Veteran Peer Coaches Optimizing and Advancing Cardiac Health
Vet-COACH
Vet COACH (Veteran Peer Coaches Optimizing and Advancing Cardiac Health)
1 other identifier
interventional
264
1 country
1
Brief 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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started May 2017
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 16, 2016
CompletedFirst Posted
Study publicly available on registry
March 3, 2016
CompletedStudy Start
First participant enrolled
May 30, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 6, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
February 28, 2023
CompletedResults Posted
Study results publicly available
August 9, 2024
CompletedAugust 9, 2024
June 1, 2024
4.6 years
February 16, 2016
January 25, 2023
June 28, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in Systolic Blood Pressure (SBP)
Change in systolic blood pressure (SBP) from baseline to 12-months. Blood pressure readings were obtained using standard procedures with a blood pressure monitor to obtain a mean SBP score of 3 blood pressure measurements. An increased reduction in mean SBP indicates a better outcome.
Baseline to follow-up at 1 year
Secondary Outcomes (9)
Framingham Cardiovascular Risk Score (FRS)
Baseline to follow-up at 1 year
Body Mass Index (BMI)
Baseline to follow-up at 1 year
Current Tobacco Use
Current tobacco use measured at Baseline and Follow up at one year
Low Density Lipoprotein Cholesterol (LDL-c).
Baseline to follow-up at 1 year
Change in Health-Related Quality of Life (HRQoL), Mental Component Summary Score
Baseline to follow-up at 1 year
- +4 more secondary outcomes
Study Arms (2)
Peer health coach intervention group
EXPERIMENTALEligible participants will be randomly assigned to receive a home-visit peer health coach intervention to promote health outcomes and behavior change among Veterans with multiple cardiovascular disease (CVD) risk factors.
Control group
NO INTERVENTIONParticipants who meet the same eligibility criteria as participants in the intervention group will be randomly assigned to receive no intervention. Participants will continue to receive their regular, usual primary care.
Interventions
The focus of the peer health coach intervention will be to deliver brief health messages, discuss goal setting, and action planning around health behavior changes shown to decrease CVD risk (for instance, healthy diet, regular to moderate-intensity physical activity, and quitting smoking).
Eligibility Criteria
You may qualify if:
- 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)
You may not qualify if:
- 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)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
VA Puget Sound Health Care System Seattle Division, Seattle, WA
Seattle, Washington, 98108, United States
Related Publications (3)
Nelson K, Fennell T, Gray KE, Williams JL, Lutton MC, Silverman J, Jain K, Augustine MR, Kopf W, Taylor L, Sayre G, Vanderwarker C. Veteran peer Coaches Optimizing and Advancing Cardiac Health (Vet-COACH); design and rationale for a randomized controlled trial of peer support among Veterans with poorly controlled hypertension and other CVD risks. Contemp Clin Trials. 2018 Oct;73:61-67. doi: 10.1016/j.cct.2018.08.011. Epub 2018 Aug 29.
PMID: 30172037RESULTNelson KM, Taylor L, Williams JL, Rao M, Gray KE, Kramer CB, Epler E, Fennell T. Effect of a Peer Health Coaching Intervention on Clinical Outcomes Among US Veterans With Cardiovascular Risks: The Vet-COACH Randomized Clinical Trial. JAMA Netw Open. 2023 Jun 1;6(6):e2317046. doi: 10.1001/jamanetworkopen.2023.17046.
PMID: 37278999RESULTKramer CB, Nelson KM, Sayre G, Williams JL, Spruill L, Fennell T, Gray KE, Weiner BJ, Fan V, Jones-Smith J, Rao M. "Veteran to Veteran, There's Automatically a Trust": A Qualitative Study of Veterans' Experiences in a Peer Health-Coaching Program for Hypertension. AJPM Focus. 2024 Jul 3;3(6):100257. doi: 10.1016/j.focus.2024.100257. eCollection 2024 Dec.
PMID: 39415799DERIVED
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr. Karin Nelson
- Organization
- VA Puget Sound Health Care System
Study Officials
- PRINCIPAL INVESTIGATOR
Karin M. Nelson, MD MSHS
VA Puget Sound Health Care System Seattle Division, Seattle, WA
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Masking Details
- N/A; No masking will occur in this clinical trial.
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- FED
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 16, 2016
First Posted
March 3, 2016
Study Start
May 30, 2017
Primary Completion
January 6, 2022
Study Completion
February 28, 2023
Last Updated
August 9, 2024
Results First Posted
August 9, 2024
Record last verified: 2024-06
Data Sharing
- IPD Sharing
- Will share
We will adhere to all VA 1200.12 policies to protect individual privacy \& confidentiality of data. Data will be made available outside VA in response to a properly prepared Freedom of Information Act request submitted \& evaluated by the VA Puget Sound FOIA Officer, or as passed down to the facility. A unique study ID will label all data records to allow validation of results, but prevent data from being linked to individuals. Records across data sets can be cross-referenced using the study ID to verify accuracy of publication results. Research publications will be made available to the public via the National Library of Medicine PubMed Central website within one year after publication date(s). A Limited Dataset will be created \& shared pursuant a Data Use Agreement that appropriately limits use of the dataset \& prohibits recipients from identifying or re-identifying (or taking steps to identify or re-identify) any individual whose data are included in the dataset.