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The use of trained indigenous volunteers to deliver hypertension self management programming is a promising community based, cost effective approach for reaching the Healthy People 2020 goal of increasing by 40% the proportion of people diagnosed with hyper- tension who are successfully controlling blood pressure. Although 40.4% of our analytic sample met this Healthy People 2020 definition of controlled hypertension at baseline, the proportion of HCHC participants meeting this definition at 16 weeks post intervention increased to 51.0%. Thus, HCHC has proven to be promising in reducing systolic blood pressure of participants, most of who were already under a physician’s care, indicating that our intervention provides “value added” benefits above usual care. Feedback from participants and health coaches has been very positive, and physicians who referred their patients to the program were pleased to see their patients become more efficacious self managers, with many of them bringing their personal health diary to medical appointments. Overall, HCHC has proven to be a promising approach to improving hypertension self management among rural populations, and the program’s standardized manuals and educational materials could be readily used in other rural communities.
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