“Digital Coaching” Approach Helps People Manage High Blood Pressure

Outcome/Accomplishment

New approaches for people to maintain awareness of their blood pressure (BP) show promise for promoting healthy practices resulting in less illness and need for costly medical intervention. A novel 90-day “digital coaching” program and application developed by researchers in collaboration with the American Heart Association is showing great promise as a platform for self-care. It is supported by the National Science Foundation (NSF)-funded Precise Advanced Technologies and Health Systems for Underserved Populations (NSF PATHS-UP) Engineering Research Center (ERC), headquartered at Texas A&M University (TAMU), as part of its mission to improve healthcare for resource-limited communities.

Impact/Benefits

Called “HyperCoach,” the app uses an Apple smartphone and Bluetooth-enabled weight scales and BP cuffs, which automatically record systolic and diastolic BP, heart rate, and weight. Two groups were established for the study: intervention and control. While both groups could set and update their personal health goals and had reminders and measurement tracking provided by the app, the intervention group also had a 12-week coaching program that included daily monitoring and educational activities optimized for mobile access and delivered through flyers, videos, messages, assessments, and progress reports, requiring approximately three minutes per day to complete. Program outcomes differed between control and intervention, with further distinction between adherent and non-adherent people in the intervention group. Of note, all involved reported improved quality of life.

Explanation/Background

Overall, HyperCoach proved effective in reducing systolic BP (SBP), but its success depends on user adherence. Participants with high adherence experienced a consistent and significant decline in SBP, whereas those with lower adherence showed non-significant changes, indicating potential challenges in sustaining long-term benefits. The findings also reveal that SBP management fluctuates over time, especially among users who are not consistently engaged with the intervention.

Beyond physiological outcomes, digital health coaching improves users’ confidence in managing hypertension, while passive tracking alone can lead to disengagement and decreased motivation for self-monitoring. Future strategies should prioritize improving adherence, particularly for users who struggle with consistent engagement.

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Location

College Station, Texas

e-mail

teesweb@tamu.edu

Start Year

Biotechnology and Healthcare

Biotechnology and Health Care Icon
Biotechnology and Health Care Icon

Biotechnology and Healthcare

Lead Institution

Texas A&M University

Core Partners

University of California at Los Angeles, Rice University , Florida International University
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Outcome/Accomplishment

New approaches for people to maintain awareness of their blood pressure (BP) show promise for promoting healthy practices resulting in less illness and need for costly medical intervention. A novel 90-day “digital coaching” program and application developed by researchers in collaboration with the American Heart Association is showing great promise as a platform for self-care. It is supported by the National Science Foundation (NSF)-funded Precise Advanced Technologies and Health Systems for Underserved Populations (NSF PATHS-UP) Engineering Research Center (ERC), headquartered at Texas A&M University (TAMU), as part of its mission to improve healthcare for resource-limited communities.

Location

College Station, Texas

e-mail

teesweb@tamu.edu

Start Year

Biotechnology and Healthcare

Biotechnology and Health Care Icon
Biotechnology and Health Care Icon

Biotechnology and Healthcare

Lead Institution

Texas A&M University

Core Partners

University of California at Los Angeles, Rice University , Florida International University

Impact/benefits

Called “HyperCoach,” the app uses an Apple smartphone and Bluetooth-enabled weight scales and BP cuffs, which automatically record systolic and diastolic BP, heart rate, and weight. Two groups were established for the study: intervention and control. While both groups could set and update their personal health goals and had reminders and measurement tracking provided by the app, the intervention group also had a 12-week coaching program that included daily monitoring and educational activities optimized for mobile access and delivered through flyers, videos, messages, assessments, and progress reports, requiring approximately three minutes per day to complete. Program outcomes differed between control and intervention, with further distinction between adherent and non-adherent people in the intervention group. Of note, all involved reported improved quality of life.

Explanation/Background

Overall, HyperCoach proved effective in reducing systolic BP (SBP), but its success depends on user adherence. Participants with high adherence experienced a consistent and significant decline in SBP, whereas those with lower adherence showed non-significant changes, indicating potential challenges in sustaining long-term benefits. The findings also reveal that SBP management fluctuates over time, especially among users who are not consistently engaged with the intervention.

Beyond physiological outcomes, digital health coaching improves users’ confidence in managing hypertension, while passive tracking alone can lead to disengagement and decreased motivation for self-monitoring. Future strategies should prioritize improving adherence, particularly for users who struggle with consistent engagement.