The Warren Alpert Medical School, Brown University and The Miriam Hospital, Rhode Island Free Clinic, RI, USA.
Behav Med. 2012 Jan;38(1):19-27. doi: 10.1080/08964289.2011.651174.
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<.01), with a 11 mmHg 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 promising.
尽管在药理学方面取得了进展，但在血压（BP）管理方面，药物治疗的依从性仍然是初级保健提供者面临的挑战。在一项未受控制的开放试验中，招募并培训了医学、护理和药学专业的学生（n=11）作为无保险、高血压患者（n=25）的健康教练。对 BP、药物依从性、家庭 BP 监测的频率以及健康行为（例如饮食、运动）进行了前后分析。定性评估了患者满意度和学生教练模式的可行性。在完成干预的 12 名患者中，观察到简明药物问卷测量的药物依从性增加（P<.01），收缩压降低 11mmHg（P=.03）。定性数据显示患者对干预和其他健康行为改变的满意度。这项可行性研究表明，使用学生健康教练来对抗未投保的高血压成年人的药物不依从性是有希望的。
