Lessons learned from implementing health coaching in the heart healthy lenoir hypertension study

Katrina E. Donahue; Jim Tillman; Jacqueline R. Halladay; Crystal W. Cené; Alan Hinderliter; Doyle M. Cummings; Cassandra Miller; Ziya Gizlice; Beverly A. Garcia; Jia Rong Wu; Emmanuelle Quenum; Hayden B. Bosworth; Thomas C. Keyserling; Darren DeWalt

doi:10.1353/cpr.2016.0064

Lessons learned from implementing health coaching in the heart healthy lenoir hypertension study

Katrina E. Donahue, Jim Tillman, Jacqueline R. Halladay, Crystal W. Cené, Alan Hinderliter, Doyle M. Cummings, Cassandra Miller, Ziya Gizlice, Beverly A. Garcia, Jia Rong Wu, Emmanuelle Quenum, Hayden B. Bosworth, Thomas C. Keyserling, Darren DeWalt

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

Abstract

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.

Original language	English
Pages (from-to)	559-567
Number of pages	9
Journal	Progress in Community Health Partnerships: Research, Education, and Action
Volume	10
Issue number	4
DOIs	https://doi.org/10.1353/cpr.2016.0064
State	Published - Dec 1 2016

Bibliographical note

Funding 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.

Publisher Copyright:
© 2016 Johns Hopkins University Press.

Keywords

Ambulatory care
Community-based participatory research
Counseling
Hypertension
Implementation
Primary health care
Quality of health care
Vulnerable populations

ASJC Scopus subject areas

Health(social science)
Education
Sociology and Political Science

Access to Document

10.1353/cpr.2016.0064

Cite this

Donahue, K. E., Tillman, J., Halladay, J. R., Cené, C. W., Hinderliter, A., Cummings, D. M., Miller, C., Gizlice, Z., Garcia, B. A., Wu, J. R., Quenum, E., Bosworth, H. B., Keyserling, T. C., & DeWalt, D. (2016). Lessons learned from implementing health coaching in the heart healthy lenoir hypertension study. Progress in Community Health Partnerships: Research, Education, and Action, 10(4), 559-567. https://doi.org/10.1353/cpr.2016.0064

@article{fc7e8207bc654240a44e11d3a58036a6,

title = "Lessons learned from implementing health coaching in the heart healthy lenoir hypertension study",

abstract = "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.",

keywords = "Ambulatory care, Community-based participatory research, Counseling, Hypertension, Implementation, Primary health care, Quality of health care, Vulnerable populations",

author = "Donahue, {Katrina E.} and Jim Tillman and Halladay, {Jacqueline R.} and Cen{\'e}, {Crystal W.} and Alan Hinderliter and Cummings, {Doyle M.} and Cassandra Miller and Ziya Gizlice and Garcia, {Beverly A.} and Wu, {Jia Rong} and Emmanuelle Quenum and Bosworth, {Hayden B.} and Keyserling, {Thomas C.} and Darren DeWalt",

note = "Funding 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. Publisher Copyright: {\textcopyright} 2016 Johns Hopkins University Press.",

year = "2016",

month = dec,

day = "1",

doi = "10.1353/cpr.2016.0064",

language = "English",

volume = "10",

pages = "559--567",

number = "4",

}

Donahue, KE, Tillman, J, Halladay, JR, Cené, CW, Hinderliter, A, Cummings, DM, Miller, C, Gizlice, Z, Garcia, BA, Wu, JR, Quenum, E, Bosworth, HB, Keyserling, TC & DeWalt, D 2016, 'Lessons learned from implementing health coaching in the heart healthy lenoir hypertension study', Progress in Community Health Partnerships: Research, Education, and Action, vol. 10, no. 4, pp. 559-567. https://doi.org/10.1353/cpr.2016.0064

TY - JOUR

T1 - Lessons learned from implementing health coaching in the heart healthy lenoir hypertension study

AU - Donahue, Katrina E.

AU - Tillman, Jim

AU - Halladay, Jacqueline R.

AU - Cené, Crystal W.

AU - Hinderliter, Alan

AU - Cummings, Doyle M.

AU - Miller, Cassandra

AU - Gizlice, Ziya

AU - Garcia, Beverly A.

AU - Wu, Jia Rong

AU - Quenum, Emmanuelle

AU - Bosworth, Hayden B.

AU - Keyserling, Thomas C.

AU - DeWalt, Darren

N1 - Funding 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. Publisher Copyright: © 2016 Johns Hopkins University Press.

PY - 2016/12/1

Y1 - 2016/12/1

N2 - 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.

AB - 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.

KW - Ambulatory care

KW - Community-based participatory research

KW - Counseling

KW - Hypertension

KW - Implementation

KW - Primary health care

KW - Quality of health care

KW - Vulnerable populations

UR - http://www.scopus.com/inward/record.url?scp=85009183750&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85009183750&partnerID=8YFLogxK

U2 - 10.1353/cpr.2016.0064

DO - 10.1353/cpr.2016.0064

M3 - Article

C2 - 28569681

AN - SCOPUS:85009183750

SN - 1557-0541

VL - 10

SP - 559

EP - 567

JO - Progress in Community Health Partnerships: Research, Education, and Action

JF - Progress in Community Health Partnerships: Research, Education, and Action

IS - 4

ER -

Lessons learned from implementing health coaching in the heart healthy lenoir hypertension study

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this