The research team developed a selfnmanagement education program called “Health Coaches for Hypertension Control” (HCHC) guided by the organizing framework of the chronic care model, which addresses improvement of health care at the community, organization, practice, and patient levels (http:// www.improvingchroniccare.org). The chronic care model component Self-Management Support was provided by the health coaches, who educated participants on hypertension self management and on ways to access community resources that support self management. The program also incorporated stages of change and several processes from the transtheoretical model. The health risk appraisal used in the program for base line and outcome measures included items measuring stages of change regarding nutritional behaviors, physical activity, stress management, and weight management. Several strategies used in educational sessions were based on the transtheoretical model constructs such as building “self efficacy”; exercising “self liberation” through the development of an action plan, which is an example of a firm commitment to change; and “helping relationships” where social support was provided by Health Coaches and fellow participants. Strategies for behavior change provided in program sessions included “counterconditioning,” “reinforcement management,” and “stimulus control” (Prochaska, Redding, & Evers, 2002)