Care for Veterans Post-COVID-19

Recruiting now · Not applicable

Conditions studied: Post-Acute COVID-19 Syndrome

In brief

The evidence-based Concordant Care approach involves engaging in processes that: 1) validate the patient's experience, 2) develop a shared understanding of the condition, and 3) create a patient-centered, whole health-oriented action plan to manage the condition. This is consistent with published expert opinion that Concordant Care underlies patients' (and clinicians') positive experiences of care for poorly understood conditions. Despite strong evidence supporting this care approach, there are no interventions to train clinicians on practices to provide Concordant Care for Veterans with poorly understood conditions such as Long-COVID. Part 1 of the study will optimize and test if a Concordant Care training improves VA clinicians' engagement in recommended practices to provide Concordant Care (i.e., validate, shared understanding, action plan) for Veterans with Long-COVID. This study will adapt and refine Concordant Care training for Long-COVID. Part 2 of this study will determine if Concordant Care training increases clinicians' engagement in recommended practices to provide Concordant Care and will explore the effectiveness of Concordant Care on care outcomes including satisfaction, adherence to care, \& disability for Veterans with Long-COVID. Veterans treated by clinicians receiving Concordant Care training will report their clinician more frequently engaged in recommended conversations (i.e., ask about Long-COVID, validate experience with Long-COVID, create a shared understanding and action plan), and Veterans will perceive greater shared understanding of Long-COVID with their clinicians than Veterans treated by clinicians in the control arm.

Key facts

Study ID

NCT05787379

Run by

VA Office of Research and Development

People needed

348

Starts

2025-01-01

Expected to finish

2027-11-30

Last updated by the study team

2025-12-24

Who can join

Age: any. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Part 1 and Part 2, English-speaking VA primary care providers will be included.
• Part 1, Veterans who self-identify as having Long-COVID will be included.
• Part 2, Veterans who meet criteria for Long-COVID assessed with modified DePaul Symptom Questionnaire version 2 will be included;
• Part 2, Veterans must also have a scheduled appointment with one of the participating clinicians within one to six months of the clinician being consented.

You may not qualify if…

• Part 1 and Part 2, clinicians who have already taken Concordant Care training will be excluded.
• Part 1, Veterans will be excluded if they are not receiving care in the VA.
• Part 2, Veterans will be excluded if they were in the Intensive Care Unit (ICU) for COVID-19.

Where it is running

• East Orange Campus of the VA New Jersey Health Care System, East Orange, NJ — East Orange, New Jersey, United States (enrolling)

Full record on ClinicalTrials.gov

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