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Cardiovascular DiseasesCOVIQuestNCT04359875

A Phone-call With a Student/General Practitioner Team to Impact Morbidity of Chronic Patients During COVID-19 Containment

A study testing Phone-call screening and management by a medical student/general practitioner tandem in people with Cardiovascular Diseases and Mental Disorder, run by University Hospital, Tours at 1 site in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Following the announcement of the containment of the population due to the COVID-19 epidemic on March 17, 2020 in France, a notable decrease in the number of consultations in general practice was reported. Read more about this study

Who is it for?
Ages 18 to 110 years
Conditions the study is for
Cardiovascular Diseases, Mental Disorder
What is being tested?
Phone-call screening and management by a medical student/general practitioner tandem
Could I receive a placebo?
No, everyone receives an active treatment
How many people
22,000 participants
Where
1 siteFrance
Study dates
30 Apr 2020to 31 Dec 2020
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 110 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female
  • >= 18 years of age
  • Participants covered by or entitled to social security
  • With a chronic cardiovascular or mental disease as referenced in the long term illness (ALD) list (i.e. with an ALD 23 for mental disease)
  • Followed regularly by their general practitioner (i.e. entered in the list of patients followed by a general practitioner by French Health Insurance
  • Participants who has given oral, express and informed consent

Who cannot join

  • Patients with both a cardiovascular ALD and a mental health ALD (they will benefit from the intervention, without participating in the trial)
  • Patients already and directly managed by their general practitioner during containment and whose general practitioner refuses that the patient be contacted by someone other than himself
  • Patients unable to provide informed consent.

Trial locations and contacts

1 site in 1 country.

France1 site
  • Dibao-Dina

    Tours, 37000

Other trials in France

About this study

Official title: Does a Systematic Phone-call by a Medical Student/General Practitioner Team in Patients Suffering From a Chronic Condition During the COVID-19 Containment Period Impact One-month Hospitalization's Rate in France? A Cluster Randomized Trial

Following the announcement of the containment of the population due to the COVID-19 epidemic on March 17, 2020 in France, a notable decrease in the number of consultations in general practice was reported. Patients no longer contact their general practitioner, including those with regular follow-up for one or more chronic conditions. This observation raised worries since it could lead to delay or failure in detecting decompensations / complications of these chronic conditions by a lack of recourse to care. Thus, an urgent message from the National Health Department (Direction Générale de la Santé - DGS) was adressed on April 8, 2020 to the health professionals regarding the organization of care aside from COVID-19. The main recommendation was "that the personal physician or the corresponding specialist should contact the most fragile patients with chronic condition to ensure follow-up and detect any risk of decompensation ".

Such fragile patients are in great numbers, up to more than 200 for an average general practitioner. Therefore, although this recommendation is regarded as "essential in view of the health needs of the population", it will prove quite difficult to follow without the help of a skilled external assistance that can be quickly mobilized.

Read the detailed description

Following the announcement of the containment of the population due to the COVID-19 epidemic on March 17, 2020 in France, a notable decrease in the number of consultations in general practice was reported. Patients no longer contact their general practitioner, including those with regular follow-up for one or more chronic conditions. This observation raised worries since it could lead to delay or failure in detecting decompensations / complications of these chronic conditions by a lack of recourse to care. Thus, an urgent message from the National Health Department (Direction Générale de la Santé - DGS) was adressed on April 8, 2020 to the health professionals regarding the organization of care aside from COVID-19. The main recommendation was "that the personal physician or the corresponding specialist should contact the most fragile patients with chronic condition to ensure follow-up and detect any risk of decompensation ".

Such fragile patients are in great numbers, up to more than 200 for an average general practitioner. Therefore, although this recommendation is regarded as "essential in view of the health needs of the population", it will prove quite difficult to follow without the help of a skilled external assistance that can be quickly mobilized.

The COVIQUEST project is a cluster randomized trial in general practice designed to assess the optimizationg of the screening and management of patients with chronic condition at risk of decompensation through a collaboration between the general practitioner and a medical student.

The trial will focus on patients wit cardiovascular conditions aged 70 or more and patients with mental health conditions. These conditions are both highly prevalent in general practice and both at risk of severe short-term complications.

Practices will be randomly assigned to a group (A or B). In group A, students will start by contacting patients with cardiovascular conditions; in group B they will start by contacting patients patients with mentral health conditions. The students will call these patients on the phone and ask them specific questions about their health, their needs, and if they want their general practitioner to call them back. The student will then transmit this information to the general practitioner who will decide on the best care to offer the patient.

The primary outcome is defined as the occurrence of hospitalization during a one-month period after the phone call. It will be collected by a second phone call from the medical student. This time, all patients will be contacted, i.e. both patients with mental illness and cardiovascular patients, whatever the group. Thus, patients allocated to the control groups (i.e. patients with mental illness from group A and cardiovascular patients from group B) will also benefit from the intervention at 1 month: again, students will ask patients about their health and whether they want their general practitioner to call them back.

This approach has several advantages:

  1. all patients will benefit from a phone call, in accordance with the recommendations of the DGS,
  2. the involvement of students, competent in medical interviews and quickly mobilizable, will help general practitioners, on the front line of many missions, without any health risk linked to the contagiousness of COVID-19 for students,
  3. randomizing the call order will allow to assess with a high level of evidence the impact of such an organization on hospitalizations, for two families of diseases with high prevalence.

The trial will involve at least nine French regions. Considering that the general practitioner's patient base numbers an average of 110 patients with chronic cardiovascular disease or chronic mental illness, and that at least 25 general practitioners per region participate in the study, we can expect that 22,000 patients will benefit from the intervention of this study.

Being tested
Phone-call screening and management by a medical student/general practitioner tandem
Keywords
general practice, COVID-19, chronic diseases, medical student
Medical subject headings
Cardiovascular Diseases, Mental Disorders, COVID-19, Chronic Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Phone-call screening and management by a medical student/general practitioner tandemBehavioural

    Systematic phone contact of the patient by a medical student, under the indirect supervision of the general practitioner. This phone contact will be standardized with 3 questions to ask to the patient:

    • How are you doing? (with a Likert scale from 1=very bad to 10=very well)
    • Would you have made an appointment with your general practitioner if there had not been COVID19 epidemic and containment?
    • Would you like an appointment with your doctor and / or has your doctor ever contacted you? In view of the answers to these 3 questions, the general practitioner will decide whether it is necessary to propose a consultation or a teleconsultation to the patient, taking into account his/her medical background.
Study groups in NCT04359875
Study groupRoleWhat they receive
Management by a student/general practitioner tandemExperimentalPatients will receive a phone call from the medical student who will inquire about their health. The medical student will then transmit this information to the general practitioner who will decide on the most suitable management for the patient.
Receives: Behavioral: Phone-call screening and management by a medical student/general practitioner tandem
Usual careNo interventionUsual care, i.e. patients will call their general practitioner when needed, up to 1 month, which corresponds to the estimated time for the intervention to be delivered to all patients in the intervention group. At the end of the intervention at 1 month, patients in the usual care group will also receive a phone-call from the medical student/general practitioner tandem.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Hospitalization(s) at 1 month

    Hospitalization over a one month period. The primary outcome will be collected by a phone call from a medical student to the patient 1 month after randomization date. Hospitalizations (date, location, length, if available, and reason) will be collected. Because there will be many patients to be called for each practitioner, we expect these phone call to occur within a few days after day 28.

    Measured: 1 month

Secondary outcomes (12)
  1. Phone-call from the general practitioner (in the experimental group only)

    In the experimental group only: proportion of patients for whom the practitioner had to call back after the medical student had phoned (just after allocation of the practice to the experimental group) at 1 month.

    Measured: 1 month

  2. Mortality at 1 month

    Mortality will be reported after checking with the city of the patient's home if there is no response to the phone call

    Measured: 1 month

  3. Use of primary care

    Number of general practitioner consultations and teleconsultations (and time of general practitioner consultation, i.e. during the containment period or not) using data from the French Health National (SNDS) Database

    Measured: 6 months

  4. Use of secondary care

    Number of consultations with another medical specialist (and time of consultation, i.e. during the containment period or not) using data from the French Health National (SNDS) Database

    Measured: 6 months

  5. Number of prescriptions related to the chronic disease dispensed by the pharmacy

    Number of prescriptions related to the chronic disease that were dispensed by the pharmacy using data from the French Health National (SNDS) Database

    Measured: 6 months

  6. Number of hospitalization(s)

    Number of hospitalizations using data from the French Health National (SNDS) Database

    Measured: 6 months

  7. Time to hospitalization(s)

    Time to hospitalization using data from the French Health National (SNDS) Database

    Measured: 6 months

  8. Hospitalization(s)' durations

    Hospitalization duration using data from the French Health National (SNDS) Database

    Measured: 6 months

  9. Reasons for hospitalization(s)

    Reason for hospitalization using data from the French Health National (SNDS) Database

    Measured: 6 months

  10. Mortality at 6 months

    Number of deaths using data from the French Health National (SNDS) Database

    Measured: 6 months

  11. Cardiovascular events (MACE)

    Only for patients in the COVIQuest_CV sub-trial: Cardiovascular events (MACE): nonfatal stroke, nonfatal myocardial infarction, cardiovascular death and hospitalization for heart failure using data from the French Health National (SNDS) Database

    Measured: 6 months

  12. Psychotropic drugs

    Only for patients in the COVIQuest_MH sub-trial: Psychotropic drugs consumption using data from the French Health National (SNDS) Database

    Measured: 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Apr 2020
  2. Study start30 Apr 2020
  3. Primary completion30 Jun 2020
  4. Study completion31 Dec 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Randomised
Intervention model
Parallel groups
Model description
Cluster randomized trial with 2 subtrials : COVIQuest\_CV and COVIQuest\_MH. COVIQuest\_CV involves patients ≥ 70 years old suffering from chronic cardiovascular disease; and COVIQuest\_MH involves patients suffering from a mental health disease. As a note, both sub-trials are two-parallel group cluster randomized trials. Clusters will be defined as practices. Practices will be randomized into two groups A and B. For practices in group A: their CV patients constitute the experimental group for the COVIQuest\_CV trial, their MH patients constitute the control group for the COVIQuest\_MH trial. For practices in group B: their CV patients constitute the control group for the COVIQuest\_CV trial, their MH patients constitute the experimental group for the COVIQuest\_MH trial.
Masking
None (open label)
Enrolment
22,000 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04359875
Sponsor's protocol ID
2020-CD-COVIQuest (COVID-19)
Other IDs
2020-A01061-38
Acronym
COVIQuest
Status last verified
Dec 2025
First submitted
18 Apr 2020
Last updated
30 Dec 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: One-month-data can be shared, whereas 6-month data are not legally sharable (electronic health records).

Publications

  • Sauvage A, Laurent E, Giraudeau B, Tassi MF, Godillon L, Grammatico-Guillon L, Dibao-Dina C. Six-month outcomes after a GP phone call during the first French COVID-19 lockdown (COVIQuest): a cluster randomised trial using medico-administrative databases. BMJ Open. 2024 Nov 24;14(11):e085094. doi: 10.1136/bmjopen-2024-085094.

    PubMed 39581719
  • Dibao-Dina C, Leger J, Ettori-Ajasse I, Boivin E, Chambe J, Abou-Mrad-Fricquegnon K, Sun S, Jego M, Motte B, Chiron B, Sidorkiewicz S, Khau CA, Bouchez T, Ghali M, Bruel S, Lebeau JP, Camus V, El-Hage W, Angoulvant D, Caille A, Guillon-Grammatico L, Laurent E, Saint-Lary O, Boussageon R, Pouchain D, Giraudeau B; COVIQuest group. Impact of a phone call with a medical student/general practitioner team on morbidity of chronic patients during the first French COVID-19 lockdown (COVIQuest): a cluster randomised trial. BMJ Open. 2022 Jul 28;12(7):e059464. doi: 10.1136/bmjopen-2021-059464.

    PubMed 35902188

Questions about this trial

What is this clinical trial studying?

A study testing Phone-call screening and management by a medical student/general practitioner tandem in people with Cardiovascular Diseases and Mental Disorder, run by University Hospital, Tours at 1 site in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 30 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Hospitalization(s) at 1 month (time frame: 1 month). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04359875, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Dec 2025.

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