This is a two-part study. Part 1 of the study will optimize and test if a Concordant Care
training improves VA clinicians' engagement in recommended practices to provide
Concordant Care (i.e., validate, shared understanding, action plan) for Veterans with
Long-COVID. The evidence-based Concordant Care approach involves engaging in processes
that: 1) validate the patient's experience, 2) develop a shared understanding of the
condition, and 3) create a patient-centered, whole health-oriented action plan to manage
the condition. Concordant Care will be adapted through interviews and focus groups with
Veterans with Long-COVID (estimated n=9) and primary care providers (estimated n=21).
Feedback from the participants will help refine and test Concordant Care training. Part 2
of this study will determine if Concordant Care training increases clinicians' engagement
in recommended practices to provide Concordant Care and will explore the effectiveness of
Concordant Care on care outcomes including satisfaction, adherence to care, & disability
for Veterans with Long-COVID. Part 2 will be a randomized parallel cluster trial with
primary care clinicians (n=60) separated into a Concordant Care training group and an
education packet control group. Veterans (n=240) who have an upcoming appointment with
their primary care provider who is a participant in the study will be recruited. The
Veterans will be assessed at baseline before their appointment and approximately 3-months
later after their appointment. Veterans treated by clinicians receiving Concordant Care
training will report their clinician more frequently engaged in recommended conversations
(i.e., ask about Long-COVID, validate experience with Long-COVID, create a shared
understanding and action plan), and Veterans will perceive greater shared understanding
of Long-COVID with their clinicians than Veterans treated by clinicians in the control
arm.