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
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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