Effectiveness of an empowerment-based intervention for psoriasis among patients attending a medical spa

Calogero Pagliarello, Anna Calza, Elisabetta Armani, Cristina di Pietro, Stefano Tabolli

Research output: Contribution to journalArticlepeer-review


Background. There is increasing interest in the management of chronic diseases through patient self-efficacy procedures. Very few studies are available assessing the efficacy of empowerment-based educational interventions for psoriasis patients. Objective. To evaluate an educational programme for increasing empowerment, in a spa setting (Comano, Italy). Methods. An educational intervention with pre-post test for empowerment evaluation was employed with patients assigned either to a control (balneotherapy) or an experimental group (balneotherapy plus empowerment-based educational interventions) (quasi-experimental). The outcome measures were self-reported scores through validated tools for empowerment, severity of disease and quality of life, assessed before and after a single two-hour empowerment-based educational intervention. Results. A total of 136 patients completed the study (control n. 49; experimental n. 87). The experimental group reported higher levels of empowerment with improved knowledge about the disease as compared to the control group. After the balneotherapy, both groups reported a positive effect on quality of life. Patients' characteristics linked to intervention effectiveness were identified. Conclusions. A single empowerment-based educational intervention has the potential to increase psoriasis patients' empowerment by means of increased knowledge. It is advisable to promote it as a standardized, low-cost practice for motivated patients.

Original languageEnglish
Pages (from-to)62-66
Number of pages5
JournalEuropean Journal of Dermatology
Issue number1
Publication statusPublished - Jan 2011


  • Balneotherapy
  • Empowerment
  • Health services
  • Patient education
  • Psoriasis

ASJC Scopus subject areas

  • Dermatology


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