A Pilot Australian Pharmacist Health Coaching Trial of Participants with Poorly Controlled Hypertension: A Qualitative Study of Participants’ and Coaches’ Experiences
Received 5 November 2020
Accepted for publication 22 December 2020
Published 28 January 2021 Volume 2021:15 Pages 127—140
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 4
Editor who approved publication: Dr Johnny Chen
Harjit Kaur Singh,1 Gerard Kennedy,1– 3 Ieva Stupans1
1The School of Health and Biomedical Sciences, RMIT University, Bundoora, VIC, Australia; 2School of Science, Psychology and Sport, Federation University, Melbourne, Australia; 3Institute for Breathing and Sleep, Austin Health, Melbourne, Australia
Correspondence: Harjit Kaur Singh
School of Health and Biomedical Sciences, RMIT University, Bundoora, VIC 3083, Australia
Objective: An exploratory qualitative study was conducted to explore how stakeholders – participants and coaches experienced, and made sense of, being involved in coaching for people with poorly controlled hypertension.
Methods: Two pharmacists provided monthly health coaching sessions to twenty participants for three-months. Qualitative semi-structured interviews of participants were carried out by pharmacist coaches at baseline, one month, and at three months post-study completion. The pharmacist health coaches were also interviewed. Participant and pharmacist audio-recorded interviews were transcribed verbatim and analyzed thematically.
Results: Twenty participants with poorly controlled hypertension received health coaching. Analysis of the transcripts from participant interviews indicated the emergence of three main themes “beliefs about and management of hypertension”, “reflection on health goals” and “understanding of and experiences from health coaching”. Only one theme emerged from the pharmacist interviews: “logistics of health coaching in pharmacy”.
Conclusion: Analysis of interviews showed that participants experienced a variety of positive health changes. Changes included a better understanding of health coaching, more realistic beliefs about hypertension, and improved management of hypertension and health goals. Participants were also positive about their experiences of coaching. Interviews with the pharmacists revealed factors such as planning, teamwork, and time management which are related to the implementation and provision of health coaching in community pharmacy practice which could be overcome through consideration and planning.
Keywords: attitudes, opinions, behavior change, hypertension
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