ECHO Model for Enhancing Chronic Intestinal Failure Care: The LIFT-ECHO Last Mile Project
This study, ECHO Model for Enhancing Chronic Intestinal Failure Care, aims to improve health services for individuals on home parenteral nutrition. It will measure patients' quality of life using the HPN-PROQ tool, assessing physical health, emotional well-being, social functioning, and treatment burden.
Learn Intestinal Failure Tele-ECHO Program
+ Standard of Care
Intestinal Failure+1
+ Digestive System Diseases
+ Gastrointestinal Diseases
Services Research Study
Summary
Study start date: January 2, 2026
Actual date on which the first participant was enrolled.The study aims to evaluate a specific approach called the LIFT-ECHO model to improve care for patients with Chronic Intestinal Failure (CIF). This condition affects the digestive system, making it hard for the body to absorb nutrients properly. The research involves doctors from at least 150 different sites, each overseeing patients with CIF. By understanding how the LIFT-ECHO model can enhance treatment, the study seeks to offer better health outcomes for these patients, potentially leading to improved quality of life and more effective management of the condition. In this trial, doctors are randomly assigned to either continue their usual practices or switch to using the LIFT-ECHO model. This switch is determined by a computer algorithm. Once a doctor starts using the LIFT-ECHO model, they continue with it throughout the study. Initially, there is a 6-month period where normal practices are observed, followed by a 2-month introduction of the LIFT-ECHO model. After this, patients continue to receive treatment under the new approach for a year. The study looks at how patient care improves over time, helping to determine the model's effectiveness in managing CIF.
Protocol
This section provides details of the study plan, including how the study is designed and what the study is measuring.150 patients to be enrolled
Total number of participants that the clinical trial aims to recruit.Services Research Study
Eligibility
Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.Any sex
Biological sex of participants that are eligible to enroll.Over 5 Years
Range of ages for which participants are eligible to join.Healthy volunteers allowed
If individuals who are healthy and do not have the condition being studied can participate.Conditions
Pathology
Criteria
Inclusion Criteria: * CIF patient participants must meet the following criteria in order to be considered eligible for participation: * Individuals of adult age (18 years or older), including pregnant women or Individuals of age \> 5 years with parental consent and patient assent. * Diagnosis of chronic intestinal failure (ie. on PN \>6 months with no malignancy, no HIV and a malabsorption or post-surgical diagnosis) * Currently receiving PN from a homecare infusion service company * Physician Inclusion Criteria: * Physician participants must meet the following criteria in order to be considered eligible for participation: * Individuals of adult age (18 years or older), including pregnant women * Hold an MD or DO degree * Be a licensed physician prescriber with a homecare infusion service company Exclusion Criteria: * Participants meeting one or more of the following criteria will be excluded from participation: * Adults unable to consent (individuals with impaired decision-making capacity) * Prisoners * Children \> 5 years who dissent
Study Plan
Find out more about all the medication administered in this study, their detailed description and what they involve.2 intervention groups are designated in this study
This study does not include a placebo group
Treatment Groups
Group I
Active ComparatorGroup II
ExperimentalStudy Objectives
Primary Objectives
Secondary Objectives
Study Centers
These are the hospitals, clinics, or research facilities where the trial is being conducted. You can find the location closest to you and its status.This study has 5 locations
New York Academy of Medicine (NYAM)
New York, United StatesRhode Island Hospital
Providence, United StatesUniversity of Utah
Salt Lake City, United States