Web-SUCCEED Program for Chronic Conditions in Veterans
(Web-SUCCEED Trial)
Recruiting in Palo Alto (17 mi)
Age: 18+
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: VA Office of Research and Development
Disqualifiers: Defibrillator, Hemodialysis, Organ transplant, Cancer, Dementia, others
No Placebo Group
Approved in 1 Jurisdiction
Trial Summary
What is the purpose of this trial?The majority of Veterans will suffer from at least one chronic illness, often at great emotional and personal cost. Self-management is critical to improving physical and emotional outcomes, and many chronically ill Veterans receive self-management assistance from an informal caregiver, and both Veterans and informal caregivers experience individual and interpersonal stress as they navigate this journey. Yet, current clinical practices are not designed to effectively support the needs of both Veterans and their informal caregiver. Furthermore, self-management practices often require in-person visits, limiting access for Veterans and informal caregivers who live in rural areas, those with a physical disability, or those with financial challenges. This project tests a web-based, self-guided, behavioral intervention that targets the stress coping needs of Veterans with chronic illness and their informal caregivers. Results from this study could provide an important solution to the problem of poor self-management, which complicates the lives and prognosis of many Veterans.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It seems focused on a web-based program for stress coping, so it's unlikely that medication changes are required.
What data supports the effectiveness of the Web-SUCCEED treatment for chronic conditions in veterans?
Research shows that eHealth interventions, like Web-SUCCEED, can improve self-care in chronic conditions such as diabetes and heart disease, leading to better quality of life and health outcomes. Additionally, self-management programs have been effective in improving health-related outcomes for cancer survivors and arthritis patients, suggesting potential benefits for veterans with chronic conditions.
12345Is the Web-SUCCEED Program safe for managing chronic conditions in veterans?
The available research on eHealth interventions, which includes programs like Web-SUCCEED, suggests they are generally safe and can improve self-care and quality of life for people with chronic conditions. However, specific safety data for Web-SUCCEED itself is not detailed in the provided studies.
12467How is the Web-SUCCEED treatment different from other treatments for chronic conditions in veterans?
Web-SUCCEED is unique because it uses an online platform to provide personalized support and social interaction, making it accessible and cost-effective for veterans managing chronic conditions. This approach leverages the internet's 24/7 availability to enhance self-care through goal setting, feedback, and peer support, which is not typically offered in traditional treatments.
12689Eligibility Criteria
This trial is for Veterans with at least one chronic condition manageable on an outpatient basis and their primary caregivers who live together. Both must use the internet regularly, feel overwhelmed by managing the health condition, but not be in a situation involving interpersonal violence or severe cognitive deficits.Inclusion Criteria
I have a chronic condition that can be managed outside the hospital.
Conditions disproportionately high among Veterans (pain, mental health conditions) are also included
I may have conditions like joint pain, heart disease, diabetes, kidney issues, or depression.
+2 more
Exclusion Criteria
Dyads will be further screened by the study staff for internet use, self-management distress, and interpersonal violence
Veterans who have participated in the Stanford CDSMP program, and caregivers who have participated in the Building Better Caregiver program will be excluded
I do not have a major heart device, am not on dialysis, haven't had or am waiting for an organ transplant, am not undergoing cancer treatment, do not have a short life expectancy, do not suffer from major cognitive issues, do not have a substance use problem, do not rely mainly on a paid caregiver, and am not experiencing severe mental health issues.
Trial Timeline
Screening
Participants are screened for eligibility to participate in the trial
2-4 weeks
Treatment
Participants engage in the web-SUCCEED program or enhanced usual care for self-management of chronic illness
6 weeks
Virtual engagement through web-based platform
Follow-up
Participants are monitored for stress, quality of life, and self-management outcomes
6 months
Assessments at 4 weeks and 6 months
Participant Groups
The study is testing Web-SUCCEED, a web-based program aimed to help Veterans with chronic illnesses and their caregivers manage stress and improve self-management without needing to travel for in-person visits.
2Treatment groups
Experimental Treatment
Active Control
Group I: Web-SUCCEED+Enhanced Usual CareExperimental Treatment1 Intervention
web-SUCCEED, usual care, psychoeducational materials and resources for caregivers.
Group II: Enhanced Usual CareActive Control1 Intervention
Usual care, enhanced by psychoeducational materials and resources for caregivers.
Web-SUCCEED is already approved in United States for the following indications:
🇺🇸 Approved in United States as Web-SUCCEED for:
- Chronic health conditions
- Stress management for veterans and caregivers
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
VA Palo Alto Health Care System, Palo Alto, CAPalo Alto, CA
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Who Is Running the Clinical Trial?
VA Office of Research and DevelopmentLead Sponsor
References
The Impact of eHealth Interventions on the Improvement of Self-Care in Chronic Patients: An Overview of Systematic Reviews. [2022]Promoting self-care is one of the most promising strategies for managing chronic conditions. This overview aimed to investigate the effectiveness of eHealth interventions at improving self-care in patients with type-2 diabetes mellitus, cardiovascular disease, and chronic obstructive pulmonary disease when compared to standard care. We carried out a review of systematic reviews on PubMed, Scopus, Cochrane, PsychInfo, and CINAHL. AMSTAR-2 was used for quality appraisal. Eight systematic reviews (six with meta-analysis) were included, involving a total of 41,579 participants. eHealth interventions were categorized into three subgroups: (i) reminders via messaging apps, emails, and apps; (ii) telemonitoring and online operator support; (iii) internet and web-based educational programs. Six systematic reviews showed an improvement in self-care measurements through eHealth interventions, which also led to a better quality of life and clinical outcomes (HbA1C, blood pressure, hospitalization, cholesterol, body weight). This overview provided some implications for practice and research: eHealth is effective in increasing self-care in chronic patients; however, it is required to designate the type of eHealth intervention based on the needed outcome (e.g., implementing telemonitoring to increase self-monitoring of blood pressure). In addition, there is a need to standardize self-care measures through increased use of validated assessment tools.
Adaptation of the chronic disease self-management program for cancer survivors: feasibility, acceptability, and lessons for implementation. [2021]Self-management in chronic disease has been shown to improve patient-reported and health care-related outcomes. However, relatively little information about its utility in cancer survivorship is known. We evaluated the feasibility and acceptability of the delivery of an adaptation of the evidence-based Chronic Disease Self-management Program (Stanford) called Cancer Thriving and Surviving (CTS). Triangulated mixed methods were used to capture baseline characteristics and post-program experiences using a combination of closed- and open-ended survey items; emergent coding and simple descriptive statistics were used to summarize the data. Twenty-seven workshops were delivered by 22 CTS leaders to 244 participants between August 2011 and January 2013 in a variety of settings (48 % community, 30 % health care, 22 % regional/community cancer center). Representing a variety of cancer types, about half the participants were 1-3 years post-diagnosis and 45 % were 4 or more years from diagnosis. Program attendance was high with 84 % of participants attending four or more of the six sessions in the workshop. Overall, 95 % of the participants were satisfied with the program content and leaders, and would recommend the program to friends and family. These results confirm the feasibility and acceptability of delivery of a high-fidelity, peer-led model for self-management support for cancer survivors. Expansion of the CTS represents a powerful tool toward improving health-related outcomes in this at-risk population.
A pilot evaluation of Arthritis Self-Management Program by lay leaders in patients with chronic inflammatory arthritis in Hong Kong. [2021]The objectives of this paper are to evaluate the efficacy of a community-based lay-led Arthritis Self-Management Program (ASMP) among patients with chronic inflammatory arthritis and evaluate the effectiveness of "shared care collaboration" between hospital and community. We trained 17 lay leaders and recruited patients with chronic inflammatory arthritis via a new shared-care model between hospital rheumatology centers and community organizations. Participants were allocated to interventional group or a wait list control group. Evaluations were completed before, after (6 weeks), and 3 months after ASMP. We performed analysis of covariance with adjustment with age, sex, marital status, education, employment, duration of illness, and disability at baseline. A total of 65 participants and 32 controls completed the study. The mean (SD) age and duration of illness were 52.0 (11.4) and 5.6 (7.3) years, 90.7 % were female, 80.4 % had rheumatoid arthritis; 25.8, 53.6, and 12.4 % referrals were from hospitals, community organizations, and patient self-help groups, respectively. The interventional group had significantly less pain (p = 0.049 at 6 weeks), used more cognitive coping methods (p = 0.008 at 6 weeks, p = 0.041 at 3 months) and practiced more aerobic exercise (p = 0.049 at 6 weeks, p = 0.008 at 3 months) after adjustment of covariance. The interventional group had a trend of improvement in self-efficacy, fatigue, self-rated health, and health distress. A community-based lay-led ASMP showed positive beneficial effects on participants with chronic inflammatory arthritis. Shared-care collaboration between hospitals, community organizations, and patient self-help groups was demonstrated.
Measuring chronic condition self-management in an Australian community: factor structure of the revised Partners in Health (PIH) scale. [2018]To evaluate the factor structure of the revised Partners in Health (PIH) scale for measuring chronic condition self-management in a representative sample from the Australian community.
Spanish version of the Self-Care of Chronic Illness Inventory: A validation study amongst community-dwelling older adults with chronic multimorbidity. [2023]To psychometrically assess the Spanish version of the Self-Care of Chronic Illness Inventory (SC-CII-Sp) in community-dwelling older adults with chronic multimorbidity.
Using digital interventions for self-management of chronic physical health conditions: A meta-ethnography review of published studies. [2022]To understand the experiences of patients and healthcare professionals (HCPs) using self-management digital interventions (DIs) for chronic physical health conditions.
Interventions to Support Behavioral Self-Management of Chronic Diseases. [2020]A majority of the US adult population has one or more chronic conditions that require medical intervention and long-term self-management. Such conditions are among the 10 leading causes of mortality; an estimated 86% of the nation's $2.7 trillion in annual health care expenditures goes toward their treatment and management. Patient self-management of chronic diseases is increasingly essential to improve health behaviors, health outcomes, and quality of life and, in some cases, has demonstrated effectiveness for reducing health care utilization and the societal cost burden of chronic conditions. This review synthesizes the current state of the science of chronic disease self-management interventions and the evidence for their effectiveness, especially when applied with a systematic application of theories or models that account for a wide range of influences on behavior. Our analysis of selected outcomes from randomized controlled trials of chronic disease self-management interventions contained in 10 Cochrane systematic reviews provides additional evidence to demonstrate that self-management can improve quality of life and reduce utilization across several conditions.
Feasibility and use of an Internet support service for diabetes self-management. [2018]Diabetes self-management is a challenging task due to its complexity and ever-present barriers to self-care. A key issue for patients, providers, and healthcare systems is how to deliver personalized behavioral support in ways that are affordable and can reach most patients. The Internet offers several advantages in this regard because it is available 24 hours a day, low cost, and capable of reaching thousands of patients. Although Internet sites for diabetes support are popular, they have not been evaluated. For this study, a Web site for diabetes self-management that emphasized personalized goal setting, feedback, and social support was developed. Over a 10-week period, 111 different persons logged onto D-NET for a total of 21,046 accesses. Users included persons across a broad age range (up to age 77 years) and duration of diabetes. The most popular areas of the site were the Social Support Conference and the Diabetes Information Pages. User ratings revealed high satisfaction with the service. The Internet has great potential for providing needed support and services for patients with diabetes and other chronic illnesses.
Online peer support interventions for chronic conditions: a scoping review protocol. [2022]Label="INTRODUCTION" NlmCategory="BACKGROUND">Peer support is receiving increasing attention as both an effective and cost-effective intervention method to support the self-management of chronic health conditions. Given that an increasing proportion of Canadians have internet access and the increasing implementation of web-based interventions, online peer support interventions are a promising option to address the burden of chronic diseases. Thus, the specific research question of this scoping review is the following: What is known from the existing literature about the key characteristics of online peer support interventions for adults with chronic conditions? METHODS AND ANALYSIS: We will use the methodological frameworks used by Arksey and O'Malley as well as Levac and colleagues for the current scoping review. To be eligible for inclusion, studies must report on adults (≥18 years of age) with one of the Public Health Agency of Canada chronic conditions or HIV/AIDS. We will limit our review to peer support interventions delivered through online formats. All study designs will be included. Only studies published from 2012 onwards will be included to ensure relevance to the current healthcare context and feasibility. Furthermore, only English language studies will be included. Studies will be identified by searching a variety of databases. Two reviewers will independently screen the titles and abstracts identified by the literature search for inclusion (ie, level 1 screening), the full text articles (ie, level 2 screening) and then perform data abstraction. Abstracted data will include study characteristics, participant population, key characteristics of the intervention and outcomes collected.