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Table 3 Phone coaching schedule and content

From: The heart healthy lenoir project-an intervention to reduce disparities in hypertension control: study protocol

Encounter #

Module descriptor:

Module activities:

1, 7

Opening a

Describe purpose of call, review study

Medication module a, literacy

Review blood pressure medication prescribed, ascertain if taking as prescribed, encourage individuals to contact providers if change in medications, include family member/friends in description of blood pressure medication purpose, information tailored based upon literacy level and specific to blood pressure medications patients are currently taking, suggest questions to ask primary care provider.

Side effects a

Determine side effects experienced and seriousness and discuss

Memory b

Offer mnemonic strategies, explain the importance of taking blood pressure medication consistently

Closing a

Encourage patient to take blood pressure between primary care provider visits

2, 8

Medication module, literacy

Reviews medication changes

Hypertension knowledge b

Educate and address applicable risk factors: diabetes, race, heredity, new diagnosis

Decision making b

Role play to help patient interact with provider more effectively

Side effects, closing

 

3, 9

Diet c

Review dietary approaches to stop hypertension* diets. Discuss sodium and food label reading

Weight b

Discuss relationship of weight with hypertension and how to reduce weight

Medication module, literacy, side effects, closing

 

4, 10

Exercise b

Provide information based upon stage of change

Social & medical barriers

Ascertain social support, determine if patient needs referrals, help with refills and provide information about support groups and local resources

Memory, Medication module, literacy, side effects, closing

 

5, 11

Stress b

Discuss methods for identifying and reducing stress

Alcohol b

Provide information on the relationship between alcohol use and hypertension. Resources are provided.

Medication module, literacy, side effects, closing

 

6, 12

Medication module, literacy, side effects, memory, closing

 

All

Patient initiated

Address patient concern at time of patient initiated call to phone coach.

  1. a = Modules activated at every phone call for only those identified as having a problem.
  2. b = Modules activated at specific intervals for only those identified as having a problem.
  3. c = Modules activated at specific intervals for all individuals.
  4. * Your guide to lowering blood pressure with DASH. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/public/heart/hbp/dash/new_dash.pdf. Accessed April 30, 2013.