Key result
MyHEART telephone coaching proves feasible for young adults with uncontrolled hypertension, achieving ~47% study uptake.
Why the study?
Young adults in the United States have the lowest hypertension control rates and ambulatory care often lacks time for self-management and behavioral counseling.
Is a telephone-based health coach self-management intervention feasible and acceptable for young adults with uncontrolled hypertension?
Is a telephone-based health coach self-management intervention feasible and acceptable for young adults with uncontrolled hypertension?
A telephone-based health coach intervention is feasible and acceptable for young adults with uncontrolled hypertension, increasing engagement with home blood pressure monitoring.
Telephone coaching may be feasible for young adults with hypertension; hypothesis-generating and should not yet change practice.
BACKGROUND: In the United States, young adults (18-39 year-olds) have the lowest hypertension control rates (35%) compared to middle-aged (58%) and older (54%) adults. Ambulatory care for hypertension management often focuses on medication with little time for self-management and behavioral counseling. This study was designed to evaluate the feasibility of MyHEART, a telephone-based health coach self-management intervention for young adults. The goals were to determine the intervention's ability to: 1) recruit young adults with uncontrolled hypertension, 2) maintain ongoing communication between the coach and participants, 3) increase participants' engagement in self-management, 4) document coach-patient communication in the electronic health record, and 5) assess patient acceptability. METHODS: Eligible participants were identified through the electronic health record. Inclusion criteria included 18-39 year-olds, with ICD-9 hypertension diagnoses and uncontrolled hypertension (≥ 140/90 mmHg), receiving regular primary care at a large multispecialty group practice. The intervention consisted of 6 telephone self-management sessions by a health coach targeting lifestyle modifications. Patients completed an open-ended acceptability survey. RESULTS: Study uptake was 47% (9 enrolled/19 eligible). Mean (SD) age was 35.8 (2.6) years, 78% male, and 33% Black. Over 85% of enrolled young adults maintained communication with their health coach. At baseline, 11% reported checking their blood pressure outside of clinic; 44% reported blood pressure monitoring after the study. All coach-patient encounters were successfully documented in the electronic health record for primary care provider review. Open-ended responses from all surveys indicated that participants had a positive experience with the MyHEART intervention. CONCLUSIONS: This study demonstrated that MyHEART was feasible and acceptable to young adults with uncontrolled hypertension. Health coaches can effectively maintain ongoing communication with young adults, document communication in the electronic health record, and increase engagement with home blood pressure monitoring. The results of this study will inform a multi-center young adult randomized controlled trial of MyHEART.
No takes yet. Share an insight, caveat, or question.
Heather M. Johnson (2016) studied uncontrolled hypertension (n=9). MyHEART telephone-based health coach intervention was evaluated on Feasibility (study uptake). The MyHEART telephone-based health coach intervention was feasible and acceptable for young adults with uncontrolled hypertension, achieving a 47% study uptake rate.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: