E-counseling as an emerging preventive strategy for hypertension : Current Opinion in Cardiology

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HYPERTENSION: Edited by Andreas Wielgosz

E-counseling as an emerging preventive strategy for hypertension

Nolan, Robert P.a,b; Liu, Sama,b; Payne, Ada Y.M.a,b

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Current Opinion in Cardiology 29(4):p 319-323, July 2014. | DOI: 10.1097/HCO.0000000000000080


Purpose of review 

Lifestyle counseling that includes exercise training, diet modification, and medication adherence is critical to hypertension management. This article summarizes the efficacy of lifestyle counseling interventions in face-to-face, telehealth, and e-counseling settings. It also discusses the therapeutic potential of e-counseling as a preventive strategy for hypertension.

Recent findings 

The recent proliferation of telehealth and e-counseling programs increases the reach of preventive counseling for patients with cardiovascular disorders. Blood pressure reduction following these interventions is comparable to face-to-face interventions. However, the effectiveness of e-counseling varies depending on the design features of the core protocol. An evidence-based guideline needs to be established that identifies e-counseling components which are independently associated with blood pressure reduction. As the Internet becomes more sophisticated, e-counseling is demonstrating a therapeutic advantage in comparison with other telehealth interventions.


Current evidence supports further development of preventive e-counseling programs for hypertension. A pressing challenge for investigators is to specify key evidence-based components of e-counseling that are essential to the core protocol. In order to achieve this goal, it will be necessary to ensure that e-counseling programs are also clinically organized, in order to guide patients through the process of initiating and sustaining therapeutic behavior change.

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins

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