The effect of a practice-based multicomponent intervention that includes health coaching on medication adherence and blood pressure control in rural primary care

Jia Rong Wu, Doyle M. Cummings, Quefeng Li, Alan Hinderliter, Hayden B. Bosworth, Jimmy Tillman, Darren DeWalt

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Low adherence to anti-hypertensive medications contributes to worse outcomes. The authors conducted a secondary data analysis to examine the effects of a health-coaching intervention on medication adherence and blood pressure (BP), and to explore whether changes in medication adherence over time were associated with changes in BP longitudinally in 477 patients with hypertension. Data regarding medication adherence and BP were collected at baseline, 6, 12, 18, and 24 months. The intervention resulted in increases in medication adherence (5.75→5.94, P =.04) and decreases in diastolic BP (81.6→76.1 mm Hg, P <.001) over time. The changes in medication adherence were associated with reductions in diastolic BP longitudinally (P =.047). Patients with low medication adherence at baseline had significantly greater improvement in medication adherence and BP over time than those with high medication adherence. The intervention demonstrated improvements in medication adherence and diastolic BP and offers promise as a clinically applicable intervention in rural primary care.

Original languageEnglish
Pages (from-to)757-764
Number of pages8
JournalJournal of Clinical Hypertension
Volume20
Issue number4
DOIs
StatePublished - Apr 2018

Bibliographical note

Funding Information:
This project was supported by funding from the National Heart Lung and Blood Institute via award number NHLBI 1P50HL105184. 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. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart Lung and Blood Institute, the National Institute of Nursing Research, or the National Institutes of Health. Trial registration: ClinicalTrials.gov NCT01425515.

Publisher Copyright:
©2018 Wiley Periodicals, Inc.

Keywords

  • blood pressure
  • health-coaching intervention
  • hypertension
  • medication adherence

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Cardiology and Cardiovascular Medicine

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