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 - 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
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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 -