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

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  • Donahue, K.E.
    • Affiliation: School of Medicine, Department of Family Medicine
  • Tillman, J.
    • Other Affiliation: Clinical Practice Community members
  • Halladay, J.R.
    • Affiliation: School of Medicine, Department of Family Medicine
  • Cené, C.W.
    • Affiliation: School of Medicine, Department of Medicine
  • Hinderliter, A.
    • Affiliation: School of Medicine, Department of Medicine
  • Cummings, D.M.
    • Other Affiliation: East Carolina University
  • Miller, C.
    • Affiliation: UNC Center for Health Promotion and Disease Prevention
  • Gizlice, Z.
    • Affiliation: UNC Center for Health Promotion and Disease Prevention
  • Garcia, B.A.
    • Affiliation: UNC Center for Health Promotion and Disease Prevention
  • Wu, J.-R.
    • Affiliation: School of Nursing
  • Quenum, E.
    • Affiliation: UNC Center for Health Promotion and Disease Prevention
  • Bosworth, H.B.
    • Other Affiliation: Durham Veterans Affairs Medical Center
  • Keyserling, T.C.
    • Affiliation: School of Medicine, Department of Medicine
  • DeWalt, D.
    • Affiliation: School of Medicine, Department of Medicine
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.
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Resource type
  • Article
Rights statement
  • In Copyright
Journal title
  • Progress in Community Health Partnerships: Research, Education, and Action
Journal volume
  • 10
Journal issue
  • 4
Page start
  • 559
Page end
  • 567
Language
  • English
ISSN
  • 1557-0541
Publisher
  • Johns Hopkins University Press

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