High-quality COPD Care for People With Immune Dysfunction Through Proactive E-consults

Completed · Not applicable

Conditions studied: COPD, HIV/AIDS

In brief

This study examines an intervention to promote effective, evidence-based care and de-implement inappropriate therapies for COPD in HIV-infected (HIV+) patients. The intervention facilitates specialist support of primary care, which includes infectious disease (ID) physicians who serve as the primary care providers (PCP) for their HIV+ patients in the ID clinic. Rather than relying on referral-driven specialty care which may be a barrier to access, pulmonologists will proactively support ID providers to manage a population of HIV+ patients with COPD, delivering real-time evidence-based recommendations tailored to the individual HIV+ patient in the form of an E-consult.

Key facts

Study ID

NCT03856879

Run by

Seattle Institute for Biomedical and Clinical Research

People needed

270

Starts

2019-05-21

Expected to finish

2025-05-31

Last updated by the study team

2025-07-30

Who can join

Age: 18 and older, up to 89. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Providers:
• Outpatient infectious disease providers at one of the seven local sites participating in this study.
• Patients:
• HIV+ patients with COPD treated by providers enrolled in the study.

You may not qualify if…

• Providers:
• Trainees
• Patients:
• Significant cognitive dysfunction, language barriers or severe psychiatric disorder, impairing ability to participate in surveys and interviews.

Where it is running

• VA Greater Los Angeles Healthcare System — Los Angeles, California, United States
• VA Eastern Colorado Health Care System — Denver, Colorado, United States
• VA Connecticut Healthcare System — New Haven, Connecticut, United States
• Washington DC VA Medical Center — Washington D.C., District of Columbia, United States
• Atlanta VA Health Care System — Atlanta, Georgia, United States
• Philadelphia VA Medical Center — Philadelphia, Pennsylvania, United States
• Nashville VA Medical Center — Nashville, Tennessee, United States

Full record on ClinicalTrials.gov

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