ACTIVE_NOT_RECRUITING

Telehealth-delivered Peer Support to Improve Quality of Life Among Veterans With Multimorbidity

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Conditions

MultimorbidityPeer health coachingHealth-related quality of lifeVeteransSelf-managementSocial supportMultiple chronic conditionsTelemedicine

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Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

The VetASSIST study is a randomized clinical trial testing whether receiving virtual health coaching from Veteran peers improves the physical and mental health-related quality of life of Veterans with multiple chronic health conditions and complex healthcare needs. VetASSIST will test the efficacy of an intervention that matches Veteran patients with multimorbidty with Veteran health coaches who will provide education, resources, guidance and support to help them manage their physical and mental health over the course of a year.

Official Title

Telehealth-delivered Peer Support to Improve Quality of Life Among Veterans With Multimorbidity

Quick Facts

Study Start:2023-10-19
Study Completion:2026-09-30
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:ACTIVE_NOT_RECRUITING

Study ID

NCT05560451

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * Veteran patient receiving primary care from VA Puget Sound
  2. * Complex multimorbidity (\>=3 chronic conditions in \>=3 body systems based on AHRQ Chronic Condition Index)
  3. * Meets \>=2 criterion from NICE multimorbidity guidelines: 1) have a chronic physical and mental health condition (via ICD-10 codes in CDW and the CCI); 2) frailty (determined by the JEN Frailty Index available in VA data, confirmed via self-reported PRISMA-7 during the eligibility screening; 3) frequent emergency care (\>=1 VA emergency department visit in past year via CDW); 4) polypharmacy (\>=10 prescribed medications via CDW), or 5) significant treatment burden (score \>22 on the self-reported Multimorbidity Treatment Burden Questionnaire at study screening).
  4. * Inclusion criteria assessed via the phone screen includes frailty; treatment burden; and willingness to use a either a phone or an Internet-connected device with a web camera and an email address and/or ability to receive text messages to ensure receipt of VVC visit links.
  5. * Agree to participate in the health coaching sessions and surveys if assigned to intervention group
  1. * Not fluent in English
  2. * Severe hearing loss
  3. * No phone access and/or missing phone number
  4. * Missing address
  5. * Diagnosis of dementia or severe cognitive impairment within last year
  6. * Diagnosis of end stage renal disease or on dialysis within last year
  7. * Receipt of palliative or hospice care in the past year
  8. * Receipt of nursing home care in past year (Stop codes: 650, 651,119,121)
  9. * Currently living in a nursing home, skilled nursing facility, rehabilitation facility, or long-term care facility
  10. * Behavior flags in EHR
  11. * Active treatment for non-melanoma skin cancer diagnosis
  12. * Diagnosis of substance use dependence/abuse disorder in last year (excluding tobacco)
  13. * Diagnosis of psychotic disorder in last year
  14. * Pregnant or planning to become pregnant in next 6 months
  15. * Score of \>8 (severe risk) on self-reported AUDIT-C questions on eligibility screen

Contacts and Locations

Principal Investigator

Kristen E. Gray, PhD MS BS
PRINCIPAL_INVESTIGATOR
VA Puget Sound Health Care System Seattle Division, Seattle, WA
Katherine D Hoerster, PhD MPH BA
PRINCIPAL_INVESTIGATOR
VA Puget Sound Health Care System Seattle Division, Seattle, WA

Study Locations (Sites)

VA Puget Sound Health Care System Seattle Division, Seattle, WA
Seattle, Washington, 98108-1532
United States

Collaborators and Investigators

Sponsor: VA Office of Research and Development

  • Kristen E. Gray, PhD MS BS, PRINCIPAL_INVESTIGATOR, VA Puget Sound Health Care System Seattle Division, Seattle, WA
  • Katherine D Hoerster, PhD MPH BA, PRINCIPAL_INVESTIGATOR, VA Puget Sound Health Care System Seattle Division, Seattle, WA

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2023-10-19
Study Completion Date2026-09-30

Study Record Updates

Study Start Date2023-10-19
Study Completion Date2026-09-30

Terms related to this study

Keywords Provided by Researchers

  • Peer health coaching
  • Health-related quality of life
  • Veterans
  • Multimorbidity
  • Self-management
  • Social support
  • Multiple chronic conditions
  • Telemedicine

Additional Relevant MeSH Terms

  • Multimorbidity