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Chronic Diseases in Primary Care
Sponsor: Universita di Verona
Summary
This quasi-experimental study aims to assess if a nurse-led proactive intervention can enhance self-care and reduce hospitalizations or accesses to emergency department visits in chronically ill adults over 65 years old. The questions that it seeks to answer are the following: 1. Can a structured, proactive nurse-led intervention reduce hospitalizations and access to emergency departments? 2. Can this intervention improve self-care, medication adherence, and the overall quality of life? To assess its effectiveness, researchers will evaluate health outcomes before and after carrying out the intervention. Participants will receive an initial assessment to identify specific educational needs. To enhance self-care and symptom management, patients will participate in at least three scheduled follow-up sessions (via phone call or face-to-face) during the following six months. They will also complete questionnaires assessing lifestyle quality, medication adherence, and self-care abilities.
Official title: A Nurse-led Intervention in General Practice to Manage People With Chronic Conditions: a Pre-post Study
Key Details
Gender
All
Age Range
65 Years - Any
Study Type
INTERVENTIONAL
Enrollment
100
Start Date
2024-11-01
Completion Date
2026-09-30
Last Updated
2026-03-18
Healthy Volunteers
No
Conditions
Interventions
Proactive Intervention
The educational program will be carried out as a structured intervention, aiming to actively involve patients in their own healthcare pathway, promoting changes in behavior and self-care. The first act will consist of a double-level assessment, first having nurses collect data to assess the educational needs, then delving into a structured assessment of social and educational needs from lifestyle, self-care, medication adherence, and frailty risk. After that, four communication approaches will be implemented to enhance educational effectiveness: teach-back, motivational interviewing, the SHERPA model, and Calgary Family Interviews.
Locations (1)
Casa della Comunità di Lonigo
Lonigo, Vicenza, Italy