Approach to Antihypertensive Adherence: A Feasibility Study on the Use of Student Health Coaches for Uninsured Hypertensive Adults

作者：Leung Lucinda B^*; Busch Andrew M; Nottage Sarah L; Arellano Naira; Glieberman Eva; Busch Nicholas J; Smith Stephen R

来源：Behavioral Medicine, 2012, 38(1): 19-27.

DOI：10.1080/08964289.2011.651174

• health coach
• hypertension
• medication adherence

Despite pharmacologic advances, medication non- adherence continues to challenge primary care providers in blood pressure (BP) management. Medical, nursing and pharmacy students (n = 11) were recruited and trained as health coaches for uninsured, hypertensive patients (n = 25) of a free clinic in an uncontrolled open trial. Pre- post analysis was conducted on BP, medication adherence, frequency of home BP monitoring, and health behavior (eg, diet, exercise). Patient satisfaction and feasibility of a student coach model was qualitatively evaluated. In the 12 patients who completed the intervention, an increase in medication adherence as measured by the Brief Medication Questionnaire was observed (P %26lt; .01), with a 11mmHg reduction in systolic BP (P =.03). Qualitative data showed patient satisfaction with the intervention and other health behavior change. This feasibility study shows use of student health coaches to combat medication non- adherence in uninsured, hypertensive adults is promisingc.

• 出版日期2012