family Medicine : JABFM·David MargoliusThomas Bodenheimer

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Citations

Jan 15, 2014·Global Advances in Health and Medicine : Improving Healthcare Outcomes Worldwide·Ruth Q WoleverNancy Yang
Sep 1, 2015·The Canadian Journal of Cardiology·Dhruv Nayyar, Stephen W Hwang
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Jan 1, 2016·Journal of Doctoral Nursing Practice·Sandra Schlup Woods, Cindy L Costanzo
Jun 13, 2019·Health Promotion Practice·Mia T VogelLaura-Mae Baldwin

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