Table 1.
TTM Process and My BP Program Strategies
| TTM Processes of Change | Process of Change Strategies Used in My BP Program |
|---|---|
| Consciousness-raising focuses on increasing awareness of the causes and consequences of risky behavior. | Home visits, bi-weekly phone calls, and newsletters focused on the causes and consequences of hypertension, emphasizing its relationship to BMI and unhealthy eating, and lack of exercise. |
| Stimulus control removes cues for unhealthy habits and adds prompts for healthier alternatives. | Pharmacists reviewed the DASH diet with patients. Newsletters included AA-inspired cooking recipes. In addition, postcards containing DASH diet resources and reminders to eat healthy were mailed out to patients. |
| Helping relationships combine caring, trust, openness, and acceptance, as well as support for health behavior change. | Pharmacists, pharmacy interns, and the project’s health educator were instrumental in building rapport with the patients. Fostered trust by hiring pharmacists with proven experience working with AA seniors. Health educator trained pharmacy interns to effectively communicate lifestyle modification information to the patients. Health educators’ help line addressed additional concerns and questions. |