Background: Health coaching is increasingly important in patient-centered medical homes. Objectives: Describe formative evaluation results and lessons learned from implementing health coaching to improve hypertension self-management in rural primary care. Methods: A hypertension collaborative was formed consisting of six primary care sites. Twelve monthly health coaching phone calls were attempted for 487 participants with hypertension. Lessons Learned: Participant engagement was challenging; 58% remained engaged, missing fewer than three consecutive calls. Multivariate analyses revealed that older age (odds ratio [OR], 1.03; 95% confidence interval [CI], 1.01–1.05), African American race (O,R 1.73; 95% CI, 1.15–2.60), greater number of comorbidities (OR, 1.17; 95% CI, 1.05–1.30) and receiving coaching closer to enrollment (OR, 5.03; 95% CI, 2.53–9.99) were correlated independently with engagement. Participants reported the coaching valuable; 96% would recommend health coaching to others. Conclusions: Health coaching in hypertension care can be successful strategy for engaging more vulnerable groups. A more tailored approach may improve engagement with counseling.
|Number of pages||9|
|Journal||Progress in Community Health Partnerships: Research, Education, and Action|
|State||Published - Dec 1 2016|
Bibliographical noteFunding Information:
Funding provided by National Heart Lung and Blood Institute, NHLBI 1P50HL10584–01. The funding body had no role in the collection, analysis, and interpretation of study data, nor did they play a role in the writing of the manuscript or the submission of the manuscript for publication. Trial registration: ClinicalTrials.gov NCT01425515. Thanks to Jennifer Greyber for her thoughtful review and editing of the manuscript.
© 2016 Johns Hopkins University Press.
- Ambulatory care
- Community-based participatory research
- Primary health care
- Quality of health care
- Vulnerable populations
ASJC Scopus subject areas
- Health(social science)
- Sociology and Political Science