N/A
N=404
Working With Veterans Organizations to Improve Blood Pressure
Hypertension
Bottom Line
View on ClinicalTrials.gov: NCT00571038 ↗Enrolled (actual)
404
Serious AEs
6.2%
Results posted
Dec 2014
Primary outcome: Primary: Change in Systolic Blood Pressure — -3.48; -5.45 mm Hg — p=0.2417
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Peer Led (Behavioral); Seminar (Behavioral)
- Age
- Pediatric, Adult, Older Adult
- Sex
- All
- Sponsor
- US Department of Veterans Affairs
- Primary completion
- Aug 2010
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change in Systolic Blood Pressure |
-3.48; -5.45 | 0.2417 |
| SECONDARY Change in Diastolic Blood Pressure |
-1.83; -2.03 | 0.8586 |
| SECONDARY Change in Weight |
-0.85; 1.29 | 0.0432 sig |
| SECONDARY Change in BMI |
-0.12; 0.17 | 0.0604 |
| SECONDARY Change in Health Status |
-0.14; 0.018 | 0.0438 sig |
| SECONDARY Change in Time Since Last Physician Visit |
-2.58; -1.65 | 0.1418 |
| SECONDARY Non-Clinic Blood Pressure Checks |
91.26; 82.74 | 0.0070 sig |
| SECONDARY Change in Number of Blood Pressure Medications |
0.011; 0.028 | 0.8395 |
| SECONDARY Change in Hypertension Knowledge |
0.529; 0.256 | 0.2194 |
| SECONDARY Change in Hypertension Attitudes |
-0.24; -0.19 | 0.9191 |
| SECONDARY Change in Satisfaction With Blood Pressure Treatment |
-0.15; -0.15 | 0.9633 |
| SECONDARY Change in Alcohol Use |
-0.15; -0.19 | 0.5901 |
| SECONDARY Change in Sodium Intake |
-0.08; -0.11 | 0.9820 |
| SECONDARY Change in Physical Activity Level |
260.2; -89.5 | 0.3979 |
| SECONDARY Change in Daily Steps |
2395; 963.5 | 0.1471 |
| SECONDARY Change in Fruit and Vegetable Intake |
0.096; -0.01 | 0.6123 |
| SECONDARY Change in Medication Adherence |
-0.02; 0.007 | 0.5861 |
| SECONDARY Change in Self Efficacy |
0.450; 0.286 | 0.4489 |
| SECONDARY Change in Social Support |
1.249; 2.227 | 0.2527 |
| SECONDARY Change in Health Opinions |
0.252; 0.232 | 0.7314 |
| SECONDARY Change in Patient Activation |
1.007; 1.254 | 0.9839 |
Summary
The primary purpose of this project is to establish the efficacy of a novel peer support intervention to reduce hypertension among members of veteran service organizations (VSOs). Specifically, we plan to demonstrate that veterans participating in a peer support intervention, as opposed to a purely didactic educational program, will have better blood pressure (BP) control, increased engagement in blood pressure lowering activities (such as exercise), and a more active stance as patients.
Eligibility Criteria
Inclusion Criteria
- Member of a post or auxiliary of a participating veterans' service organization or Elks Lodge in the 70 miles surrounding the Milwaukee VAMC.
- Hypertension as established by one of: a) Average systolic blood pressure (SBP) greater than 140 or diastolic blood pressure (DBP) greater than 90 at two baseline visits; b) SBP greater than 130 or DBP greater than 90 at two baseline visits, plus patient report of diabetes mellitus and use of a hypoglycemic agent at the baseline visit; or c) self-reported hypertension plus self-reported current treatment with at least one antihypertensive drug at baseline visit.
- Willingness to sign informed consent document.
Exclusion Criteria
- Medical or social condition preventing routine attendance at a monthly meeting.
- Inability to communicate with other post members because of language barrier or physical limitation (e.g., prior stroke).
Data sourced from ClinicalTrials.gov (NCT00571038). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.