Vulnerable Patients in Primary Care: Nurse Case Management and Self-management Support

NCT01719991 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 247

Last updated 2014-12-03

No results posted yet for this study

Summary

The purpose of this study is to implement a pragmatic intervention in four (4) family medicine groups(FMGs) in the region of Saguenay-Lac-Saint-Jean (Quebec, Canada)for patients with chronic diseases.

Conditions

Interventions

OTHER

Nurse case management and self-management support

Case management: The intervention will focus on four main components: (1) A thorough evaluation of the patient's needs and resources; (2) Establishing and maintaining a patient-centered, individualized service plan (ISP); (3) Coordination of services among partners; and (4) Self-management support for patients and their families. Self-management support: A standardized six-week program with interactive weekly group meetings led by two volunteer peer helpers (appointed trainers), who themselves have a chronic disease.

Sponsors & Collaborators

  • Agence de la Sante et des Services Sociaux du Saguenay-Lac-Saint-Jean

    collaborator OTHER
  • Centre de santé et de services sociaux de Chicoutimi

    collaborator OTHER
  • Fonds de la Recherche en Santé du Québec

    collaborator OTHER_GOV
  • Université de Sherbrooke

    lead OTHER

Principal Investigators

  • Catherine Hudon, PhD · Université de Sherbrooke

  • Maud-Christine Chouinard, PhD · Université du Québec à Chicoutimi

Study Design

Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Model
PARALLEL

Eligibility

Min Age
18 Years
Max Age
80 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2012-11-30
Primary Completion
2014-06-30
Completion
2014-09-30

Countries

  • Canada

Study Locations

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Entities

Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT01719991 on ClinicalTrials.gov