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Project 3:

Counseling Older Adults to Control Hypertension




Counseling Older Adults to Control Hypertension (COACH; clinicaltrials.gov identifier NCT01180673) is lead by Olugbenga Ogedegbe, MD, Associate Professor of Medicine and director of the Center for Healthful Behavior Change in the Division of General Internal Medicine at the New York University School of Medicine.

Project Background and Description: despite the proven efficacy and compelling evidence of the beneficial effects of therapeutic lifestyle changes on BP reduction, its effectiveness in community-based settings remains unclear, especially among minority elders, who share a greater disproportionate burden of cardiovascular disease. COACH offers a unique opportunity to address this gap in the literature.

The goal of this project is to evaluate the effect of a community-based comprehensive therapeutic lifestyle intervention vs. usual care, on BP reduction in senior centers in New York City. The Primary Aim is to test the effect of a group-based behavioral counseling intervention followed by monthly individual motivational interviewing sessions on reducing BP at 12 months among older hypertensive African American and Latino patients. Secondary aims are to examine the impact of the intervention on changes in 1) fruit and vegetable intake, 2) physical activity, and 3) adherence to prescribed antihypertensive medications. The expected improvement over baseline is at least a 5 mmHG reduction in systolic blood pressure.


Ogedegbe G, Fernandez S, Fournier L, Silver SA, Kong J, Gallagher S, de la Calle F, Plumhoff J, Sethi S, Choudhury E, Teresi JA. The Counseling Older Adults to Control Hypertension (COACH) trial: design and methodology of a group-based lifestyle intervention for hypertensive minority older adults. Contemp Clin Trials. 2013 May;35(1):70-9. doi: 10.1016/j.cct.2013.02.008. Epub 2013 Feb 24. PubMed PMID: 23462343; PubMed Central PMCID: PMC3805359.

NOCHOP, COACH and address
link to NOCHOP link to COACH email link rc2415@cumc.columbia.edu