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Therapeutic Education Program in Psoriasis

Not Applicable
Completed
Conditions
Psoriasis
Interventions
Other: standard psoriasis care alone
Behavioral: multidisciplinary education program
Registration Number
NCT02310204
Lead Sponsor
University Hospital, Toulouse
Brief Summary

The primary objective of this research protocol is to assess the effect of a structured therapeutic education program on the quality of life of patients with moderate to severe psoriasis

Detailed Description

Psoriasis is a chronic inflammatory skin disease affecting 1 to 3% of the French population. Moderate to severe psoriasis has a significant impact on quality of life. Psoriasis is associated with an increased risk of depression, social isolation, unemployment. In addition, it has recently be shown that patients with moderate to severe psoriasis have an increased incidence of cardiovascular risk factors such as hypertension, overweight, hyperlipidemia and exposure to tobacco and alcohol. These so-called comorbidites may have a negative impact on psoriasis management. They also may account for the reduced life expectancy reported in patients with severe psoriasis. Therapeutic education is a structured process whose objective is to help patients to acquire or to maintain competencies that are required to live with a chronic disease. Therapeutic education is an important process to be integrated into the therapeutic strategy. It has to take into account co-morbidities, social and psychological context and its priorities need to be defined with the patient.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
187
Inclusion Criteria
  • Moderate to severe psoriasis defined as patients receiving a systemic psoriasis treatment including methotrexate, cyclosporine, PUVA, retinoids or a biological agent and with significant impact on quality of life defined as a Skindex > 18
  • Patients with palmo-plantar or erythrodermic psoriasis may be included if they can be classified as moderate to severe according the above described definitions
Exclusion Criteria
  • Patients not able to give informed consent,
  • Patients not able to follow the program,
  • Patients without social security affiliation.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Standard psoriasis care alonestandard psoriasis care aloneStandard psoriasis care alone
multidisciplinary education programmultidisciplinary education programindividual and group education sessions over a 6-month period
Primary Outcome Measures
NameTimeMethod
skindex quality of life3 months

evaluation of quality of life

Secondary Outcome Measures
NameTimeMethod
SF36 - Short Form 363 MONTHS
PASI - Psoriasis Area and Severity Index3 MONTHS

Trial Locations

Locations (8)

Edouard Herriot

🇫🇷

Lyon, France

Saint-Louis Hospital

🇫🇷

Paris, France

Unversity Hospital

🇫🇷

Lyon, France

Archet Hospital

🇫🇷

Nice, France

University Hospital

🇫🇷

Nantes, France

Timone Hospital

🇫🇷

Marseille, France

Saint Joseph Hospital

🇫🇷

Marseille, France

Haut Leveque Hospital

🇫🇷

Pessac, France

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