N/A
Completed N=15
Heart Health Buddies: Peer Support to Decrease CVD Risk
Source: ClinicalTrials.gov NCT03646656 ↗Enrolled (actual)
15
Serious AEs
0.0%
Results posted
Mar 2020
Primary outcomePrimary: Feasibility of Enrollment — 25; 7; 13; 0 Participants
Summary
This pilot study will use a hybrid reciprocal peer support and peer coach model to initiate and sustain heart-healthy behavioral changes in Veterans. Veterans who are at-risk for cardiovascular disease (CVD) will be enrolled in the study and paired with another Veteran to receive and provide social support around engaging in CVD risk reduction behaviors. Enrolled participants will be offered a series of 3 group sessions focused on CVD risk reduction, goal setting and action plan development. Between group sessions, peer partners will be asked to have weekly calls to discuss action plan challenges, explore options for problem solving, and provide encouragement and accountability for personal goals. Participants who do not engage in the group sessions or weekly phone calls, or who request additional help, will receive support from trained peer coaches. The goal of this pilot study is to evaluate the proof of concept for a hybrid reciprocal peer support (RPS) and peer coach intervention to improve heart healthy behaviors among Veterans at risk for CVD.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Feasibility of Enrollment |
25; 7; 13; 0; 12; 3 | — |
| PRIMARY Feasibility Retention |
9; 3; 3; 0 | — |
| PRIMARY Acceptability |
2.1; 2 | — |
| PRIMARY Acceptability - Weeks Contact With Peer Buddy |
8.33 | — |
| SECONDARY Gender Differences - Retention |
5; 4 | — |
| SECONDARY Gender Differences-enrollment |
17; 11; 6; 4; 6; 6 | — |
| SECONDARY Gender Differences - Mean Contacts Per Buddy Pair |
9; 7.66 | — |
Eligibility Criteria
Inclusion Criteria
Peer partners and peer coaches:
- Enrolled in a Durham Veterans Administration Health Care System primary care clinic (including the women's health clinic)
- At risk for cardiovascular disease as defined by having at least one of the following:
- Uncontrolled hypertension
- history of obesity defined as (BMI >30)
- uncontrolled non-insulin dependent diabetes mellitus
- In addition, Peer coaches have made and sustained a behavioral change in past 3-6 months to improve heart health
- English as preferred language
- no significant hearing impairment
- lives approximately 30 minutes from the Durham Veterans affairs Medical Center
- agrees to attend regular visits per study protocol
- no contraindication to engage in at least moderate physical activity
- willing to use personal phone for peer and coach contacts
Exclusion Criteria
- insulin-dependent diabetes
- serious mental illness defined as schizophrenia, bipolar disorder, dementia, active psychosis psychiatric hospitalization within the last 12 months or current high-risk suicide flag in their electronic medical record
- active substance use as documented in electronic or positive screening during telephone screening
- limited Life expectancy (<6 months) or severely ill defined as enrolled in hospice or actively undergoing chemotherapy or radiation therapy for cancer
- currently pregnant or planning to become pregnant in next 6 months
Data sourced from ClinicalTrials.gov (NCT03646656). 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. Informational only — not medical advice.