Empowering Individuals to Improve Their Hypertension Control Through Peer Support

 

Background: High blood pressure is a leading cause of death and disability, especially among older men. It contributes to strokes, heart attacks, and heart failure. The fight against high blood pressure should include the best tools possible. Advances in medication and medical management are essential in combating hypertension “on the ground.” But oftentimes, medication alone is not enough to bring a veteran’s blood pressure into a healthy range. Research suggests that active, knowledgeable patients and the support of friends and family are important parts of the picture. Leaders from the VA healthcare system, the Medical College of Wisconsin, and the VFW got together to design a way to improve the health of veterans. The Healthier Wisconsin Partnership Program liked the idea so much they decided to give money to support it. 

 

The Project: “Empowering Individuals to Improve Their Hypertension Control Though Peer Support” is a project based on the idea that small groups of veterans working together to tackle health problems can achieve better results than if they work alone. Posts that join the project should be interested in good health and have a group of members (or contacts of members) who have, or are at risk for, high blood pressure. Two members from each group will serve as leaders. These leaders will attend training sessions with the project staff*. As part of the training they will talk about steps their groups can take to improve the health of their members. Once the project begins, leaders will have ongoing contact with each other and staff members so they can share their stories and answer questions.

 

Participation: Post members who join the project will participate in monthly meetings focused on health matters. Most posts will schedule these meetings either before or after their regular monthly meetings. The volunteer leaders who trained with the project staff will conduct these meetings. In order to find out if the project is really helping, we will need to check participants’ blood pressure and administer a few short questionnaires at the beginning of the project, and again after 6 months and 18 months. This is the research part of the project, and is entirely voluntary. Some participants may decide to be in the group sessions, but not the research.

 

Benefits: We believe that participants will become more active in their own health, learn from and be inspired by their comrades, and get more out of visits to their doctors. This will help them stay in better health. We also expect that the groups will want to continue after the project has ended. During the time that the project is funded by Healthier Wisconsin, posts that hold monthly sessions will receive money to help cover the costs for refreshments and the use of their facilities. Group members who provide information for the research part of the project will be paid a small “Thank You” gift. We will also pay group leaders to go through the training we have planned.

 

Why the VFW?: We approached the VFW to be the lead representative of the veteran community for several reasons. First, like many veterans organizations, the VFW has a history of caring about veterans and their families, regardless of when and where they served. Second, because of the shared war zone experience, VFW members seemed the most likely to be able to move from being “comrades in arms” to “comrades in health.” Finally, as we planned the project, it was clear that the VFW, the Medical College of Wisconsin, the VA healthcare system, and the Healthier Wisconsin Partnership Program all share an interest in promoting good health for veterans, and could accomplish a lot by working together.

 

*Project Staff:

Jeff Whittle, MD has been working with veterans since he became a doctor in 1984. As a primary care physician at the VA, he sees many patients with chronic conditions like diabetes, heart disease, and high cholesterol. He is particularly concerned about the number of patients he sees who have uncontrolled high blood pressure. Since most doctors agree that the support of friends and family can help persons to have good blood pressure, he approached the VFW for their help. This project is the result.

 

Jeff Morzinski, PhD is the Director of the Professional Development Division at the Medical College of Wisconsin. He is an expert on teaching people how to help others with their health. In addition to training doctors, he has also worked with community members who are interested in health improvement. In this project his most important role will be to make sure that group leaders are prepared to lead the health-focused group sessions with their fellow VFW members.

 

Kristyn Ertl, BA is a full-time research associate for the Medical College of Wisconsin. She possesses a degree in English from UW-Madison, and will be working as the administrative coordinator for this project. Her primary role will be to facilitate reliable communication among study personnel, community partners, and the funding agent.

 

Contact Information:

 

Jeff Whittle, MD, MPH

Physician Leader

Clement J. Zablocki VA Medical Center

(414) 384-2000, Ext. 46444

jeffrey.whittle@va.gov

 

Kristyn Ertl, BA
Project Coordinator

Clement J. Zablocki VA Medical Center

(414) 384-2000, Ext. 46441

kristyn.ertl@va.gov

 

Jeff Morzinski, PhD

Educational Specialist

Medical College of Wisconsin

(414) 456-4985

jmorzins@mcw.edu

 

Steve Lawrence

VFW Project Partner

VFW Department of Wisconsin

(608) 255-6655

adjqm@vfwofwi.com