The University of Southampton
University of Southampton Institutional Repository

A pilot randomized controlled trial to examine the feasibility and efficacy of an educational nursing intervention to improve self-management practices in patients with mild-moderate psoriasis

A pilot randomized controlled trial to examine the feasibility and efficacy of an educational nursing intervention to improve self-management practices in patients with mild-moderate psoriasis
A pilot randomized controlled trial to examine the feasibility and efficacy of an educational nursing intervention to improve self-management practices in patients with mild-moderate psoriasis
Background

Large numbers of people are expected to self-manage their skin condition, but limited attention has been given to studies of self-management in psoriasis, neither clearly highlighting the challenge nor seeking to develop interventions to support its effectiveness.

Objectives? 1. To test the feasibility of a new educational intervention to enable people with psoriasis to self-manage more effectively an adequately powered multi-centred trial design through piloting.

Method

Pilot randomized controlled trial with adults (n?=?64) with mild-moderate psoriasis in Primary Care in the United Kingdom. Both groups continued with usual treatment. A theory-based educational intervention was designed. The primary outcome measure was the Dermatology Life Quality Index (DLQI). Secondary measures included the Psoriasis Area and Severity Index (PASI) and qualitative feedback from participants. Assessment of the feasibility of the intervention included recruitment and acceptability to participants.

Results

Delivery of the intervention was feasible and positively evaluated. Recruitment strategies and the intervention need minor modification. As a pilot study there was insufficient power to detect significant score changes. Sub group analysis of participants with a PASI or DLQI of >6 indicated a modest reduction in PASI in the intervention group which demonstrates a trend that may indicate that this intervention has potential value for people with moderate psoriasis when combined with qualitative data.

Conclusion

This study highlights the feasibility of delivering a self-efficacy based educational intervention for people with mild-moderate psoriasis in primary care establishing the numbers and design required for an adequately powered multi-centred trial.
0926-9959
738-745
Ersser, S.J.
fa62ecc7-216c-48cd-be93-22a52b669e75
Cowdell, F
8e421b14-ea6e-437f-8c5b-5ed916394a1a
Nicholls, P.G.
b569acda-01e1-4022-93ef-efce28ea7ddd
Latter, S.
83f100a4-95ec-4f2e-99a5-186095de2f3b
Healy, E
400fc04d-f81a-474a-ae25-7ff894be0ebd
Ersser, S.J.
fa62ecc7-216c-48cd-be93-22a52b669e75
Cowdell, F
8e421b14-ea6e-437f-8c5b-5ed916394a1a
Nicholls, P.G.
b569acda-01e1-4022-93ef-efce28ea7ddd
Latter, S.
83f100a4-95ec-4f2e-99a5-186095de2f3b
Healy, E
400fc04d-f81a-474a-ae25-7ff894be0ebd

Ersser, S.J., Cowdell, F, Nicholls, P.G., Latter, S. and Healy, E (2012) A pilot randomized controlled trial to examine the feasibility and efficacy of an educational nursing intervention to improve self-management practices in patients with mild-moderate psoriasis. Journal of the European Academy of Dermatology and Venereology, 26 (6), 738-745. (doi:10.1111/j.1468-3083.2011.04158.x). (PMID:21707770)

Record type: Article

Abstract

Background

Large numbers of people are expected to self-manage their skin condition, but limited attention has been given to studies of self-management in psoriasis, neither clearly highlighting the challenge nor seeking to develop interventions to support its effectiveness.

Objectives? 1. To test the feasibility of a new educational intervention to enable people with psoriasis to self-manage more effectively an adequately powered multi-centred trial design through piloting.

Method

Pilot randomized controlled trial with adults (n?=?64) with mild-moderate psoriasis in Primary Care in the United Kingdom. Both groups continued with usual treatment. A theory-based educational intervention was designed. The primary outcome measure was the Dermatology Life Quality Index (DLQI). Secondary measures included the Psoriasis Area and Severity Index (PASI) and qualitative feedback from participants. Assessment of the feasibility of the intervention included recruitment and acceptability to participants.

Results

Delivery of the intervention was feasible and positively evaluated. Recruitment strategies and the intervention need minor modification. As a pilot study there was insufficient power to detect significant score changes. Sub group analysis of participants with a PASI or DLQI of >6 indicated a modest reduction in PASI in the intervention group which demonstrates a trend that may indicate that this intervention has potential value for people with moderate psoriasis when combined with qualitative data.

Conclusion

This study highlights the feasibility of delivering a self-efficacy based educational intervention for people with mild-moderate psoriasis in primary care establishing the numbers and design required for an adequately powered multi-centred trial.

This record has no associated files available for download.

More information

e-pub ahead of print date: 28 June 2011
Published date: June 2012

Identifiers

Local EPrints ID: 192057
URI: http://eprints.soton.ac.uk/id/eprint/192057
ISSN: 0926-9959
PURE UUID: 690d0990-4617-4396-8632-09a64722af11
ORCID for S. Latter: ORCID iD orcid.org/0000-0003-0973-0512

Catalogue record

Date deposited: 29 Jun 2011 11:55
Last modified: 15 Mar 2024 03:06

Export record

Altmetrics

Contributors

Author: S.J. Ersser
Author: F Cowdell
Author: P.G. Nicholls
Author: S. Latter ORCID iD
Author: E Healy

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×