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Health Coaching and Hypertension, The Evidence from Randomized Controlled Trials

Updated: Apr 16

hypertension health coaching evidence

With hypertension, the silent killer, on the rise we might be of value to collate and share the evidence from randomised controlled trials with follow health coaches, and to support coaching their clients.

Please comment at bottom of page if you have studies to add or find any discrepancies. As ever, please talk to your doctor or medical practitioner most familiar with your medical history before implementing any changes in diet, exercise or lifestyle, especially if you are under treatment.

Stay Healthy,


Alastair Hunt NBC-HWC, is the founder of The Whole Health Practice Pte Ltd. a leading lifestyle and whole person health practice, based in Singapore and working with clients globally.


Mohan A, Majd Z, Johnson ML, Essien EJ, Barner J, Serna O, Gallardo E, Fleming ML, Ordonez N, Holstad MM, Abughosh SM. A Motivational Interviewing Intervention to Improve Adherence to ACEIs/ARBs among Nonadherent Older Adults with Comorbid Hypertension and Diabetes. Drugs Aging. 2023 Apr;40(4):377-390. doi: 10.1007/s40266-023-01008-6. Epub 2023 Feb 27. PMID: 36847995; PMCID: PMC9969383.

Meng F, Jiang Y, Yu P, Song Y, Zhou L, Xu Y, Zhou Y. Effect of health coaching on blood pressure control and behavioral modification among patients with hypertension: A systematic review and meta-analysis of randomized controlled trials. Int J Nurs Stud. 2023 Feb;138:104406. doi: 10.1016/j.ijnurstu.2022.104406. Epub 2022 Nov 14. PMID: 36473304.

Hoppe KK, Smith M, Birstler J, Kim K, Sullivan-Vedder L, LaMantia JN, Knutson Sinaise MR, Swenson M, Fink J, Haggart R, McBride P, Lauver DR, Johnson HM. Effect of a Telephone Health Coaching Intervention on Hypertension Control in Young Adults: The MyHEART Randomized Clinical Trial. JAMA Netw Open. 2023 Feb 1;6(2):e2255618. doi: 10.1001/jamanetworkopen.2022.55618. PMID: 36735261; PMCID: PMC9898821.

He J, Ouyang N, Guo X, Sun G, Li Z, Mu J, Wang DW, Qiao L, Xing L, Ren G, Zhao C, Yang R, Yuan Z, Wang C, Shi C, Liu S, Miao W, Li G, Chen CS, Sun Y; CRHCP Study Group. Effectiveness of a non-physician community health-care provider-led intensive blood pressure intervention versus usual care on cardiovascular disease (CRHCP): an open-label, blinded-endpoint, cluster-randomised trial. Lancet. 2023 Mar 18;401(10380):928-938. doi: 10.1016/S0140-6736(22)02603-4. Epub 2023 Mar 2. PMID: 36871573.

Huang X, Xu N, Wang Y, Sun Y, Guo A. The effects of motivational interviewing on hypertension management: A systematic review and meta-analysis. Patient Educ Couns. 2023 Jul;112:107760. doi: 10.1016/j.pec.2023.107760. Epub 2023 Apr 14. PMID: 37075650.

Khadoura KJ, Shakibazadeh E, Mansournia MA, Aljeesh Y, Fotouhi A. Effectiveness of motivational interviewing on medication adherence among Palestinian hypertensive patients: a clustered randomized controlled trial. Eur J Cardiovasc Nurs. 2021 Jun 29;20(5):411-420. doi: 10.1093/eurjcn/zvaa015. PMID: 34009313.

Sawyer AT, Wheeler J, Jennelle P, Pepe J, Robinson PS. A Randomized Controlled Trial of a Motivational Interviewing Intervention to Improve Whole-Person Lifestyle. J Prim Care Community Health. 2020 Jan-Dec;11:2150132720922714. doi: 10.1177/2150132720922714. PMID: 32449452; PMCID: PMC7249599.

Schoenthaler AM, Lancaster KJ, Chaplin W, Butler M, Forsyth J, Ogedegbe G. Cluster Randomized Clinical Trial of FAITH (Faith-Based Approaches in the Treatment of Hypertension) in Blacks. Circ Cardiovasc Qual Outcomes. 2018 Oct;11(10):e004691. doi: 10.1161/CIRCOUTCOMES.118.004691. PMID: 30354579.

Abughosh S, Wang X, Serna O, Esse T, Mann A, Masilamani S, Holstad MM, Essien EJ, Fleming M. A Motivational Interviewing Intervention by Pharmacy Students to Improve Medication Adherence. J Manag Care Spec Pharm. 2017 May;23(5):549-560. doi: 10.18553/jmcp.2017.23.5.549. PMID: 28448784; PMCID: PMC10398180.

Meuleman Y, Hoekstra T, Dekker FW, Navis G, Vogt L, van der Boog PJM, Bos WJW, van Montfrans GA, van Dijk S; ESMO Study Group. Sodium Restriction in Patients With CKD: A Randomized Controlled Trial of Self-management Support. Am J Kidney Dis. 2017 May;69(5):576-586. doi: 10.1053/j.ajkd.2016.08.042. Epub 2016 Dec 16. PMID: 27993433.

Brown DL, Conley KM, Sánchez BN, Resnicow K, Cowdery JE, Sais E, Murphy J, Skolarus LE, Lisabeth LD, Morgenstern LB. A Multicomponent Behavioral Intervention to Reduce Stroke Risk Factor Behaviors: The Stroke Health and Risk Education Cluster-Randomized Controlled Trial. Stroke. 2015 Oct;46(10):2861-7. doi: 10.1161/STROKEAHA.115.010678. Epub 2015 Sep 15. PMID: 26374480; PMCID: PMC4589523.

Thom DH, Willard-Grace R, Hessler D, DeVore D, Prado C, Bodenheimer T, Chen E. The impact of health coaching on medication adherence in patients with poorly controlled diabetes, hypertension, and/or hyperlipidemia: a randomized controlled trial. J Am Board Fam Med. 2015 Jan-Feb;28(1):38-45. doi: 10.3122/jabfm.2015.01.140123. PMID: 25567821.

Ma C, Zhou Y, Zhou W, Huang C. Evaluation of the effect of motivational interviewing counselling on hypertension care. Patient Educ Couns. 2014 May;95(2):231-7. doi: 10.1016/j.pec.2014.01.011. Epub 2014 Jan 30. PMID: 24530144.

Dean SC, Kerry SM, Khong TK, Kerry SR, Oakeshott P. Evaluation of a specialist nurse-led hypertension clinic with consultant backup in two inner city general practices: randomized controlled trial. Fam Pract. 2014 Apr;31(2):172-9. doi: 10.1093/fampra/cmt074. Epub 2013 Dec 19. PMID: 24356073.

Margolius D, Bodenheimer T, Bennett H, Wong J, Ngo V, Padilla G, Thom DH. Health coaching to improve hypertension treatment in a low-income, minority population. Ann Fam Med. 2012 May-Jun;10(3):199-205. doi: 10.1370/afm.1369. PMID: 22585883; PMCID: PMC3354968.

van Keulen HM, Mesters I, Ausems M, van Breukelen G, Campbell M, Resnicow K, Brug J, de Vries H. Tailored print communication and telephone motivational interviewing are equally successful in improving multiple lifestyle behaviors in a randomized controlled trial. Ann Behav Med. 2011 Feb;41(1):104-18. doi: 10.1007/s12160-010-9231-3. PMID: 20878293; PMCID: PMC3030742.

health coaching hypertension studies

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