Veteran-Centered Care for Advanced Liver Disease (Vet-CALD) (NCT06068491)
Integrating Veteran-Centered Care for Advanced Liver Disease (I-VCALD)
🩺 Plain-English Summary (8th-Grade Level)
Advanced liver disease is a serious illness that disproportionately affects Veterans, many of whom hope for curative liver transplantation. However, too few receive a transplant and most continue to suffer from increasing symptoms and hospitalizations. The proposed project uses a whole person, Veteran-centered approach that identifies Veterans with advanced liver disease using a population-based health management system and integrates curative and early supportive care using a telemedicine-based nurse care counselor to (1) discuss patient's understanding of illness severity and prognosis, (2) identify priorities and care preferences and (3) align curative and supportive care options to achieve patient priorities. Study outcomes include changes in (1) rates of consideration for liver transplantation, and (2) completion of serious illness discussions. Findings will inform adaptations to the intervention and facilitators for its dissemination.
Who can join: Review the eligibility criteria below.
Location: Central Arkansas Veterans Healthcare System , Little Rock, AR — Little Rock, Arkansas
Age range: 18 Years to 80 Years
🧪 Interventions in This Study
- Vet-CALD (OTHER)
📋 "Do I Qualify?" — 1-Minute Self Screener
Instant ChecklistFull eligibility criteria are available on the official NIH protocol. View the criteria ↗
📍 All Participating Trial Locations (8 Sites)
- Central Arkansas Veterans Healthcare System , Little Rock, AR — Little Rock, Arkansas
- VA Long Beach Healthcare System, Long Beach, CA — Long Beach, California
- VA Palo Alto Health Care System, Palo Alto, CA — Palo Alto, California
- VA Greater Los Angeles Healthcare System, West Los Angeles, CA — West Los Angeles, California
- VA Connecticut Healthcare System West Haven Campus, West Haven, CT — West Haven, Connecticut
- Miami VA Healthcare System, Miami, FL — Miami, Florida
- VA North Texas Health Care System Dallas VA Medical Center, Dallas, TX — Dallas, Texas
- Michael E. DeBakey VA Medical Center, Houston, TX — Houston, Texas
📞 Contact the Study Coordinator
Phone: (713) 440-4423
Email: Donna.Smithd19d7@va.gov
Coordinator details come directly from the registered NIH protocol. Confirm the study is still recruiting before traveling.
💰 Cost, Insurance & Patient Rights
- 100% Free Items: The investigational treatment and protocol-required procedures are supplied at zero cost by the sponsor.
- Routine Patient Care: Under federal law (ACA § 2709) and many state statutes, routine care costs are covered during participation.
- Voluntary Participation: You may withdraw at any time without affecting your standard medical care.
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💡 How to Participate
- Check the checklist above to see if you may qualify.
- Contact the study coordinator using the phone/email above.
- Ask about the visit schedule, what is covered at no cost, and any travel support.
- Confirm with your own doctor before making a decision.