Veteran Peer Coaches Optimizing and Advancing Cardiac Health
| Status: | Recruiting |
|---|---|
| Conditions: | High Blood Pressure (Hypertension), Obesity Weight Loss, Peripheral Vascular Disease |
| Therapuetic Areas: | Cardiology / Vascular Diseases, Endocrinology |
| Healthy: | No |
| Age Range: | Any - 75 |
| Updated: | 2/20/2019 |
| Start Date: | May 30, 2017 |
| End Date: | February 28, 2021 |
| Contact: | Karin M Nelson, MD MSHS |
| Email: | karin.nelson@va.gov |
| Phone: | (206) 277-4507 |
Vet COACH (Veteran Peer Coaches Optimizing and Advancing Cardiac Health)
The purpose of this study is to test if having a Veteran peer health coach will improve blood
pressure control among Veterans with high blood pressure and at least one other
Cardiovascular disease (CVD) risk factor. The intervention will deliver brief health
messages, discuss goal setting, and action planning around health behavior changes shown to
decrease CVD risk, including healthy diet, regular to moderate-intensity physical activity,
and smoking cessation. Facilitators, barriers, and costs of the intervention will be
determined.
pressure control among Veterans with high blood pressure and at least one other
Cardiovascular disease (CVD) risk factor. The intervention will deliver brief health
messages, discuss goal setting, and action planning around health behavior changes shown to
decrease CVD risk, including healthy diet, regular to moderate-intensity physical activity,
and smoking cessation. Facilitators, barriers, and costs of the intervention will be
determined.
The Vet-COACH study is a peer health coaching program to help reduce Cardiovascular disease
(CVD) risk among Veterans. The goal of the study is to test the effectiveness of a home-visit
peer health coach intervention to promote health outcomes and behavior change among Veterans
with multiple CVD risk factors with a hybrid type 1 implementation study. The study will
focus on Veterans with poorly controlled hypertension and at least one other CVD risk factor
to target a high risk population.
The study will conduct a randomized controlled trial to enroll n=400 Veterans to compare a
peer health coach intervention consisting of home visits, telephone support, and linkages to
appropriate community-based and clinic resources compared to usual VHA primary care. The
primary outcome is reduction in systolic blood pressure from baseline to follow-up at 1-year.
Secondary outcomes include a reduction in Framingham Cardiovascular risk score, individual
cardiovascular risks (tobacco use, lipids), health related quality of life, and health care
use. The investigators will also assess the effects of the peer health coach intervention on
intermediate outcomes including social support, patient activation, patient/provider
communication and health behaviors (e.g. medication adherence, physical activity, nutrition,
alcohol use, and stress management). The cost of the intervention will be assessed to inform
feasibility for future studies, determine Veteran and staff satisfaction with the
intervention, and identify barriers and facilitators to adoption.
(CVD) risk among Veterans. The goal of the study is to test the effectiveness of a home-visit
peer health coach intervention to promote health outcomes and behavior change among Veterans
with multiple CVD risk factors with a hybrid type 1 implementation study. The study will
focus on Veterans with poorly controlled hypertension and at least one other CVD risk factor
to target a high risk population.
The study will conduct a randomized controlled trial to enroll n=400 Veterans to compare a
peer health coach intervention consisting of home visits, telephone support, and linkages to
appropriate community-based and clinic resources compared to usual VHA primary care. The
primary outcome is reduction in systolic blood pressure from baseline to follow-up at 1-year.
Secondary outcomes include a reduction in Framingham Cardiovascular risk score, individual
cardiovascular risks (tobacco use, lipids), health related quality of life, and health care
use. The investigators will also assess the effects of the peer health coach intervention on
intermediate outcomes including social support, patient activation, patient/provider
communication and health behaviors (e.g. medication adherence, physical activity, nutrition,
alcohol use, and stress management). The cost of the intervention will be assessed to inform
feasibility for future studies, determine Veteran and staff satisfaction with the
intervention, and identify barriers and facilitators to adoption.
Inclusion Criteria:
- Must be a Veteran
- Have > 1 visit to VA Puget Sound Health Care Center(Seattle or American Lake VA)
primary care or women's clinic in the past year
- Poorly controlled hypertension (> 150/90 mmHg)
- At least one other CVD risk (including overweight or obesity, body mass index > 25
kg/m2, tobacco use, hyperlipidemia LDL-c > 130 mg/dL)
Exclusion Criteria:
- Hospitalization in the past 3 months for cardiovascular-related conditions (IHD,
Cerebral Vascular Accident [CVA], PVD)
- Severe illness that precludes lifestyle program, end-stage renal disease (ESRD) on
dialysis
- Nursing home resident, homeless
- Severe cognitive impairment
- Receiving home-based primary care (including VA Home Tele-Health and patients who
received palliative care or are enrolled in hospice care)
We found this trial at
1
site
Seattle, Washington 98108
Principal Investigator: Karin M. Nelson, MD MSHS
Phone: 206-764-2848
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