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Table 3 Behavioral change strategies of the HIP active intervention

From: Hypertension Improvement Project (HIP): study protocol and implementation challenges

Strategy

Definition

Frequent contact

Attend weekly sessions for 20 weeks.

Group interaction and social support

Sessions were highly interactive and minimally didactic; participants were encouraged to share experiences that led to patient modeling behavior; they also were encouraged to help each other solve problems.

Goal setting and self-monitoring

Emphasis placed on individual's ability to regulate his/her behavior by setting goals and monitoring progress towards the goals. Participants kept records of dietary intake, physical activity, and medication usage at least 3 days a week. Records were reviewed by the interventionist to provide feedback and encourage or support participant's behavior change.

Identification of barriers and problem-solving

Interventions were patient-centered; interventionist assisted participant in identifying his/her own barriers and generating solutions.

Motivational interviewing

Patient-centered counseling emphasized support of self-efficacy and optimism for change; included reflective listening, objective feedback, and respect.

  1. HIP = Hypertension Improvement Project.