Health Coaching and the Management of Hypertension


      • Medications alone are not effective in the management of hypertension (HTN).
      • Lifestyle modifications impact blood pressure (BP) control.
      • Patients desire to participate in controlling their BP.
      • Health coaching and the proper tools are necessary in the management of HTN.


      Despite the multiple medications available for the management of hypertension (HTN), control remains suboptimal. The American Heart Association predicts a 9.9% increase in patients with HTN by 2030. Using a prospective prepost design, this pilot study used the health coaching model to examine the impact of health coaching on lifestyle modification in the management of HTN in a primary care setting. Study results showed health coaching as a promising approach for the management of HTN, demonstrated by a reduction of both systolic and diastolic blood pressure. Barriers encountered during the study revealed patient participation in managing HTN depended on having the necessary tools, education, and a holistic care approach.


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      Darlene Crittenden, DNP, FNP-BC, works as a hospitalist at Saint Frances Hospital in Columbus, GA, and can be reached at .


      Sherry Seibenhener, DNP, FNP-BC, is an assistant professor of nursing and ASN program coordinator in the School of Nursing at Troy University, Montgomery, AL.


      Bernita Hamilton, PhD, RN, is a professor of nursing in the School of Nursing at Troy University, Montgomery, AL.