N/A N=264 Randomized Health Services Research

Veteran Peer Coaches Optimizing and Advancing Cardiac Health

Cardiovascular Disease (CVD) · Hypertension · Hyperlipemia · Obesity

Bottom Line

View on ClinicalTrials.gov: NCT02697422 ↗

Enrolled (actual)

264

Serious AEs

0.0%

Results posted

Aug 2024

Primary outcome: Primary: Change in Systolic Blood Pressure (SBP) — -3.32; -0.40 mm Hg — p=0.05

Study Design & Population

Study type: Interventional
Phase: N/A
Interventions: Community-based peer health coach intervention (Other)
Age: Pediatric, Adult, Older Adult
Sex: All
Sponsor: VA Office of Research and Development
Primary completion: Jan 2022

Outcome Measures

Outcome	Result	p-value
PRIMARY Change in Systolic Blood Pressure (SBP)	-3.32; -0.40	0.05
SECONDARY Framingham Cardiovascular Risk Score (FRS)	-0.01; -0.01	0.05
SECONDARY Body Mass Index (BMI)	-0.04; 0.10	0.05
SECONDARY Current Tobacco Use	21; 29	0.90
SECONDARY Low Density Lipoprotein Cholesterol (LDL-c).	-3.12; -4.24	0.05
SECONDARY Change in Health-Related Quality of Life (HRQoL), Mental Component Summary Score	2.19; -1.01	0.05
SECONDARY Change in Health-Related Quality of Life (HRQoL), Physical Component Summary Score (PCS)	1.02; 0.72	0.05
SECONDARY Number of Hospitalizations	0.16; 0.13	0.05
SECONDARY Number of Emergency Room (ER) Visits	0.86; 0.86	0.05
SECONDARY Number of Outpatient Clinic/Primary Care Visits	0.40; 0.55	0.05

Summary

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.

Eligibility Criteria

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)

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02697422). 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.