Describing Chinese Herbal Medicine Telehealth Care for Symptoms Related to Infectious Diseases Such as COVID-19

Study Overview
=================
Brief Summary
-----------------
The purpose of the study is to design and execute a prospective, longitudinal, descriptive cohort study in a pragmatic clinical practice for adults with symptoms that may be related to COVID-19.

Detailed Description
-----------------
The purpose of this study is to design and execute a prospective, longitudinal, descriptive cohort study in a pragmatic clinical practice for adults with symptoms that may be related to COVID-19 infection who participate in Chinese herbal medicine (CHM) telehealth visits and take CHM. CHM includes over 400 medicinal substances and CHM formulas are individualized at each visit according to the patient's presentation. CHM has been used to treat cough, shortness of breath, and fatigue and mechanisms of action have been investigated for SARS and H1N1 influenza prevention and treatment by anti-inflammatory effects and antiviral activity. Yet, there is a gap in our understanding of the clinical application of CHM in a community sample of individuals experiencing symptoms that may be related to COVID-19. The investigators have no pragmatic clinic data about the use of CHM for coronaviruses. Safe and effective treatment of symptoms associated with COVID-19 is a top international priority and research is needed to better understand if CHM is a safe intervention to treat symptoms. Further, dissemination of trustworthy CHM treatment approaches for this complex and emergent condition is needed within the CHM and scientific communities. Aim 1: Conduct quantitative analyses of the collected data and disseminate findings to CHM clinicians and to the scientific community. Case series will be reported bi-weekly to CHM clinicians via the SIEAM website including exposure, comorbidities, symptom change, concurrent medications, CHM prescriptions, adverse events and usability. Data will be analyzed at the study conclusion for presentation to the scientific community. Aim 2: Conduct qualitative analyses of the collected data and disseminate findings to CHM clinicians and to the scientific community. Chart notes reflecting clinicians' clinical reasoning will be content analyzed and posted bi-weekly on the SIEAM website. This will provide timely information for the CHM clinical community from highly experienced clinicians. Data will be analyzed at the study conclusion for presentation to the scientific community.

Official Title
-----------------
Describing Chinese Herbal Medicine Telehealth Care for Symptoms Related to Infectious Diseases Such as COVID-19: A Descriptive, Longitudinal, Pragmatic Cohort Study

Conditions
-----------------
Coronavirus Infection

Intervention / Treatment
-----------------
* Dietary Supplement: Chinese Herbal Medicine


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Eighteen year of age. Experienced one or more of the following symptoms in the last 28 days: cough, fever, shortness of breath, diarrhea, nausea, or abdominal pain OR am at high risk of exposure. Have a Primary Care Provider. Exclusion Criteria: Breastfeeding, pregnant, or expect that I might be pregnant. Ineligible to receive a telehealth consult for any reason. Unable to communicate in English verbally, and in writing. Have an open legal case about my health. Taking anticoagulants, immunosuppressants, antiseizure medications, antipsychotic medications or am in active cancer treatment Taking medications with some risk of interaction with the herbal medicine. This will be determined at the time of the herbal consult by the clinic team. Discretion of the practitioner or screener.

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 114 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Chinese Herbal Medicine<br>Chinese Herbal Medicine for suspected COVID-19 symptoms. | Dietary Supplement: Chinese Herbal Medicine<br>* Chinese Herbal Medicine (CHM) has been used in the prevention and treatment of epidemic diseases dating back to the Han, Ming and Qing Dynasties and extending al the way through modern times. CHM formulas may contain plant elements of root, seed, back, stem or leaf in addition to minerals and other natural substances. All herbs dispensed in this trial will be from Spring Wind Herb Company.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient reported main complaint | Patient reported change | 24 hours | 
| Patient reported main complaint | Patient reported change | 48 hours | 
| Patient reported main complaint | Patient reported change | 3 months | 
| Patient reported main complaint | Patient reported change | 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Conduct qualitative analyses of data | Patient interview notes as written by clinicians. | 24 hours | 
| Conduct qualitative analyses of data | Patient interview notes as written by clinicians. | 48 hours | 
| Conduct qualitative analyses of data | Patient interview notes as written by clinicians. | 3 months | 
| Conduct qualitative analyses of data | Patient interview notes as written by clinicians. | 12 months | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
COVID-19 symptoms, Chinese Herbal Medicine, Cough, Shortness of Breath, Fatigue, Epidemic, Infectious Disease, Dyspnea, Diarrhea, Myalgia, Nausea, Fever, Pneumonia