Virtual Palliative Care for Heart Failure or COPD

(VITALVET:ADAPT Trial)

This trial examines whether a virtual care team, consisting of a nurse and a social worker, can improve the well-being and quality of life for Veterans with heart failure or COPD. The trial compares two support methods for this care team: Enhanced Implementation Support and Standard Implementation Support. Veterans experiencing significant impacts on daily life due to heart failure or COPD may be well-suited for this study. The goal is to determine if this approach can better manage symptoms like breathlessness and fatigue while also addressing emotional and mental health needs. As an unphased trial, it offers Veterans a unique opportunity to contribute to innovative care solutions that may enhance their daily lives.

Research has shown that the virtual nurse and social worker palliative care team is safe and well-received by patients with heart failure or COPD. Studies have found that patients receiving this care reported a better quality of life, indicating the treatment's effectiveness and manageability.

These studies reported no major side effects, reassuring for safety. Most patients completed the treatment as planned, with many finishing it after six months. This suggests that most patients could adhere to the treatment without significant issues.

Researchers are excited about these treatments because they aim to revolutionize palliative care for heart failure and COPD patients with a virtual approach. Traditionally, palliative care relies on in-person visits and support, but these new methods use a virtual nurse and social worker team, making it more accessible and potentially more consistent for patients. The "Enhanced Implementation Support" arm of the trial includes innovative strategies like pre-implementation activities and sustainability planning, which could lead to more effective and lasting integration of this virtual care model. By exploring these new methods, researchers hope to improve the quality of care and support for these patients, making it easier for them to manage their conditions and maintain their well-being.

Research has shown that a virtual team consisting of a nurse and a social worker can enhance the quality of life for patients with heart failure or COPD. In this trial, some participants will receive care from this virtual team with Enhanced Implementation Support, while others will receive Standard Implementation Support. Studies have found that patients under the care of this team experience greater well-being compared to those receiving regular care. Specifically, one study revealed that patients experienced less depression and anxiety, common issues in these conditions. Additionally, the care improved patients' perceptions of their heart or lung health. These findings suggest that this approach can significantly benefit individuals managing these chronic conditions.¹²³⁶⁷