Veteran Peer Coaches Optimizing and Advancing Cardiac Health (Vet-COACH)
Cardiovascular Disease (CVD), Hypertension, Hyperlipemia
About this trial
This is an interventional health services research trial for Cardiovascular Disease (CVD) focused on measuring Smoking (tobacco use), Peer health coach, Systolic blood pressure, Framingham Cardiovascular risk score, Lipid, Health related quality of life, Health care utilization, Medication adherence, Physical activity, Nutrition, Alcohol use, Stress management
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)
Sites / Locations
- VA Puget Sound Health Care System Seattle Division, Seattle, WA
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Peer health coach intervention group
Control group
Eligible 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.
Participants 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.