Psoriasis
Conditions
Keywords
motivational interviewing, psoriasis, self management
Brief summary
The aim of this study is to evaluate clinical and health economic parameters in relation to individual motivational counseling by phone.
Detailed description
A chronic condition such as psoriasis requires a high level of self- management and requires for many patients behaviour change to improve health outcome. Changing behaviour is a challenge that requires a commitment by the patient to implement successfully. Motivational interviewing is a patient centered directive counseling technique that focuses on assisting patients to identify their problems and involves exploring ambivalence in an empathic manner. It is a well-known method of counseling, and is considered to be a useful intervention strategy in the treatment of lifestyle problems. This study is a randomized controlled trial using telephone motivational interviewing. The counseling intervention comprises 6 telephone calls during a 12 week period, after attending 3 weeks of supervised climate therapy on the Canary Islands
Interventions
BEHAVIORALMotivational interviewing
Motivational interviewing technique will be used to improve patient adherence to multiple health behaviour changes and support patients with psoriasis to self- manage effectively. The intervention will discuss on four main topics: diet, physical activity, stress management and psoriasis treatment. Motivational interviewing is a patient centered directive counselling technique that focuses on assisting patients to identify their problems and involves exploring ambivalence in an empathic manner. A key goal in motivational interviewing is to increase the importance of change from the client's perspective. This is accomplished by using specific types of open ended questions, selective reflections and reflective listening.
Sponsors
University of Oslo
Oslo University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
20 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Conducted 3 weeks of supervised climate therapy in The Canary Islands * Able to write and communicate in Norwegian * PASI more than 7 on application
Exclusion criteria
* more than 5 climate therapy treatments during the last 10 years
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| SAPASI (+ PASI at T1 and T2) | Change in SAPASI from baseline, to 3 weeks, 6 weeks and 12 weeks | The self-administered psoriasis area and severity index (SAPASI) is a structured instrument for measuring the severity of psoriasis. |
| HeiQ | change from baseline to 3 months, 6 months | The heiQ™ is an Australian-developed health education impact evaluation system. It consists of a set of eight scales. Each scale is an independent questionnaire and together they provide a comprehensive profile of the intended outcomes of health education / self-management programs. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| BIPQ-2 | Change from baseline to 3 and 6 months | short questionnaire about illness perception |
| 15D | Change in 15D from baseline to 6 weeks and 12 weeks | The 15D is a generic, comprehensive (15-dimensional), self-administered instrument for measuring HRQoL among adults (age 16+ years). |
| Willingness to change to manage psoriasis | change from baseline to 3 months and 6 months | 8 questions about plans for change or conducted change managing psoriasis symptoms |
| Psoriasis Knowledge questionnaire | change in knowledge from baseline to 3 weeks, 3 months and 6 monthts | 40 questions about psoriasis and psoriasis treatment |
| Questionnaire about lifestyle | Change in lifestyle parametres from baseline to 6 weeks and 12 weeks | Questions about exercise, diet, stress, lifestyle change |
Countries
Norway
Outcome results
None listed