Proactive E-consults for COPD in HIV/AIDS Patients
(ACHIEVE Trial)
Trial Summary
What is the purpose of this trial?
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.
Research Team
Christian D. Helfrich, PhD, MPH
Principal Investigator
VA Puget Sound Health Care System
Kristina A Crothers, MD
Principal Investigator
VA Puget Sound Health Care System
David H Au, MD, MS
Principal Investigator
VA Puget Sound Health Care System
Eligibility Criteria
This trial is for HIV+ patients with Chronic Obstructive Pulmonary Disease (COPD) who are treated by outpatient infectious disease providers at one of the seven local sites in this study. It excludes those with significant cognitive dysfunction, language barriers, or severe psychiatric disorders that impair survey and interview participation.Inclusion Criteria
Exclusion Criteria
Timeline
Screening
Participants are screened for eligibility to participate in the trial
Intervention
Providers receive proactive E-consults with expert recommendations for COPD care prior to appointments with HIV+ patients with COPD
Follow-up
Participants are monitored for satisfaction and quality of care after receiving E-consults
Treatment Details
Interventions
- Proactive E-consult
Find a Clinic Near You
Who Is Running the Clinical Trial?
Seattle Institute for Biomedical and Clinical Research
Lead Sponsor
VA Tennessee Valley Health Care System
Collaborator
VA Puget Sound Health Care System
Collaborator
Washington D.C. Veterans Affairs Medical Center
Collaborator
VA Eastern Colorado Health Care System
Collaborator
Yale University
Collaborator
Corporal Michael J. Crescenz VA Medical Center
Collaborator
VA Connecticut Healthcare System
Collaborator
Nashville VA Medical Center
Collaborator
VA Greater Los Angeles Healthcare System
Collaborator