Recruiting

Veterans Care

Sponsor:

VA Office of Research and Development

Code:

NCT05787379

Conditions

Post-Acute COVID-19 Syndrome

Eligibility Criteria

Sex: All

Age: 0+

Healthy Volunteers: Not accepted

Interventions

Concordant Care Training

Education Packet Training

Study Details

Brief summary:

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.

Conditions

Post-Acute COVID-19 Syndrome

Study ID

NCT05787379

Start date

Jan 1, 2025

Status verified date

Dec, 2025

Completion date

Nov 30, 2027

Anticipated

Primary completion date

Nov 30, 2027

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 0+

Healthy Volunteers: Not accepted

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.

Study Design

Enrollment

348 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Health Services Research

Interventions and Outcome Measures

Arms

experimental: Providers receiving Long-COVID Concordant Care Training

Providers randomized to this arm will receive concordant care training.

active comparator: Providers receiving Education Packet Training

Providers randomized to this arm will receive education packet training.

Interventions

Concordant Care Training

Concordant Care training has four components. 1. Clinicians will complete \~3 hours of online, asynchronous training that will teach them practices including validate Veterans' experiences with Long-COVID, develop shared understanding with patients about Long-COVID, and develop patient-centered action plans. Clinicians will be provided with handouts, case examples, video demonstrations, and practice exercises to help them integrate these practices into care. 2. Tele-mentoring groups will be offered \~bi-weekly and be open to all clinician participant in the Concordant Training arm. Content will include review of specific cases, didactics on specific Concordant Care practices, role-play exercises, and review of session recordings. At least two sessions are required. 3. Clinician Pocket Card that serves as a reminder of the Concordant Care process. 4. An electronic prompt will be sent to enrolled Veterans encouraging them to speak with their clinician about their Long-COVID concerns.

Education Packet Training

Clinicians randomized to the control arm will receive a comprehensive information packet with the latest understanding of Long-COVID. Clinicians will also be provided a packet directing them to relevant VA trainings for Long-COVID. Whole Health trainings which focus on wholistic integrated approaches to care will be highlighted. Whole Health is important for all Veterans, and it is thought to be particularly relevant for poorly understood conditions that don't easily fit in traditional medical model.

Primary outcome measure

  • Concordant Care Practice Change [ Time Frame: Baseline and 3-months ]
  • Concordance of Illness Perceptions Questionnaire Change [ Time Frame: Baseline and 3-months ]

Central Contacts and Locations

Central contacts

Lisa M McAndrew, PhD

(862) 400-3317Lisa.Mcandrew@va.gov

Shannon Nugent, PhD

(503) 220-8262shannon.nugent@va.gov

Locations

East Orange Campus of the VA New Jersey Health Care System, East Orange, NJ

Recruiting

East Orange, New Jersey, United States, 07018

Contacts

Amanda L Matteson

(973) 676-1000amanda.matteson@va.gov

Principal Investigator:

Lisa Marie McAndrew, PhD

More Information

Sponsor

VA Office of Research and Development

Last update posted

Dec 24, 2025

Last verified

Dec, 2025

Keywords

  • training
  • COVID-19
  • post-acute sequelae of COVID infection

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by VA Office of Research and Development on 2025-12-24.