Skip to main content
. Author manuscript; available in PMC: 2010 May 1.
Published in final edited form as: Circ Cardiovasc Qual Outcomes. 2009 May;2(3):241–248. doi: 10.1161/CIRCOUTCOMES.109.849943

Table 3.

Components of HTN Home Support Program

Patient Tools:
  • ■

    Home BP monitoring device

  • ■

    BP log

  • ■

    Educational workbook with interactive tools for learning

Phase 1 (months 1-3):
  • ■
    Initial home visit by HTN nurse clinical coordinator
    1. Medication review
    2. Adherence assessment
    3. Assessment of lifestyle risk factors
    4. Instruction on home BP device
  • ■
    Interactive phone counseling session with HTN nurse clinical coordinator every 2 weeks. Core topic areas:
    1. Your BP and your health
    2. Setting goals
    3. Living with chronic conditions
    4. Medication management
    5. Diet and physical activity
    6. Staying the course/Stress Management
  • ■

    BP log numbers requested at each contact

  • ■

    Goal setting at each contact

  • ■
    Coordination with primary care provider when needed
    1. Inform of patient participation in program
    2. Provision of recent BP record
    3. Review of reported adherence
    4. Review of medication management
  • ■

    Work with patient on medication adjustment as necessary

Phase 2 (months 4-12):
  • ■

    Health educator joins collaboration

  • ■
    Phone contacts, with frequency determined by patient BP stage
    • Range – weekly health education contact to quarterly contact
    • Monthly calls by nurse when in higher BP ranges
  • ■

    BP log numbers requested at each contact

  • ■

    Continued use of goal setting and motivational interviewing techniques with focus on DASH diet recommendations, promoting physical activity and medication adherence

  • ■

    Coordination with primary care provider when needed