Key result
Health coaching, particularly via telephone and in multicomponent interventions, consistently reduced systolic and/or diastolic blood pressure in primary care patients with hypertension.
Why the study?
This study aimed to explore models of health coaching used for blood pressure control in primary care, identify health coaches, and evaluate their effects on blood pressure and risk factors.
Does health coaching improve blood pressure control in patients with hypertension attending primary health care settings?
Does health coaching improve blood pressure control in patients with hypertension attending primary health care settings?
Health coaching, particularly via telephone and in multicomponent interventions, is a promising approach for improving blood pressure control in primary care settings.
May support health coaching for BP control in primary care; leaves optimal models, coaches, and effects open to trials.
Introduction: This study aimed to explore various models of health coaching used for blood pressure control in patients visiting primary care settings, along with the underlying theories. Additionally, the study sought to identify individuals serving as health coaches and the effect of health coaching on blood pressure control and risk factors. Methods: This scoping review followed the PRISMA-ScR guidelines and utilised several databases including PubMed, ScienceDirect, ProQuest, Scopus and Web of Science. The search focused on articles published from January 2012 to July 2024. Eligible articles were examined to identify the forms of health coaching, the backgrounds and roles of health coaches and the outcomes of health coaching. Results: An initial search yielded 963 articles, of which 16 were selected for the review. Most studies (n=10) showed that health coaching was used in conjunction with other strategies (multicomponent). The most frequently applied approach was phone coaching (n=9). The majority of the interventions were completed within 6 months (n=4). Eight studies indicated that most health coaches came from health backgrounds including nurses, pharmacists and family doctors. Positive clinical outcomes, such as decreased systolic and diastolic blood pressures or systolic or diastolic blood pressure alone, were documented in all included investigations. The non-clinical outcomes varied. Conclusion: Health coaching is a promising approach for controlling blood pressure in primary care settings. This study highlights the importance of designing the form, time and staff for conducting effective health coaching in primary care settings.
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Alamsyah et al. (2025) conducted a review in Hypertension. Health coaching vs. Usual care or control (varies by study) was evaluated on Systolic and diastolic blood pressure reduction. Health coaching, particularly via telephone and in multicomponent interventions, consistently reduced systolic and/or diastolic blood pressure in primary care patients with hypertension.
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