Working With Veterans Organizations to Improve Blood Pressure

NCT00571038 | Completed Results

• 1 other identifier: IAB 06-086
• Study Type: interventional
• Target: 404
• Locations: 1 country
• Sites: 1

Brief 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.

Conditions

Hypertension

Keywords

Hypertension; Self-help groups; Community health networks; Health knowledge, attitudes, practice; Patient participation; Randomized clinical trial

Outcome Measures

Primary Outcomes (1)

• Change in Systolic Blood Pressure

  Mean/Standard Error (SE) change in systolic blood pressure

  9/16/2008-8/9/2010; baseline and 12 months

Secondary Outcomes (20)

• Change in Diastolic Blood Pressure

  9/16/2008-8/9/2010; baseline and 12 months

• Change in Weight

  9/16/2008-8/9/2010; baseline and 12 months

• Change in BMI

  9/16/2008-8/9/2010; baseline and 12 months

• Change in Health Status

  9/16/2008-8/9/2010; baseline and 12 months

• Change in Time Since Last Physician Visit

  9/16/2008-8/9/2010; baseline and 12 months

Study Arms (2)

Peer Led

EXPERIMENTAL

Post provided with blood pressure cuffs, pedometers and scale. Two post members trained as peer leaders who encourage post members to take positive steps to improve BP. Peer leader training involves 20 hours of training over 12 months, telephone/email access to clinical experts and educational materials to share with post members.

Behavioral: Peer Led

Seminar

ACTIVE COMPARATOR

Post provided with blood pressure cuffs, pedometers and scale. Post members, including study participants invited to didactic sessions on cardiovascular health.

Behavioral: Seminar

Interventions

Peer Led BEHAVIORAL

Post provided with blood pressure cuffs, pedometers and scale. Two post members trained as peer leaders who encourage post members to take positive steps to improve BP. Peer leader training involves 20 hours of training over 12 months, telephone/email access to clinical experts and educational materials to share with post members.

Also known as: Peer led education and support

Peer Led

Seminar BEHAVIORAL

Post provided with blood pressure cuffs, pedometers and scale. Post members, including study participants invited to didactic sessions on cardiovascular health.

Also known as: Professional didactic education

Seminar

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• 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.

You may not qualify if:

• 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).

Sponsors & Collaborators

• US Department of Veterans Affairs: lead
• Medical College of Wisconsin: collaborator
• Veterans of Foreign Wars USA: collaborator
• Vietnam Veterans of America: collaborator
• National Association of Black Veterans: collaborator
• Korea Veterans of America, Inc.: collaborator
• Disabled American Veterans: collaborator
• AmVETS: collaborator
• Jewish War Veterans of the United States of America: collaborator
• The American Legion Department of Wisconsin: collaborator
• Wisconsin Elks Association (a branch of The Benevolent and Protective order of Elks of the United States of America): collaborator

Study Sites (1)

Clement J. Zablocki VA Medical Center, Milwaukee, WI

Milwaukee, Wisconsin, 53295-1000, United States

Location

Related Publications (7)

• Rosenwald K, Ertl K, Fletcher KE, Whittle J. Patterns of arthritis medication use in a community sample. J Prim Care Community Health. 2012 Oct 1;3(4):272-7. doi: 10.1177/2150131912442388. Epub 2012 Apr 4.

  PMID: 23804172 BACKGROUND

• Patterson L, Morzinski J, Ertl K, Wurm C, Hayes A, Whittle J. Engaging community-based veterans' organizations in health promotion programs. Fam Community Health. 2011 Oct-Dec;34(4):311-8. doi: 10.1097/FCH.0b013e31822b5425.

  PMID: 21881418 BACKGROUND

• Whittle J, Fletcher KE, Morzinski J, Ertl K, Patterson L, Jensen W, Schapira MM. Ethical challenges in a randomized controlled trial of peer education among veterans service organizations. J Empir Res Hum Res Ethics. 2010 Dec;5(4):43-51. doi: 10.1525/jer.2010.5.4.43.

  PMID: 21133786 BACKGROUND

• Shirk J, Fletcher K, Patterson L, Grippen A, Eastwood D, Whittle JC. Peer leader characteristics do not predict their ability to deliver a peer support intervention. [Abstract]. Journal of general internal medicine. 2010 Jul 1; 25(Supple 3):S347.

  BACKGROUND

• Hayes A, Morzinski J, Ertl K, Wurm C, Patterson L, Wilke N, Whittle J. Preliminary description of the feasibility of using peer leaders to encourage hypertension self-management. WMJ. 2010 Apr;109(2):85-90.

  PMID: 20443327 BACKGROUND

• Whittle J, Schapira MM, Fletcher KE, Hayes A, Morzinski J, Laud P, Eastwood D, Ertl K, Patterson L, Mosack KE. A randomized trial of peer-delivered self-management support for hypertension. Am J Hypertens. 2014 Nov;27(11):1416-23. doi: 10.1093/ajh/hpu058. Epub 2014 Apr 22.

  PMID: 24755206 RESULT

• Whittle JC, Hayes A, Eastwood D, Morzinski J, Ertl K, Wurm C. Effect on health behaviors of a health promotion intervention delivered through veterans service organizations. [Abstract]. Journal of general internal medicine. 2010 Jul 1; 25(Supple 3):S264.

  RESULT

Related Links

• Click here for more information about this study: Working with Veterans Organizations to Improve Blood Pressure

MeSH Terms

Conditions

Hypertension; Behavior; Patient Participation

Interventions

Palliative Care

Condition Hierarchy (Ancestors)

Vascular Diseases; Cardiovascular Diseases; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior

Intervention Hierarchy (Ancestors)

Patient Care; Therapeutics; Health Services; Health Care Facilities Workforce and Services

Results Point of Contact

• Title: Jeff Whittle, MD, MPH
• Organization: Clement J. Zablocki VA Medical Center

jeffrey.whittle@va.gov

414-384-2000

Study Officials

• Jeffrey C Whittle, MD MPH

  Clement J. Zablocki VA Medical Center, Milwaukee, WI

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: FED
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 7, 2007
• First Posted: December 11, 2007
• Study Start: February 1, 2008
• Primary Completion: August 1, 2010
• Study Completion: December 1, 2010
• Last Updated: April 24, 2015
• Results First Posted: December 11, 2014

Record last verified: 2014-08

Locations

US (1)