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 journalArticlepeer-review

5 Scopus citations


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 languageEnglish
Pages (from-to)559-567
Number of pages9
JournalProgress in Community Health Partnerships: Research, Education, and Action
Issue number4
StatePublished - 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.


  • 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


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