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Care for Veterans Post-COVID-19
Leveraging Knowledge of Chronic Multisymptom Illness to Improve Care for Veterans
Who can join
All ages · All sexes
Full eligibility criteria
Inclusion Criteria: * 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. Exclusion Criteria: * 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.
About the study
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.
What is being tested
- Concordant Care Training (behavioral)
- Education Packet Training (behavioral)
Sponsor: VA Office of Research and Development · Participants: 348 · Started: Jan 1, 2025
Contact the study team
- Lisa M McAndrew, PhD · Phone: (862) 400-3317
- Shannon Nugent, PhD · Phone: (503) 220-8262
Official record on ClinicalTrials.gov — NCT05787379
Locations in the U.S.
| New Jersey | East Orange Campus of the VA New Jersey Health Care System, East Orange, NJ, East Orange |
Conditions
From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.