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Web-based Program for Veterans and Caregivers with Chronic Conditions

This study is testing a web-based program called web-SUCCEED. It's designed for Veterans with chronic medical conditions and their informal caregivers. The program aims to improve how Veterans manage their health by strengthening communication and teamwork between them and their caregivers, and helping them cope with stress. We want to see if web-SUCCEED helps Veterans better manage their chronic illnesses. You may be able to join if you are at least 18 years old, have a chronic condition that can be managed by outpatient care, and have an informal caregiver. The study is planning to enroll 396 participants, but its current recruitment status is unclear.

Study design
This interventional study plans to include 396 participants. It is testing a behavioral intervention called web-SUCCEED.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
Your self-care will be measured at the start of the study, after 6 weeks, and again after 6 months.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT06001541

Web-based Program to Improve Self-management Among Veterans-caregiver Dyads

Recruiting
NAAges 18+InterventionalHealth services
VA Office of Research and Development
~396 participants
Updated 2026-07-20 on ClinicalTrials.gov
What's tested:Web-SUCCEED

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Self-care of Chronic Illness Inventory Change
Measured over Baseline (pre intervention), 6 week (post intervention), 6 month (follow-up)

Conditions

Chronic Medical Conditions

Explore related trials

Cardiovascular DisorderChronic DiseaseDepressionDiabetes MellitusMusculoskeletal PainNephropathy

Where it's being run

1 sites across 1 states
California1

Study leadership

  • Ranak B Trivedi, PhD MA MS · PRINCIPAL_INVESTIGATOR · VA Palo Alto Health Care System, Palo Alto, CA

Who to contact

Ranak B Trivedi, PhD MA MS
[email protected]
(650) 493-5000 · ext. 25225
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Eligibility criteria

Inclusion

Participants will be medically eligible if they have been diagnosed with at least one common chronic condition considered responsive to outpatient management as defined by being on the AHRQ list of Patient Quality Indicators, which are conditions that are considered responsive to high quality outpatient care.
The investigators will also include conditions that are disproportionately high among Veterans (pain, mental health conditions).
Based on the pilot study, the investigators anticipate this to include:
musculoskeletal pain
cardiovascular disease
diabetes
kidney disease
depression
Eligible participants will have at least one outpatient visit in the prior 12 months related to their diagnosis and have a primary caregiver who lives with the Veteran. Dyads will be excluded if either the Veterans or their caregiver:
1\) have an implantable cardioverter defibrillator
2\) are on hemodialysis
3\) have received an organ transplant or are waitlisted for one
4\) are undergoing chemotherapy or radiation for cancer
5\) have limited life expectancy as determined by the provider or hospice care
6\) have dementia or other major cognitive deficits
7\) have a substance use disorder (SUD), since supporting interpersonal relationships in SUDs require specialized training that is outside the scope of web-SUCCEED
8\) have a paid caregiver who provides 50% or more support to the Veteran
9\) are actively psychotic or suicidal. Due to content overlap, the investigators will exclude Veterans who have participated in the Stanford CDSMP program, and caregivers who have participated in the Building Better Caregiver program

Exclusion

a. Internet Use: The investigators will use the question that used in the pilot study, "How often do you use a computer?" The investigators will exclude dyads where either Veterans or caregivers answer "less than once a week."
b. Self-management Distress: The investigators will screen Veterans and caregivers for self-management distress using the same two-item measure that have been used for the pilot study of web-SUCCEED:
1\) How overwhelmed do you feel by the demands of living with your \[OR Veteran's\] health condition(s)?
2\) How often do you feel that you are failing in your routine to manage your \[OR Veteran's\] health conditions?" Respondents rate items from 1 (Not a problem) to 6 (A very serious problem), and scores are added. Dyads will be eligible if both individuals score a minimum of 2 and at least one scores \>3.
c. Interpersonal Violence: Veterans and caregivers will be separately screened with the question, "How do you and \[Veteran, caregiver\] handle stressful conversations or conflict?" If needed, this will be followed up with: "In the last year, has it gotten physical or have there been threats of physical force?". If the answer to the last question is "yes", dyads will not be eligible. Dr. Trivedi will assess for immediate safety, provide local resources, and involve authorities if appropriate. In the investigators' experience, this is a low likelihood event.

What this trial measures

  • Self-care of Chronic Illness Inventory ChangeBaseline (pre intervention), 6 week (post intervention), 6 month (follow-up)

    The SC-CII is based on the Middle Range Theory of Self-care. \[Across three 10-item scales, the SC-CII assesses self-care maintenance (i.e., health-promoting and illness-related behaviors such as treatment adherence), self-care monitoring (i.e., ability to track symptoms and signs of an illness such as shortness of breath), and self-care management (i.e., ability to take action to deal with symptoms such as taking a diuretic to relieve fluid build-up). Coefficient alphas of the 3 subscales are: self-care monitoring (.81), self-care management (.71), and self-care maintenance (.67) in testing with patients with common chronic conditions. Each scale is standardized to a score of 100, and scores of 70 or more on each scale indicate adequate self-management.