Key Takeaways

  • Improve the health of your community by increasing knowledge about hypertension among older adults and behavior changes to manage it.

The aim of Health Coaches for Hypertension Control is to improve hypertension self-management through small group educational sessions and support offered by trained Health Coaches. Goals include: Increasing knowledge about hypertension self-management; Increasing stage of readiness to make lifestyle changes required for successful self-management; Promoting behavior changes in nutrition, physical activity, stress management, tobacco use, and medication management. Health Coaches for Hypertension Control consists of eight sessions delivered by Health Coaches using a scripted manual and visual aids. The 90-minute sessions include experiential learning strategies appropriate for those with health literacy challenges. Specific session topics include: Basics of Hypertension Control; Nutrition with emphasis on Dietary Approaches to Stop Hypertension (DASH); Physical Activity with emphasis on creating a personal physical activity plan; Tobacco Cessation; Stress Management; Medication Management; one session about developing short-term action plans and another on creating a long-term action plan. The Nutrition and Physical Activity sessions also include content on weight control. A notebook of activities is provided for each participant which the Health Coach guides the participant in using throughout each session. Main messages covered in each session are reinforced by colorful posters which can be presented in hard copy or electronically. Health professionals may apply to be trained as Master Trainers and those who become certified may then train lay educators to offer the program.

I feel this class really helped save my life. It was encouraging to learn how to manage portion size with foods and sodium. I also enjoyed the encouragement for exercising. - Participant

  • Target audience: People diagnosed with hypertension or concerned about developing hypertension
  • Health outcomes:
    • Reduced systolic blood pressure - baseline 146.31 mmHg, post intervention 140.53 mmHg - p=.001
    • Increased consumption of fruits & vegetables - baseline >5 servings 69.3%, post intervention >5 servings 87.6% - p<.001
    • Cope well with stress (Y/N) - baseline "yes" - 65.1%, post intervention 79.1% - p .000
  • Delivered by: Trained Lay Leader/Facilitator, Coach
  • Program type: Group
  • Format: In-Person in Community or remote

Note: It is permissible to use a combination of remote (i.e. videoconference) and in-person implementation in the same session or during a class series. For example: 10 participants join by Zoom and 10 participants attend in a senior center and receive instruction at the same time.

  • Length: Eight, 90-minute sessions offered weekly or twice weekly
  • Training: Remote
  • Professional required: Yes, those wishing to be trained as Master Trainers must have a health background. Master Trainers will then be certified to train lay leaders who do not need a health background. After completion of training, lay leaders may then deliver the program in the community.
  • Accessibility adaptations available: Yes
  • Cultural adaptations available: Yes
  • Available in languages other than English: No
  • Topic(s):
    • Physical Activity
    • Substance Use
    • Chronic Disease
    • Medication Management
    • Nutrition
  • Contact: Cheryl Dye (tcheryl@clemson.edu)

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