Skip to main content
release_alert
Welcome to the new Scholars 3.0! Read about new features and let us know what you think.
cancel
Journal cover image

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

Publication ,  Journal Article
Wu, J-R; Cummings, DM; Li, Q; Hinderliter, A; Bosworth, HB; Tillman, J; DeWalt, D
Published in: J Clin Hypertens (Greenwich)
April 2018

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.

Duke Scholars

Published In

J Clin Hypertens (Greenwich)

DOI

EISSN

1751-7176

Publication Date

April 2018

Volume

20

Issue

4

Start / End Page

757 / 764

Location

United States

Related Subject Headings

  • Rural Health
  • Prospective Studies
  • Primary Health Care
  • Patient Education as Topic
  • Middle Aged
  • Medication Adherence
  • Male
  • Hypertension
  • Humans
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Wu, J.-R., Cummings, D. M., Li, Q., Hinderliter, A., Bosworth, H. B., Tillman, J., & DeWalt, D. (2018). The effect of a practice-based multicomponent intervention that includes health coaching on medication adherence and blood pressure control in rural primary care. J Clin Hypertens (Greenwich), 20(4), 757–764. https://doi.org/10.1111/jch.13265
Wu, Jia-Rong, Doyle M. Cummings, Quefeng Li, Alan Hinderliter, Hayden B. Bosworth, Jimmy Tillman, and Darren DeWalt. “The effect of a practice-based multicomponent intervention that includes health coaching on medication adherence and blood pressure control in rural primary care.J Clin Hypertens (Greenwich) 20, no. 4 (April 2018): 757–64. https://doi.org/10.1111/jch.13265.
Wu J-R, Cummings DM, Li Q, Hinderliter A, Bosworth HB, Tillman J, et al. The effect of a practice-based multicomponent intervention that includes health coaching on medication adherence and blood pressure control in rural primary care. J Clin Hypertens (Greenwich). 2018 Apr;20(4):757–64.
Wu, Jia-Rong, et al. “The effect of a practice-based multicomponent intervention that includes health coaching on medication adherence and blood pressure control in rural primary care.J Clin Hypertens (Greenwich), vol. 20, no. 4, Apr. 2018, pp. 757–64. Pubmed, doi:10.1111/jch.13265.
Wu J-R, Cummings DM, Li Q, Hinderliter A, Bosworth HB, Tillman J, DeWalt D. The effect of a practice-based multicomponent intervention that includes health coaching on medication adherence and blood pressure control in rural primary care. J Clin Hypertens (Greenwich). 2018 Apr;20(4):757–764.
Journal cover image

Published In

J Clin Hypertens (Greenwich)

DOI

EISSN

1751-7176

Publication Date

April 2018

Volume

20

Issue

4

Start / End Page

757 / 764

Location

United States

Related Subject Headings

  • Rural Health
  • Prospective Studies
  • Primary Health Care
  • Patient Education as Topic
  • Middle Aged
  • Medication Adherence
  • Male
  • Hypertension
  • Humans
  • Female