Psoriasis and Climate Therapy- Effect of Motivational Follow- up Calls on Clinical and Health Economic Parameters

Study Overview
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Brief Summary
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The aim of this study is to evaluate clinical and health economic parameters in relation to individual motivational counseling by phone.

Detailed Description
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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

Official Title
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Psoriasis and Climate Therapy- Effect of Motivational Follow- up Calls on Clinical and Health Economic Parameters

Conditions
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Psoriasis

Intervention / Treatment
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* Behavioral: Motivational interviewing


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: usual care<br>Motivational interviewing | Behavioral: Motivational interviewing<br>* 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.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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. | 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. | change from baseline to 3 months, 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 15D | The 15D is a generic, comprehensive (15-dimensional), self-administered instrument for measuring HRQoL among adults (age 16+ years). | Change in 15D from baseline to 6 weeks and 12 weeks | 
| Questionnaire about lifestyle | Questions about exercise, diet, stress, lifestyle change | Change in lifestyle parametres from baseline to 6 weeks and 12 weeks | 
| BIPQ-2 | short questionnaire about illness perception | Change from baseline to 3 and 6 months | 
| Psoriasis Knowledge questionnaire | 40 questions about psoriasis and psoriasis treatment | 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 | change from baseline to 3 months and 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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motivational interviewing, psoriasis, self management