The aim of this study is to evaluate clinical and health economic parameters in relation to individual motivational counseling by phone.
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
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
169
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.
Oslo University hospital, Department for clima therapy
Oslo, Oslo, Norway
University of Oslo, Departement of health and society
Oslo, Norway
SAPASI (+ PASI at T1 and T2)
The self-administered psoriasis area and severity index (SAPASI) is a structured instrument for measuring the severity of psoriasis.
Time frame: Change in SAPASI from baseline, to 3 weeks, 6 weeks and 12 weeks
HeiQ
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.
Time frame: change from baseline to 3 months, 6 months
15D
The 15D is a generic, comprehensive (15-dimensional), self-administered instrument for measuring HRQoL among adults (age 16+ years).
Time frame: Change in 15D from baseline to 6 weeks and 12 weeks
Questionnaire about lifestyle
Questions about exercise, diet, stress, lifestyle change
Time frame: Change in lifestyle parametres from baseline to 6 weeks and 12 weeks
BIPQ-2
short questionnaire about illness perception
Time frame: Change from baseline to 3 and 6 months
Psoriasis Knowledge questionnaire
40 questions about psoriasis and psoriasis treatment
Time frame: change in knowledge from baseline to 3 weeks, 3 months and 6 monthts
Willingness to change to manage psoriasis
8 questions about plans for change or conducted change managing psoriasis symptoms
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Time frame: change from baseline to 3 months and 6 months