Integrating nursing care to enhance patient partnership in managing chronic diseases

Impact of an Intervention Integrating the MPHS Nursing Model of Care on the Partnership in Health, With the Patient Followed in Primary Care by an Advanced Practice Nurse (APN) for One or More Stabilized Chronic Pathologies

Not applicable Interventional Centre Hospitalier Universitaire de Saint Etienne · NCT05780762

This study is testing a new way for nurses to work with patients who have chronic diseases to create personalized care plans that help them manage their health better.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment420 (estimated)
Ages18 Years and up
SexAll
SponsorCentre Hospitalier Universitaire de Saint Etienne Academic / other
Locations5 sites (Firminy and 4 other locations)
Trial IDNCT05780762 on ClinicalTrials.gov

What this trial studies

This program aims to implement the MPHS nursing model in primary care settings, focusing on patients with chronic diseases. Advanced Practice Nurses (APNs) will collaborate with patients to create personalized care plans that consider their individual needs and preferences. The approach emphasizes self-management, health literacy, and quality of life, utilizing validated tools to assess patient adaptation to chronic conditions. The program consists of three phases: defining health situations, planning care collaboratively, and assessing outcomes with the patient and care team.

Who should consider this trial

Good fit: Ideal candidates are patients with one or more chronic conditions such as diabetes, heart disease, or Parkinson's disease who are being followed by an Advanced Practice Nurse.

Not a fit: Patients not referred by a physician for follow-up with an Advanced Practice Nurse may not benefit from this program.

Why it matters

Potential benefit: If successful, this program could empower patients to take a more active role in managing their chronic conditions, potentially improving their health outcomes.

How similar studies have performed: Other studies have shown success in integrating nursing models into chronic disease management, indicating a promising approach.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Followed by APN, within the framework of an organizational protocol established with a patient's referring physician, for the management of one or more chronic pathology(ies) from the following list: stroke; chronic arterial disease; heart disease, coronary artery disease; type 1 diabetes and type 2 diabetes; chronic respiratory failure; Parkinson's disease; epilepsy
* Affiliated or entitled to a social security plan
* Having received informed information about the study and having co-signed, with the investigator, a consent to participate in the study

Exclusion Criteria:

\- Patient not referred by a physician for APN follow-up

Where this trial is running

Firminy and 4 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Chronic Diseaseadvanced practice nursepatient partnershiphealth literacyself-management
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.