An interventional study of Education in Hypertension, Hyperlipidemia and Coronary Artery Disease, sponsored by US Department of Veterans Affairs. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2015-04-28.
Sponsored by US Department of Veterans Affairs · Not applicable and Interventional
This project will design, deliver, and evaluate a peer support intervention that will help veterans become familiar with and register for Veterans Health Administration (VHA) My HealtheVet (MHV). It will lay the groundwork for 2 types of future projects. First, the investigators will develop materials that can be used in other settings to increase registration, authentication, and meaningful use of MHV. Second, it will allow us to develop and study interventions that use informed, peer-supported Internet use to improve health behaviors and outcomes among veterans.
BACKGROUND/RATIONALE: Despite the promise of electronic health resources, there is evidence that they have not led to the improved self management that many envisioned. There is evidence for this from a variety of sources, including the Veterans Health Administration (VHA). Although there is appropriate attention to improving the functionality and ease of use of the system, a key barrier is patient acceptance and familiarity. Peer support, particularly in group settings, can improve health-related behaviors. Such approaches may increase and improve MHV use.
OBJECTIVES: Our goal in the present project is to develop and test a peer-based mechanism to increase MHV use by member of veterans service organizations (VSO) such as the American Legion. The investigators will address 3 specific aims:
METHODS: This implementation study is a quasi-randomized intervention with delayed controls. Working with the leadership of selected veterans groups, the investigators will identify 12 posts that have the appropriate resources and interests to serve as pilot posts for the present project. The investigators will train 2 peer mentors (super-users or SU) from 4 of these posts using adaptations of the peer training approach the investigators used for a previous project. The investigators will work with the SU to install computers with wireless broadband Internet access at their posts. The investigators will load the computers with software that documents unique sessions, sites visited, and amount of time at each site. The investigators will help the SU provide lessons regarding MHV use to his/her fellow post members at 4 monthly post meetings. After 4 months, the investigators will move the computers to the next 4 posts and repeat the intervention. Finally, the investigators will move the computers to the last 4 posts, providing remote support and our training materials to the SU at those posts. The investigators will use computer tracking data, surveys, focus groups, and interviews to assess the impact of the program. The investigators will test changes in registration, IPA, and use with before and after surveys. Our analysis will adjust for clustering within posts. The investigators will transcribe our focus groups and interviews verbatim and analyze them using a case study approach.
5,600 studies on the registry are indexed under Coronary Artery Disease; 958 are open to participants now.
This study's enrollment of 282 is above the median of 123 across 3,438 interventional studies indexed under Coronary Artery Disease.
Browse Coronary Artery Disease studies →US Department of Veterans Affairs is the lead sponsor of 658 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Two steps, first a post is enrolled, then a member participates.
Post eligible if:
Member eligible if:
Exclusion Criteria:
Group that receives intervention first. The intervention is a series of training sessions, in person and on line, to educate post superusers who will in turn educate post members on the utility and mechanics of use of MHV.
Other: Education
This arm receives a series of training sessions over study months 6-9. The training sessions are in person and on line and are directed at post superusers who will in turn educate post members on the utility and mechanics of use of MHV. They complete survey rounds 1 and 2 before the training and survey round 3 after the training.
Other: Education
This group received a similar intervention, but after all quantitative data collection complete.
Series of training sessions, in person and on line, to educate post superusers who will in turn educate post members on the utility and mechanics of use of MHV.
Also known as: Post education
Registration for MHV
Measured by response to question: Have you ever used My HealtheVet online?
Time frame: Baseline; After Group 1 Intervention; After Group 2 Intervention
We recruited 12 posts at the outset of the study, with the help of the Legion's state leadership. We invited all post members to complete surveys at times 0, 5 months and 10 months. The surveys were distributed by post leadership at a post meeting. We did not obtain informed consent; we obtained no personal identifiers but we obtained post.
| Milestone | Education in First Round | Control First Round; Education in Second Round | Control First Round; Control Second Round; Intervention |
|---|---|---|---|
| Started | 79 | 122 | 81 |
| Survey 1 responses | 45 | 71 | 59 |
| Survey 2 responses | 52 | 42 | 58 |
| Survey 3 responses | 65 | 56 | 76 |
| Completed | 79 | 122 | 81 |
| Not completed | 0 | 0 | 0 |
Measured by response to question: Have you ever used My HealtheVet online?
| Percentage of respondents who use MHV | Education in First Round | Control First Round; Education in Second Round | Control First Round; Control Second Round; Intervention |
|---|---|---|---|
| Baseline survey | 6.7 | 12.7 | 11.9 |
| Post first round survey | 25.0 | 7.1 | 12.1 |
| Post second round survey | 33.9 | 25.0 | 13.2 |
Collected over Adverse events were not collected as a part of this study. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Education in First Round | — | — | — |
| Control First Round; Education in Second Round | — | — | — |
| Control First Round; Control Second Round; Intervention | — | — | — |
We included the mean number of post members across the three data collection times as our best measure of participants
| Age, Continuous(Years) | First Educational Intervention Group | Second Intervention Group | Education After Data Collection Complete | Total |
|---|---|---|---|---|
| Mean | 69.9 ± 10.3 | 65.0 ± 10.7 | 66.6 ± 12.4 | 67.1 ± 11.4 |
| Sex: Female, Male(Participants) | First Educational Intervention Group | Second Intervention Group | Education After Data Collection Complete | Total |
|---|---|---|---|---|
| Female | 0 | 0 | 0 | 0 |
| Male | 79 | 122 | 81 | 282 |
| Proportion at Educational level(Proportion of participants) | First Educational Intervention Group | Second Intervention Group | Education After Data Collection Complete | Total |
|---|---|---|---|---|
| Less than high school | 0.068 ± 0.25 | 0.030 ± 0.17 | 0.057 ± 0.23 | 0.052 ± 0.22 |
| High school or GED | 0.617 ± 0.48 | 0.438 ± 0.50 | 0.674 ± 0.469 | 0.580 ± 0.494 |
| College or technical degree | 0.241 ± 0.428 | 0.479 ± 0.500 | 0.233 ± 0.423 | 0.315 ± 0.465 |
| Missing | 0.074 ± 0.262 | 0.053 ± 0.224 | 0.036 ± 0.186 | 0.053 ± 0.224 |
This study is completed, as verified in Feb 2014. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
US Department of Veterans Affairs