6/30/23, 12:36 AM VET-COACH Pathway Feedback Search Clinical Topics Home Studies VET COACH VET COACH Disease Hypertension Trial question What is the effect of a peer health coaching program among veterans with cardiovascular risks? Study design Multi-center Open label RCT Population Characteristics of study participants 13.0% female N = 264 87.0% male 264 patients (35 female, 229 male) Inclusion criteria: veterans with a diagnosis of hypertension with at least 1 BP reading 150/90 mmHg in the past year, and 1 other cardiovascular risk factor Key exclusion criteria: hospitalization in the past 3 months for cardiovascular-related conditions, severe illness that precludes lifestyle program; nursing home resident; severe cognitive impairment; receipt of home-based primary care Interventions N=134 peer health coaching program (home visits from a peer health coach targeting disease self-management) N=130 usual care (continue to receive regular, usual primary care) Primary outcome Reduction in systolic blood pressure at 12 months 3.3 mm Hg 3.32 https://web.pathway.md/studies/rec3sif3V6zu5zuaQ 1/2 6/30/23, 12:36 AM VET-COACH Pathway 2.5 mm Hg 1.7 mm Hg 0.8 mm Hg No significant difference 0.4 0.0 mm Hg Peer health coaching program Usual care No significant difference in reduction in systolic BP at 12 months (3.32 mm Hg vs. 0.4 mm Hg; AD 2.05 mm Hg, 95% CI -2.55 to 7) Secondary outcomes Significant increase in improvement in mental health-related quality of life score (2.19 vs. -1.01; AD 3.64, 95% CI 0.66 to 6.63) No significant difference in improvement in physical health-related quality of life score (1.02 vs. 0.72; AD 0.51, 95% CI -1.76 to 2.77) No significant difference in reduction in Framingham Risk Score (0.01 vs. 0.01; AD 0.01, 95% CI -0.01 to 0.03) Conclusion In veterans with a diagnosis of hypertension with at least 1 BP reading 150/90 mmHg in the past year, and 1 other cardiovascular risk factor, peer health coaching program was not superior to usual care with respect to reduction in systolic BP at 12 months. Reference Karin M Nelson, Leslie Taylor, Jennifer L Williams et al. 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. Open reference URL https://web.pathway.md/studies/rec3sif3V6zu5zuaQ 2/2