Key result
A health-coaching intervention increased medication adherence (5.75 to 5.94, P=0.04) and decreased diastolic blood pressure (81.6 to 76.1 mm Hg, P<0.001) over 24 months in hypertensive patients.
Why the study?
Does a practice-based multicomponent intervention including health coaching improve medication adherence and blood pressure in patients with hypertension in rural primary care?
Observational (n=477)
Does a practice-based multicomponent intervention including health coaching improve medication adherence and blood pressure in patients with hypertension in rural primary care?
p-value: p=<0.001
A health-coaching intervention in rural primary care significantly improved medication adherence and reduced diastolic blood pressure over 24 months, particularly in patients with low baseline adherence.
Health coaching was associated with better adherence and BP control in rural hypertension; extends observational data but leaves open confirmation in randomized trials.
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.
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Wu et al. (2018) conducted an observational in hypertension (n=477). Health-coaching intervention was evaluated on medication adherence and diastolic blood pressure (p=<0.001). A health-coaching intervention increased medication adherence (5.75 to 5.94, P=0.04) and decreased diastolic blood pressure (81.6 to 76.1 mm Hg, P<0.001) over 24 months in hypertensive patients.
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