Astrid Klopstad Wahl

• Dahl, Kari Gire; Andersen, Marit Helen; Urstad, Kristin Hjorthaug; Falk, Ragnhild S.; Engebretsen, Eivind & Wahl, Astrid Klopstad (2020). Identifying core variables associated with health literacy in kidney transplant recipients.. Progress in transplantation.  ISSN 1526-9248.  30(1), s 38- 47 . doi: 10.1177/1526924819893285
• Holmen, Heidi; Hamilton Larsen, Marie; Sallinen, Merja Helena; Thoresen, Lisbeth; Ahlsen, Birgitte; Andersen, Marit Helen; Råheim Borge, Christine; Eik, Hedda; Wahl, Astrid Klopstad & Mengshoel, Anne Marit (2020). Working with patients suffering from chronic diseases can be a balancing act for health care professionals - a meta-synthesis of qualitative studies. BMC Health Services Research.  ISSN 1472-6963. Fulltekst i vitenarkiv.
• Larsen, Marie Hamilton; Strumse, Yndis S.S.; Borge, Christine Råheim; Andersen, Marit Helen & Wahl, Astrid Klopstad (2020). Relevant associations between alexithymia and health-literacy in persons with psoriasis. Journal of dermatological treatment (Print).  ISSN 0954-6634. . doi: 10.1080/09546634.2020.1756204
• Ljoså, Tone Marte; Bondevik, Hilde; Halvorsen, Jon Anders; Carr, Eloise & Wahl, Astrid Klopstad (2020). The Complex Experience of Psoriasis Related Skin Pain: A Qualitative Study. Scandinavian Journal of Pain.  ISSN 1877-8860.  20(3), s 491- 498 . doi: 10.1515/sjpain-2019-0158 Fulltekst i vitenarkiv. Vis sammendrag

  Background and aims: Psoriasis is a common chronic skin condition, causing skin lesions with thickened and scaling skin, as well as erythema and inflammation that may involve painful sores, cracks, and pustules. Previously psoriasis was regarded as a painless skin condition. However, over the past decade studies show that skin pain is a frequently reported and bothersome symptom in patients with psoriasis. There is however a lack of rich narratives describing the experience of skin pain in these patients. The aims of this qualitative study were therefore to explore in depth how patients experience psoriasisrelated skin pain, and how they deal with it. Methods: Thirteen patients with psoriasis were recruited from a dermatology ward and outpatient clinic. One of the investigators (TML) performed individual, semi-structured interviews at an undisturbed room in the hospital. Interviews were thematically analyzed using the method of Systematic Text Condensation as described by Malterud (2012). Results: Three main themes were identified from the interviews. First, the skin pain experience was complex. Patients used a variety of adjectives and metaphors to describe their pain, and their skin was sensitive to stimuli of everyday activities. Itch was a common cosymptom, and could both mask pain but also cause severe pain due to excessive scratching and damage to the skin. Second, skin pain had a negative impact on patients’ life. Skin pain reduced their physical activity level, impaired their sleep, and made them irritable, depressed, unconcentrated on tasks, as well as withdrawn from other people and social activities. Third, patients dealt with their skin pain in various ways. Although some took action to relieve the pain and distract themselves from pain, most of the patients applied maladaptive and passive coping strategies such as put up with it, avoid painful activities, become fearful or trivialize their pain. Conclusions: The experience of psoriasis related skin pain is complex. The pain has a major negative impact on patients’ life in terms of physical, emotional, cognitive, and social functions. Patients use a variety of adaptive but most frequently maladaptive coping strategies in order to deal with their skin pain. Implications: This study provides new and in-depth knowledge on psoriasis related skin pain. This information is valuable for further work on pain assessment tools and pain management recommendations customized for skin pain experienced by patients with psoriasis.

• Løyland, Borghild; Hermansen, Åsmund; Dahl, Espen & Wahl, Astrid Klopstad (2020). Differences in income trajectories according to psychological distress and pain - A longitudinal study among Norwegian social assistance recipients. Scandinavian Journal of Public Health.  ISSN 1403-4948.
• Stømer, Une Elisabeth; Wahl, Astrid Klopstad; Gøransson, Lasse & Urstad, Kristin Hjorthaug (2020). Exploring health literacy in patients with chronic kidney disease: a qualitative study. BMC Nephrology.  ISSN 1471-2369.  21 . doi: 10.1186/s12882-020-01973-9 Fulltekst i vitenarkiv.
• Stømer, Une Elisabeth; Wahl, Astrid Klopstad; Gøransson, Lasse & Urstad, Kristin Hjorthaug (2020). Health literacy in kidney disease: associations with quality of life and adherence. Journal of Renal Care.  ISSN 1755-6678.  46(2), s 85- 94 . doi: 10.1111/jorc.12314 Fulltekst i vitenarkiv.
• Wahl, Astrid Klopstad; Hermansen, Åsmund; Osborne, Richard H & Larsen, Marie Hamilton (2020). A validation study of the Norwegian version of the Health Literacy Questionnaire: A robust nine-dimension factor model. Scandinavian Journal of Public Health.  ISSN 1403-4948. . doi: 10.1177%2F1403494820926428 Fulltekst i vitenarkiv.
• Andersen, Marit Helen; Wahl, Astrid Klopstad; Engebretsen, Eivind & Urstad, Kristin Hjorthaug (2019). Implementing a tailored education programme: renal transplant recipients’ experiences.. Journal of Renal Care.  ISSN 1755-6678.  45(2), s 111- 119 . doi: 10.1111/jorc.12273 Fulltekst i vitenarkiv. Vis sammendrag

  Background Patient‐centred education is a key element in the care of patients undergoing kidney transplantation. We implemented a tailored, evidence‐based education programme for the post‐transplant phase. Objective The aim of the study was to explore renal transplant recipients’ experiences of participating in a new, tailored, evidence‐based education programme. Methods An explorative qualitative design was chosen to elicit knowledge, insight and understanding of the renal transplant recipients’ perspectives. Twelve renal transplant recipients participated in semi‐structured interviews about eight weeks post‐transplant. The interviews were audiotaped and analysed using thematic data analysis inspired by Kvale and Brinkmann's method for meaning condensation. Findings Two main themes emerged: ‘Situated tailoring to the person's everyday life knowledge’, and ‘Tailoring as a standard procedure regardless of the person’. Conclusion The findings of the present study indicate that the renal transplant recipients experienced the new education programme to be tailored to individual needs. Our study also revealed that the recipients experienced the health care personnel to take different considerations into account when educating. Viewing knowledge as continuously changing from controlled study contexts into clinical settings, we here demonstrate the need to evaluate new knowledge also after being implemented.

• Dahl, Kari Gire; Engebretsen, Eivind; Andersen, Marit Helen; Urstad, Kristin Hjorthaug & Wahl, Astrid Klopstad (2019). The trigger-information-response model: Exploring health literacy during the first six months following a kidney transplantation. PLOS ONE.  ISSN 1932-6203.  14(10) . doi: 10.1371/journal.pone.0223533 Fulltekst i vitenarkiv.
• Haraldstad, Kristin; Wahl, Astrid Klopstad; Andenæs, Randi; Andersen, John Roger; Andersen, Marit Helen; Beisland, Elisabeth Grov; Borge, Christine Råheim; Engebretsen, Eivind; Eisemann, Martin; Halvorsrud, Liv Torill; Hanssen, Tove Aminda; Haugstvedt, Anne; Haugland, Trude; Johansen, Venke A; Larsen, Marie Hamilton; Løvereide, Lise; Løyland, Borghild; Kvarme, Lisbeth Gravdal; Moons, P; Norekvål, Tone M.; Ribu, Lis; Rohde, Gudrun E.; Urstad, Kristin Hjorthaug & Helseth, Sølvi (2019). A systematic review of quality of life research in medicine and health sciences. Quality of Life Research.  ISSN 0962-9343.  28(10), s 2641- 2650 . doi: 10.1007/s11136-019-02214-9 Fulltekst i vitenarkiv. Vis sammendrag

  Purpose Quality of life (QOL) is an important concept in the field of health and medicine. QOL is a complex concept that is interpreted and defined differently within and between disciplines, including the fields of health and medicine. The aims of this study were to systematically review the literature on QOL in medicine and health research and to describe the country of origin, target groups, instruments, design, and conceptual issues. Methods A systematic review was conducted to identify research studies on QOL and health-related quality of life (HRQOL). The databases Scopus, which includes Embase and MEDLINE, CINAHL, and PsycINFO were searched for articles published during one random week in November 2016. The ten predefined criteria of Gill and Feinstein were used to evaluate the conceptual and methodological rigor. Results QOL research is international and involves a variety of target groups, research designs, and QOL measures. According to the criteria of Gill and Feinstein, the results show that only 13% provided a definition of QOL, 6% distinguished QOL from HRQOL. The most frequently fulfilled criteria were: (i) stating the domains of QOL to be measured; (ii) giving a reason for choosing the instruments used; and (iii) aggregating the results from multiple items. Conclusion QOL is an important endpoint in medical and health research, and QOL research involves a variety of patient groups and different research designs. Based on the current evaluation of the methodological and conceptual clarity of QOL research, we conclude that the majority QOL studies in health and medicine have conceptual and methodological challenges

• Larsen, Marie Hamilton; Hagen, Kåre Birger; Krogstad, Anne Lene & Wahl, Astrid Klopstad (2019). Shared decision - making in psoriasis - A systematic review of quantitative and qualitative studies. American Journal of Clinical Dermatology.  ISSN 1175-0561.  20(1), s 13- 29 . doi: 10.1007/s40257-018-0390-5
• Larsen, Marie Hamilton; Staalesen, Yndis; Borge, Christine Råheim; Osborne, Richard H; Andersen, Marit Helen & Wahl, Astrid Klopstad (2019). Health literacy - a new piece of the puzzle in psoriasis care? - results from a cross-sectional study. British Journal of Dermatology.  ISSN 0007-0963.  06(18), s 1506- 1516 . doi: 10.1111/bjd.17595 Fulltekst i vitenarkiv.
• Larsen, Marie Hamilton; Strumse, Yndis A. Staalesen; Andersen, Marit Helen; Borge, Christine Råheim & Wahl, Astrid Klopstad (2019). Associations between disease education, self-management support, and health literacy in psoriasis. Journal of dermatological treatment (Print).  ISSN 0954-6634.  s 1- 8 . doi: 10.1080/09546634.2019.1688233
• Mengshoel, Anne Marit; Bjorbærkmo, Wenche Schrøder; Sallinen, Merja Helena & Wahl, Astrid Klopstad (2019). 'It takes time, but recovering makes it worthwhile' - A qualitative study of long-term users' experiences of physiotherapy in primary health care. Physiotherapy Theory and Practice.  ISSN 0959-3985.  s 1- 12 . doi: 10.1080/09593985.2019.1616343 Fulltekst i vitenarkiv.
• Stømer, Une Elisabeth; Gøransson, Lasse; Wahl, Astrid Klopstad & Urstad, Kristin Hjorthaug (2019). A cross-sectional study of health literacy in patients with chronic kidney disease: Associations with demographic and clinical variables. Nursing Open.  ISSN 2054-1058.  6(4), s 1481- 1490 . doi: 10.1002/nop2.350 Fulltekst i vitenarkiv.
• Bøe, Camilla; Bondevik, Hilde; Wahl, Astrid Klopstad & Andersen, Marit Helen (2018). Going through laparoscopic liver resection in patients with colorectal liver metastases – a qualitative study. Nursing Open.  ISSN 2054-1058. . doi: 10.1002/nop2.206 Fulltekst i vitenarkiv.
• Lillehagen, Ida; Andersen, Marit Helen; Urstad, Kristin Hjorthaug; Wahl, Astrid Klopstad & Engebretsen, Eivind (2018). How does a new patient education programme for renal recipients become situated and adapted when implemented in the daily teaching practice in a university hospital? An ethnographic observation study. BMJ Open.  ISSN 2044-6055.  8:023005(11), s 1- 712 . doi: 10.1136/bmjopen-2018-023005 Fulltekst i vitenarkiv.
• Opseth, Gro; Wahl, Astrid Klopstad; Bjørke, Gustav & Mengshoel, Anne Marit (2018). Negative perceptions of illness and health are associated with frequent use of physiotherapy in primary healthcare. Musculoskeletal Care.  ISSN 1478-2189.  16(1), s 133- 138 . doi: 10.1002/msc.1224 Fulltekst i vitenarkiv.
• Urstad, Kristin Hjorthaug; Wahl, Astrid Klopstad; Engebretsen, Eivind; Larsen, Marie Hamilton; Vidnes, Tone Karine; Stenwig, Anne G K; Simensen, Øystein Wollebæk; Nordli, Arve; Reisæter, Anna Varberg & Andersen, Marit Helen (2018). Implementation of a new patient education programme for renal transplant recipients. Journal of Renal Care.  ISSN 1755-6678.  44(2), s 106- 114 . doi: 10.1111/jorc.12236
• Wahl, Astrid Klopstad; Opseth, Gro; Nolte, Sandra; Osborne, Richard H; Bjørke, Gustav & Mengshoel, Anne Marit (2018). Is regular use of physiotherapy treatment associated with health locus of control and self-management competency? A study of patients with musculoskeletal disorders undergoing physiotherapy in primary health care. Musculoskeletal Science and Practice.  ISSN 2468-8630.  36, s 43- 47 . doi: 10.1016/j.msksp.2018.04.008
• Holmen, Heidi; Wahl, Astrid Klopstad; Småstuen, Milada C & Ribu, Lis (2017). Tailored communication within mobile apps for diabetes self-management: A systematic review. Journal of Medical Internet Research.  ISSN 1438-8871.  19:e227(6), s 1- 16 . doi: 10.2196/jmir.7045
• Larsen, Marie Hamilton; Polesie, Anne Lene Krogstad & Wahl, Astrid Klopstad (2017). Alexithymia, illness perception and self-management competency in psoriasis. Acta Dermato-Venereologica.  ISSN 0001-5555.  97(8), s 934- 940 . doi: 10.2340/00015555-2707 Fulltekst i vitenarkiv.
• Leine, Marit; Wahl, Astrid Klopstad; Borge, Christine Råheim; Hustavenes, Magne Mikal & Bondevik, Hilde (2017). Feeling safe and motivated to achieve better health: Experiences with a partnership-based nursing practice programme for in-home patients with chronic obstructive pulmonary disease. Journal of Clinical Nursing (JCN).  ISSN 0962-1067.  26(17-18), s 2755- 2764 . doi: 10.1111/jocn.13794
• Meyer, Käthe Birgitte; Bjørk, Ida Torunn; Wahl, Astrid Klopstad; Lennerling, Annette & Andersen, Marit Helen (2017). Long-term experiences of Norwegian live kidney donors: Qualitative in-depth interviews. BMJ Open.  ISSN 2044-6055.  7(2), s 1- 7 . doi: 10.1136/bmjopen-2016-014072 Fulltekst i vitenarkiv.
• Strandberg, Ragnhild Bjarkøy; Graue, Marit; Wentzel-Larsen, Tore; Peyrot, Mark; Wahl, Astrid Klopstad & Rokne, Berit (2017). The relationships among fear of hypoglycaemia, diabetes-related quality of life and psychological well-being in Norwegian adults with Type 1 diabetes. Diabetes Research and Clinical Practice.  ISSN 0168-8227.  124, s 11- 19 . doi: 10.1016/j.diabres.2016.12.018
• Borge, Christine Råheim; Mengshoel, Anne Marit; Moum, Torbjørn Åge & Wahl, Astrid Klopstad (2016). Fluctuating patterns in quality of life outcomes among patients with moderate and severe stages of chronic obstructive pulmonary disease. Quality of Life Research.  ISSN 0962-9343.  25, s 2041- 2051 . doi: 10.1007/s11136-016-1227-4
• Haugland, Trude; Wahl, Astrid Klopstad; Hofoss, Dag & DeVon, Holli A (2016). Association between general self-efficacy, social support, cancer-related stress and physical health-related quality of life: a path model study in patients with neuroendocrine tumors. Health and Quality of Life Outcomes.  ISSN 1477-7525.  14 . doi: 10.1186/s12955-016-0413-y Fulltekst i vitenarkiv.
• Holmen, Heidi; Wahl, Astrid Klopstad; Torbjørnsen, Astrid Cathrine Vik; Jenum, Anne Karen; Småstuen, Milada C & Ribu, Lis (2016). Stages of change for physical activity and dietary habits in persons with type 2 diabetes included in a mobile health intervention: the Norwegian study in RENEWING HEALTH. BMJ Open Diabetes Research & Care.  ISSN 2052-4897.  4(1) . doi: 10.1136/bmjdrc-2016-000193 Fulltekst i vitenarkiv. Vis sammendrag

  Abstract Objective The aim of this study was to investigate stages of change for physical activity and dietary habits using baseline data from persons with type 2 diabetes included in a mobile health intervention. We examined the associations between stages of change for physical activity change and dietary change, and between stages of change for each behavior and individual characteristics, health-related quality of life, self-management, depressive symptoms, and lifestyle. Research design and methods We examined 151 persons with type 2 diabetes with an glycated hemoglobin (HbA1c) level ≥7.1%, aged ≥18 years at baseline of a randomized controlled trial, before testing a mobile app with or without health counseling. Stages of change were dichotomized into ‘pre-action’ and ‘action’. Self-management was measured using the Health Education Impact Questionnaire (heiQ) where a higher score reflects increased self-management, and health-related quality of life was measured with the Short-Form-36 (SF-36). Logistic regression modeling was performed. Results The median HbA1c level was 7.9% (7.1–12.4), 90% were overweight or obese, and 20% had ≥3 comorbidities. 58% were in the preaction stage for physical activity change and 79% in the preaction stage for dietary change. Higher scores of self-management were associated with an increased chance of being in the action stage for both dietary change and physical activity change. Higher body mass index was associated with an 8% reduced chance of being in the action stage for physical activity change (OR 0.92, 95% CI 0.86 to 0.99). Conclusions Being in the action stage was associated with higher scores of self-management, crucial for type 2 diabetes. Over half of the participants were in the preaction stage for physical activity and dietary change, and many had a high disease burden with comorbidities and overweight.

• Larsen, Marie Hamilton; Wahl, Astrid Klopstad; Krogstad, Anne-Lene & Aas, Eline (2016). Cost-utility Analysis of Supported Self-management with Motiva­tional Interviewing for Patients with Psoriasis. Acta Dermato-Venereologica.  ISSN 0001-5555.  96, s 664- 668 . doi: DOI: 10.2340/00015555-2331
• Larsen, Marie Hamilton; Wahl, Astrid Klopstad; Polesie, Anne Lene Krogstad & Aas, Eline (2016). Cost-utility Analysis of Supported Self-management with Motivational Interviewing for Patients with Psoriasis. Acta Dermato-Venereologica.  ISSN 0001-5555.  96(5), s 664- 668 . doi: 10.2340/00015555-2331 Vis sammendrag

  There are few studies evaluating the cost-effectiveness of self-management interventions for patients with psoriasis. Motivational interviewing (MI) as a telephone follow-up after climate-heliotherapy was effective on several clinical parameters, but its cost-effectiveness is unknown. A cost-utility analysis was conducted alongside a randomized controlled trial (RCT) comparing MI with usual care. A total of 169 Norwegian patients were included. A within-trial analysis compared the costs and quality-adjusted life years (QALYs). Utilities were measured with the 15D instrument, supplemented with Dermatological Life Quality Index (DLQI). A time-integrated summary score defined the clinical effects. QALYs were adjusted for baseline differences. MI provided equivalent quality of life and utility (15D: –0.0022 QALYs (95% Cl –0.02, 0.01), p = 0.77, and DLQI: –0.62 QALYs (95%CI –0.65, 0.41), p = 0.24, at lower costs €–1103 (–2293, 87), p = 0.058, compared with treatment-as-usual. The MI intervention was thus cost-effective. This result was more evident when using the DLQI as outcome measure compared with 15D.

• Løyland, Borghild & Wahl, Astrid Klopstad (2016). Livskvalitet hos langtidsmottakere av sosialhjelp, I: Sølvi Helseth; Marit Leegaard & Finn Nortvedt (red.),  Livskvalitet og smerte - et mangfoldig forskningsfelt.  Gyldendal Akademisk.  ISBN 9788205481626.  5.  s 68 - 79
• Meyer, Käthe Birgitte; Wahl, Astrid Klopstad; Bjørk, Ida Torunn; Wisløff, Torbjørn; Hartmann, Anders & Andersen, Marit Helen (2016). Long-term, self-reported health outcomes in kidney donors. BMC Nephrology.  ISSN 1471-2369.  17(8) . doi: 10.1186/s12882-016-0221-y
• Wahl, Astrid Klopstad; Osborne, Richard H; Langeland, Eva; Wentzel-Larsen, Tore; Mengshoel, Anne Marit; Ribu, Lis; Peersen, Kari; Elsworth, Gerald R. & Nolte, Sandra (2016). Making robust decisions about the impact of health education programs: Psychometric evaluation of the Health Education Impact Questionnaire (heiQ) in diverse patient groups in Norway. Patient Education and Counseling.  ISSN 0738-3991.  99(10), s 1733- 1738 . doi: 10.1016/j.pec.2016.05.001
• Zoffmann, Vibeke; Hörnsten, Åsa; Storbækken, Solveig; Graue, Marit; Rasmussen, Bodil; Wahl, Astrid Klopstad & Kirkevold, Marit (2016). Translating person-centered care into practice: A comparative analysis of motivational interviewing, illness-integration support, and guided self-determination. Patient Education and Counseling.  ISSN 0738-3991.  99(3), s 400- 407 . doi: 10.1016/j.pec.2015.10.015
• Borge, Christine Råheim; Mengshoel, Anne Marit; Omenaas, Ernst; Moum, Torbjørn Åge; Ekman, Inger; Lein, Martha Pauline; Mack, Ulrich & Wahl, Astrid Klopstad (2015). Effect of guided deep breathing on breathlessness and the breathing pattern in chronic obstructive pulmonary disease: A double-blind randomized control trial. Patient Education and Counseling.  ISSN 0738-3991.  98(2), s 182- 190 . doi: 10.1016/j.pec.2014.10.017
• Bruun-Olsen, Vigdis; Wahl, Astrid Klopstad; Heggen, Kristin; Heiberg, Kristi E. & Mengshoel, Anne Marit (2015). On the inside of a walking skill programme for patients who have undergone total hip or knee arthroplasty: A qualitative study. European Journal of Physiotherapy.  ISSN 2167-9169.  17(4), s 159- 165 . doi: 10.3109/21679169.2015.1061052
• Engebretsen, Eivind; Vøllestad, Nina Køpke; Wahl, Astrid Klopstad; Robinson, Hilde Stendal & Heggen, Kristin (2015). Unpacking the Process of Interpretation in Evidence-Based Decision-Making. Journal of Evaluation In Clinical Practice.  ISSN 1356-1294.  21, s 529- 531
• Wahl, Astrid Klopstad; Langeland, Eva; Larsen, Marie Hamilton; Robinson, Hilde Stendal; Osborne, Richard H & Polesie, Anne Lene Krogstad (2015). Positive Changes in Self-management and Disease Severity Following Climate Therapy in People with Psoriasis. Acta Dermato-Venereologica.  ISSN 0001-5555.  95(3), s 317- 321 . doi: 10.2340/00015555-1939 Fulltekst i vitenarkiv.
• Borge, Christine Råheim; Hagen, Kåre Birger; Mengshoel, Anne Marit; Omenaas, Ernst; Moum, Torbjørn Åge & Wahl, Astrid Klopstad (2014). Effects of controlled breathing exercises and respiratory muscle training in people with chronic obstructive pulmonary disease: results from evaluating the quality of evidence in systematic reviews. BMC Pulmonary Medicine.  ISSN 1471-2466.  14:184 . doi: 10.1186/1471-2466-14-184
• Borge, Christine Råheim; Moum, Torbjørn Åge; Lein, Martha Pauline; Austegard, Elise Lynn & Wahl, Astrid Klopstad (2014). Illness perception in people with chronic obstructive pulmonary disease. Scandinavian Journal of Psychology.  ISSN 0036-5564.  55(5), s 456- 463 . doi: 10.1111/sjop.12150 Vis sammendrag

  Illness perception (IP) concerns how patients evaluate living with a disease. To get a broader understanding of IP in patients with chronic obstructive pulmonary disease (COPD), we investigated whether breathlessness is an important precursor of IP and whether IP in its turn is related to mental health, physical health and global quality of life (QOL). One hundred and fifty-four patients with COPD participated in a cross-sectional survey. Participants underwent pulmonary function testing, provided socio-demographic and clinical information, and completed the following standardized instruments: Brief Illness Perception Questionnaire, Respiratory Quality of Life Questionnaire, Short-Form 12 Health Survey and the Quality of Life Scale. Multiple regression analyses were performed. A high IP score indicates that a patient believes that his/her illness represents a threat. Participants with a high score on the IP dimensions consequences, identity, concern and emotional representation, experienced more breathlessness. High scores on the IP dimensions consequences, identity and concern were associated with impaired physical health and high scores on the IP dimensions consequences, identity and emotional representation were associated with impaired mental health. Impaired global QOL was associated with high scores on the IP dimensions consequences, identity, concern, coherence and emotional representation. The strength of the associations between breathlessness and physical/mental health and global QOL decreased when certain dimensions of IP were included as predictors, indicating that IP to some extent acts as a mediating factor. These findings may have practical implications of patient counseling by helping COPD patients to cope with their disease by restructuring their personal models of illness.

• Engebretsen, Eivind; Andersen, Marit Helen; Urstad, Kristin Hjorthaug & Wahl, Astrid Klopstad (2014). Action Research in Implementation and Evaluation. Outline of a Study of a Training Programme for Kidney Transplant Recipients, In Berit Helene Johnsen (ed.),  Theory and Methodology in International Comparative Classroom Studies.  Cappelen Damm Akademisk.  ISBN 978–82-02–47061–6.  15.  s 256 - 266
• Holmen, Heidi; Torbjørnsen, Astrid; Wahl, Astrid Klopstad; Jenum, Anne Karen; Småstuen, Milada Cvancarova; Årsand, Eirik & Ribu, Lis (2014). A Mobile Health Intervention for Self-Management and Lifestyle Change for Persons With Type 2 Diabetes, Part 2: One-Year Results From the Norwegian Randomized Controlled Trial RENEWING HEALTH. JMIR mhealth and uhealth.  ISSN 2291-5222.  2(4):e57 . doi: 10.2196/mhealth.3882 Fulltekst i vitenarkiv.
• Larsen, Marie Hamilton; Polesie, Anne Lene Krogstad; Aas, Eline; Moum, Torbjørn Åge & Wahl, Astrid Klopstad (2014). A telephone based motivational interviewing intervention has positive effects on psoriasis severity and self-management - A randomized controlled trial. British Journal of Dermatology.  ISSN 0007-0963.  171(6), s 1458- 1469 . doi: 10.1111/bjd.13363
• Opseth, Gro; Wahl, Astrid Klopstad; Bjørke, Gustav & Mengshoel, Anne Marit (2014). Bruk og brukere av fysioterapi i privat praksis i primærhelsetjenesten. Fysioterapeuten.  ISSN 0016-3384.  81(9), s 46- 47
• Torbjørnsen, Astrid; Jenum, Anne Karen; Småstuen, Milada Cvancarova; Årsand, Eirik; Holmen, Heidi; Wahl, Astrid Klopstad & Ribu, Lis (2014). A Low-Intensity Mobile Health Intervention With and Without Health Counseling for Persons With Type 2 Diabetes, Part 1: Baseline and Short-Term Results From a Randomized Controlled Trial in the Norwegian Part of RENEWING HEALTH. JMIR mhealth and uhealth.  ISSN 2291-5222.  2(4) . doi: 10.2196/mhealth.3535 Fulltekst i vitenarkiv.
• Wahl, Astrid Klopstad; Robinson, Hilde Stendal; Langeland, Eva; Larsen, Marie Hamilton; Polesie, Anne Lene Krogstad & Moum, Torbjørn Åge (2014). Clinical characteristics associated with illness perception in psoriasis. Acta Dermato-Venereologica.  ISSN 0001-5555.  94(3), s 271- 275 . doi: 10.2340/00015555-1673 Fulltekst i vitenarkiv.
• Bentsen, Signe Berit; Rokne, Berit & Wahl, Astrid Klopstad (2013). Comparison of health-related quality of life between patients with chronic obstructive pulmonary disease and the general population. Scandinavian Journal of Caring Sciences.  ISSN 0283-9318.  27(4), s 905- 912 . doi: 10.1111/scs.12002
• Bruun-Olsen, Vigdis; Heiberg, Kristi E.; Wahl, Astrid Klopstad & Mengshoel, Anne Marit (2013). The immediate and long-term effects of a walking-skill program compared to usual physiotherapy care in patients who have undergone total knee arthroplasty (TKA): a randomized controlled trial. Disability and Rehabilitation.  ISSN 0963-8288.  35(23), s 2008- 2015 . doi: 10.3109/09638288.2013.770084
• Haugland, Trude; Veenstra, Marijke; Vatn, Morten H & Wahl, Astrid Klopstad (2013). Improvement in Stress, General Self-Efficacy, and HealthRelated Quality of Life following Patient Education for Patientswith Neuroendocrine Tumors: A Pilot Study. Nursing Research and Practice.  ISSN 2090-1429.  2013 . doi: 10.1155/2013/695820
• Langeland, Eva; Robinson, Hilde Stendal; Moum, Torbjørn Åge; Larsen, Marie Hamilton; Polesie, Anne Lene Krogstad & Wahl, Astrid Klopstad (2013). Promoting sense of coherence: Salutogenesis among people with psoriasis undergoing patient education in climate therapy. BMC Psychology.  ISSN 2050-7283.  1(11) . doi: 10.1186/2050-7283-1-11 Fulltekst i vitenarkiv.
• Langeland, Eva; Robinson, Hilde Stendal; Moum, Torbjørn Åge; Larsen, Marie Hamilton & Wahl, Astrid Klopstad (2013). Mental health among people with psoriasis undergoing patient education in climate therapy. Scandinavian Journal of Psychology.  ISSN 0036-5564.  54(6), s 508- 514 . doi: 10.1111/sjop.12073
• Larsen, Marie Hamilton; Hagen, Kåre Birger; Polesie, Anne Lene Krogstad; Aas, Eline & Wahl, Astrid Klopstad (2013). Limited evidence of the effects of patient education and self-management interventions in psoriasis patients: A systematic review. Patient Education and Counseling.  ISSN 0738-3991.  94(2), s 158- 169 . doi: 10.1016/j.pec.2013.10.005
• Ljoså, Tone Marte; Stubhaug, Audun; Mørk, Cato; Moum, Torbjørn Åge & Wahl, Astrid Klopstad (2013). Improvement in Psoriasis Area and Severity Index Score predicts improvement in skin pain over time in patients with psoriasis. Acta Dermato-Venereologica.  ISSN 0001-5555.  93(3), s 330- 334 . doi: 10.2340/00015555-1456 Fulltekst i vitenarkiv.
• Ribu, Lis; Holmen, Heidi; Torbjørnsen, Astrid; Wahl, Astrid Klopstad; Grøttland, Astrid; Småstuen, Milada Cvancarova; Elind, Elisabeth; Bergmo, Trine Strand & Årsand, Eirik (2013). Low-Intensity Self-Management Intervention for Persons With Type 2 Diabetes Using a Mobile Phone-Based Diabetes Diary, With and Without Health Counseling and Motivational Interviewing: Protocol for a Randomized Controlled Trial. JMIR Research Protocols.  ISSN 1929-0748.  2(2), s e34 . doi: 10.2196/resprot.2768 Fulltekst i vitenarkiv.
• Simonsen, Tone Breines; Wahl, Astrid Klopstad; Vangen, Siri & Eberhard-Gran, Malin M C (2013). Gir tidligere aborter fødselsangst?. Tidsskrift for Den norske legeforening.  ISSN 0029-2001.  133(6), s 635- 639 . doi: 10.4045/tidsskr.12.0816
• Urstad, Kristin Hjorthaug; Wahl, Astrid Klopstad; Andersen, Marit Helen; Øyen, Ole & Hagen, Kåre Birger (2013). Limited evidence for the effectiveness of educational interventions for renal recipinets. Results from a systematic review of controlled clinical trials. Patient Education and Counseling.  ISSN 0738-3991.  90(2), s 147- 154 . doi: 10.1016/j.pec.2012.10.020
• Vidnes, Tone; Wahl, Astrid Klopstad & Andersen, Marit Helen (2013). Patient experiences following liver transplantation due to liver metastases from colorectal cancer. European Journal of Oncology Nursing.  ISSN 1462-3889.  17(3), s 269- 274 . doi: 10.1016/j.ejon.2012.07.004
• Wahl, Astrid Klopstad; Moum, Torbjørn Åge; Robinson, Hilde Stendal; Langeland, Eva; Larsen, Marie Hamilton & Polesie, Anne Lene Krogstad (2013). Psoriasis patients' knowledge about the disease and treatments. Dermatology Research and Practice.  ISSN 1687-6105. . doi: 10.1155/2013/921737 Fulltekst i vitenarkiv.
• Andersen, Marit Helen; Dueland, Svein; Hagness, Morten; Vidnes, Tone Karine; Finstad, Ellen Drolsum; Wahl, Astrid Klopstad & Foss, Aksel (2012). Quality of life following liver transplantation in patients with liver metastases from colorectal carcinoma. Scandinavian Journal of Caring Sciences.  ISSN 0283-9318.  26(4), s 713- 719 . doi: 10.1111/j.1471-6712.2012.00984.x
• Bentsen, Signe Berit; Wentzel-Larsen, Tore; Henriksen, Anne Hildur; Rokne, Berit & Wahl, Astrid Klopstad (2012). Anxiety and depression following pulmonary rehabilitation. Scandinavian Journal of Caring Sciences.  ISSN 0283-9318. . doi: 10.1111/j.1471-6712.2012.01064.x
• Ljoså, Tone Marte; Mørk, Cato; Stubhaug, Audun; Moum, Torbjørn & Wahl, Astrid Klopstad (2012). Skin pain and skin discomfort is associated with quality of life in patients with psoriasis. Journal of the European Academy of Dermatology and Venereology.  ISSN 0926-9959.  26(1), s 29- 35 . doi: 10.1111/j.1468-3083.2011.04000.x Vis sammendrag

  Background  Patients with psoriasis commonly report severe sensory skin symptoms, sleep disturbance, psychological distress and impaired health related quality of life (HRQoL). However, the complex associations among these factors are poorly investigated in this patient group. Objectives  The purpose of this study was to investigate the association between skin pain or skin discomfort and HRQoL, and explore whether sleep disturbance and psychological distress were mediators of these associations. Methods  A total of 139 psoriasis patients from a university hospital setting participated in this exploratory, cross-sectional study. Data were obtained through interviews and questionnaires (Dermatology Life Quality Index, General Sleep Disturbance Scale, Illness Perception Questionnaire) and analysed using a series of multiple regression analyses. HRQoL was the dependent variable. Independent variables and assumed mediators were entered into the model in a predefined order. Results  Skin pain, skin discomfort, sleep disturbance and psychological distress were significantly associated with HRQoL (all P < 0.05). Sleep disturbance was a partial mediator for the association between skin pain and HRQoL. No such mediation effect was found in terms of psychological distress. The total model explained 40% of the variance in HRQoL. Conclusion  In this study, skin pain and skin discomfort were significantly related to HRQoL when controlling for demographic and clinical characteristics. In addition, sleep disturbance mediated the association between skin pain and HRQoL. An understanding of the complex association among physiological and psychological factors, and HRQoL is clinically important in order to provide proper treatment and care of patients with psoriasis.

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• Dahl, Espen; Bråthen, Magne; Heggebø, Kristian; Lødemel, Ivar; Løyland, Borghild & Wahl, Astrid Klopstad (2020). Kan ikke, vil ikke. KAI-kronikken.
• Larsen, Marie Hamilton; Strumse, Yndis S.S.; Borge, Christine Råheim; Andersen, Marit Helen & Wahl, Astrid Klopstad (2020). Viktige sammenhenger mellom aleksitymi og helsekompetanse hos pasienter med psoriasis som har deltatt i klimabehandling. Best Practice Nordic.  (JUNI)
• Løyland, Borghild; Dahl, Espen; Wahl, Astrid Klopstad; Lødemel, Ivar; van der Wel, Kjetil A.; Hermansen, Åsmund; Bråthen, Magne & Heggebø, Kristian (2020). Sluttrapport Prosjekt 12/2243 - Arbeidsinkludering, Utdanning eller velferdsytelser. Hvordan har det gått med personer som var langtidsmottakere av sosialhjelp i 2005?.
• Larsen, Marie Hamilton; Hagen, Kåre Birger; Krogstad, Anne Lene & Wahl, Astrid Klopstad (2019). Samvalg (shared decision-making) og psoriasis: En systematisk oversiktsartikkel av kvalitative og kvantitative studier. BestPractice Dermatologi.  (mars)
• Bråthen, Magne; Dahl, Espen; Hermansen, Åsmund; Lødemel, Ivar; Løyland, Borghild; Wahl, Astrid Klopstad & van der Wel, Kjetil A. (2018). Do mentally ill experience access bias in active Labour market programs?.
• Bråthen, Magne; Hermansen, Åsmund; Lødemel, Ivar; Løyland, Borghild; Wahl, Astrid Klopstad; van der Wel, Kjetil A. & Dahl, Espen (2018). Mental health and access to active labour market programs.
• Haraldstad, Kristin; Wahl, Astrid Klopstad; Andenæs, Randi; Andersen, John Roger; Andersen, Marit Helen; Elisabeth Grov, Beisland; Råheim Borge, Christine; Engebretsen, Eivind; Eisemann, Martin; Halvorsrud, Liv Torill; Hanssen, Tove Aminda; Haugstvedt, Anne; Haugland, Trude; Johansen, Venke A; Løvereide, Lise; Larsen, Marie Hamilton; Løyland, Borghild; Kvarme, Lisbeth Gravdal; Moons, Philip; Norekvål, Tone M.; Ribu, Lis; Urstad, Kristin Hjorthaug; Rohde, Gudrun Elin & Helseth, Sølvi (2018). A systematic snapshot review of quality of life research in medicine and health sciences. Vis sammendrag

  Background: Quality of life (QOL) has become established as a central concept and target for research and practice in the field of health and medicine. However, QOL is a complex concept that is interpreted and defined differently within and between disciplines, and so is also the case in health and medicine. Thus, there is a continuing philosophical debate about the meaning and content of QOL and how it should be measured. Aim: The aim of the present study was to perform a review of QOL research in medicine and health, and describe country of origin, target groups, instruments, design and conceptual issues Methods: A Systematic snapshot review were conducted with literature searches in the databases Scopus, covering Embase, MEDLINE, CINAHL and PsycINFO, to identify research studies on QOL and Health-related quality of life (HRQOL) published during one random week in November 2016. To evaluate the conceptual and methodological rigor, we used the 10 predefined criteria developed by Gill and Feinstein. Results: The findings show that QOL research is truly international, involves a variety of target groups, uses different research designs and a whole host of QOL measures. When it comes to evaluation according to the criteria developed by Gill and Feinstein, most articles still have a low-quality score; only 13 % of the articles provided a definition of the concept of QOL, few studies (6%) distinguished QOL from HRQOL. Criteria that were fulfilled most frequently were; i) stating the domains of QOL to be measured, ii) giving a reason for choosing the instruments they used, and iii) aggregating the results from multiple items. Conclusion. Knowledge about QOL is important for understanding the consequences of illness and treatment, and for medical decision-making. However, based on the current evaluation of the methodological and conceptual clarity of QOL research, we conclude that most QOL studies in health and medicine have conceptual and methodological challenges.

• Haraldstad, Kristin; Wahl, Astrid Klopstad; Andenæs, Randi; Andersen, John Roger; Andersen, Marit; Beisland, Elisabeth Grov; Engebretsen, Eivind; Eisemann, Martin; Halvorsrud, Liv; Hanssen, Tove Aminda; Haugstvedt, Anne; Haugland, Trude; Johansen, Venke A; Løvereide, Lise; Larsen, Lise Helen; Hamilton, Lise; Løyland, Borghild; Kvarme, Lisbeth Gravdal; Moon, Philip; Norekvål, Tone M.; Ribu, Lis; Urstad, Kristin Hjorthaug; Rohde, Gudrun E. & Helseth, Sølvi (2018). A systematic snapshot review of quality of life research in medicine and health science.
• Larsen, Marie Hamilton; Borge, Christine Råheim; Staalesen, Yndis & Wahl, Astrid Klopstad (2018). Health literacy - a new pierce of The puzzle in psoriasis?.
• Løyland, Borghild; Hermansen, Åsmund; Dahl, Espen; van der Wel, Kjetil A.; Bråthen, Magne; Lødemel, Ivar & Wahl, Astrid Klopstad (2018). Down and out? Work and welfare trajectories among a cohort of Norwegian long-term social assistance recipients with complex health problems and low quality of life.
• Stømer, Une Elisabeth; Gøransson, Lasse; Wahl, Astrid Klopstad & Urstad, Kristin Hjorthaug (2018). Health literacy in patients With CKD stages 3-5.
• Stømer, Une Elisabeth; Wahl, Astrid Klopstad; Gøransson, Lasse & Urstad, Kristin Hjorthaug (2018). Health literacy in patients With Chronic Kidney Disease: Associations With self-reported adherence to long-term therapy.
• Hermansen, Åsmund; Løyland, Borghild; Dahl, Espen; Lødemel, Ivar; Wahl, Astrid Klopstad & van der Wel, Kjetil A. (2017). Fra sosialhjelp til arbeid – eller noe midt imellom?.
• Holmen, Heidi; Ribu, Lis; Wahl, Astrid Klopstad & Småstuen, Milada C (2017). Mobile health for diabetes self-management.
• Larsen, Marie Hamilton; Krogstad, Anne-Lene & Wahl, Astrid Klopstad (2017). Aleksitymi, sykdomsforståelse og self-management kompetanse I psoriasiskontekst. BestPractice Dermatologi.  8(27), s 8- 12
• Borge, Christine Råheim; Mengshoel, Anne Marit; Omenaas, Ernst; Moum, Torbjørn Åge; Ekman, Inger; Lein, Martha Pauline; Mack, Ulrich & Wahl, Astrid Klopstad (2016). Effektn på tung pust ved hjelp av pusteveiledning av pasienter med moderat og alvorlig kols -en dobbelblindet, randomisert kontrollstudie. BestPractice Lungemedicin.  (19)
• Holmen, Heidi; Wahl, Astrid Klopstad; Småstuen, Milada C & Ribu, Lis (2016). Mobile Apps with Integrated Health Care Personnel communication: Protocol for a systematic review.
• Larsen, Marie Hamilton; Krogstad, Anne Lene & Wahl, Astrid Klopstad (2016). Motiverende samtaler etter klimabehandling gir mindre psoriasisutslett og positiv effekt på sykdomsforståelse, livskvalitet og mestringstro. Hud og Helse.  (2), s 21- 23
• Larsen, Marie Hamilton; Wahl, Astrid Klopstad; Krogstad, Anne Lene & Aas, Eline (2016). Kostnad per QALY analyse av motiverende samtaler som self-management støtte etter klimabehandling for pasienter med psoriasis. BestPractice Dermatologi.  7(22), s 10- 14
• Wahl, Astrid Klopstad; Larsen, Marie Hamilton & Krogstad, Anne Lene (2016). Psoriasispasienters kunnskap om sykdom og behandling. BestPractice Dermatologi.  (juli)
• Østensen, Elisabeth & Wahl, Astrid Klopstad (2016). Opplevelser og reaksjoner hos mennesker med hudsykdom, I: Anne Kari Tolo Heggestad & Unni Knutstad (red.),  Sentrale begreper og fenomener i klinisk sykepleie. Sykepleieboken 2.  Cappelen Damm Akademisk.  ISBN 9788202448615.  Kapittel 15.  s 287 - 304
• Engebretsen, Eivind; Vøllestad, Nina Køpke; Wahl, Astrid Klopstad; Robinson, Hilde Stendal & Heggen, Kristin (2015). Opening the black box of clinical decision making: Interpretation is a central feature in evidence-based medicine. LSE Impact Blog. . doi: http://blogs.lse.ac.uk/impactofsocialsciences/2015/05/08/interpretation-in-evidence-based-medicine/
• Andenæs, Randi; Misvær, Nina; Løyland, Borghild; Helseth, Sølvi; Wahl, Astrid Klopstad; Halvorsrud, Liv; ingrid helen, ravn; Kvarme, Lisbeth Gravdal; Valeberg, Berit Taraldsen; Utne, Inger; Leegaard, Marit; Ribu, Lis & Schwartz, Carolyn E. (2014). Translation as a team-building effort: A cost-effective method for mass translation of quality-of-life tools.
• Borge, Christine Råheim; Moum, Torbjørn Åge; Austegard, Elise Lynn; Lein, Martha Pauline & Wahl, Astrid Klopstad (2013). Illness perception among people with Chronic Obstructive Pulmonary Disease.
• Borge, Christine Råheim; Wahl, Astrid Klopstad & Moum, Torbjørn Åge (2013). Multiple symptoms and quality of life in people with Chronic Obstructive Pulmonary Disease.
• Holmen, Heidi; Torbjørnsen, Astrid; Wahl, Astrid Klopstad & Ribu, Lis (2013). Experiences with and the translation of the diabetes empowerment-short form (DES-SF) in the Norwegian study in Renewing Health.
• Holmen, Heidi; Wahl, Astrid Klopstad; Småstuen, Milada Cvancarova; Årsand, Eirik; Torbjørnsen, Astrid & Ribu, Lis (2013). Readiness for Diet Change Among Persons with Type 2 Diabetes: the Norwegian Study in Renewing Health.
• Langeland, Eva; Robinson, Hilde Stendal; Moum, Torbjørn Åge; Larsen, Marie Hamilton & Wahl, Astrid Klopstad (2013). Positive mental health among people with psoriasis.
• Langeland, Eva; Robinson, Hilde Stendal; Moum, Torbjørn Åge; Larsen, Marie Hamilton & Wahl, Astrid Klopstad (2013). Positive mental health among people with psoriasis. Quality of Life Research.  ISSN 0962-9343.  22, s 10- 11 . doi: 10.1007/s11136-013-0543-1
• Ljoså, Tone Marte & Wahl, Astrid Klopstad (2013). Forbedring i PASI predikerer forbedring av hudsmerte ved psoriasis. BestPractice.  (12), s 22- 23
• Simonsen, Tone Breines; Eberhard-Gran, Malin & Wahl, Astrid Klopstad (2013). Sammenheng mellom tidligere aborter og fødselsangst.
• Bjarkøy, Ragnhild Øye & Wahl, Astrid Klopstad (2012). Sykepleieomsorg til pasienter med psoriasis innlagt i hudavdeling. BestPractice.  8, s 13- 15
• Borge, Christine Råheim; Moum, Torbjørn Åge & Wahl, Astrid Klopstad (2012). Smerter hos personer med KOLS. BestPractice Smerte.  ISSN 1902-7583.  (02)
• Holmen, Heidi; Årsand, Eirik; Torbjørnsen, Astrid; Wahl, Astrid Klopstad & Ribu, Lis (2012). Resultater fra et randomisert kontrollert forsøk med egenbehandling med en elektronisk diabetesdagbok (Few Touch Application) – med og uten helseveiledning.
• Holmen, Heidi; Årsand, Eirik; Wahl, Astrid Klopstad; Torbjørnsen, Astrid; Grøttland, Astrid & Ribu, Lis (2012). The Norwegian study in Renewing Health: Stimulating self-management in persons with Type 2 diabetes mellitus through telecare using the Few Touch application (FTA) and health counseling - a randomized controlled trial.
• Langeland, Eva; Robinson, Hilde Stendal; Larsen, Marie Hamilton; Polesie, Anne Lene Krogstad; Moum, Torbjørn Åge & Wahl, Astrid Klopstad (2012). Sense of coherence among people with psoriasis. Quality of Life Research.  ISSN 0962-9343.  21, s 81- 82 Vis sammendrag

  Aims: The aims for the present study is to investigate Sense of Coherence (SOC); the central concept in salutogenesis and its relation to people with psoriasis by exploring the effect on SOC as a result of climate therapy and investigate factors that predict change in SOC among people with psoriasis. Method: The present study has a prospective design, including a baseline assessment and one follow up in relation to a 3 week climate therapy program. A total of 254 adults with psoriasis participated. SOC was measured by the Sense of Coherence questionnaire (SOC-13), illness perception by using the Revised Illness Perception Questionnaire (IPQ-R) and positive and active engagement in life was measured by the positive and active engagement subscale from the Health Education Impact Questionnaire (HeiQ) (all Norwegian versions). To evaluate possible change in SOC score from baseline to follow-up paired samples T-test was performed. With regard to investigate the predictive value of illness perception versus positive and active engagement in life on SOC, multiple linear regression analysis was used. Results: SOC improved significantly before to after climate therapy. Results show a significant statistical change (p < 0.001) in SOC from baseline to follow-up with a difference of 2.6, (95% C.I: 1.6-3.6). Furthermore, the attitude of positive and active engagement in life (standardized beta coefficient .22, P =. 0.002) and illness perception –coherence dimension (standardized beta coefficient .15, P =. 0.04) predict change in SOC. Conclusion: This is the first study that investigates the effect on SOC as a result of climate therapy. SOC significantly improved before to after climate therapy. Further the results indicate that improving positive and active engagement in life and a coherent understanding of the illness might provide important opportunities to improve SOC among people with psoriasis. We need more studies that investigate SOC among people with psoriasis undergoing climate therapy and what factors that predict positive change in SOC.

• Langeland, Eva; Robinson, Hilde Stendal; Larsen, Marie Hamilton; Polesie, Anne Lene Krogstad; Moum, Torbjørn Åge & Wahl, Astrid Klopstad (2012). Sense of coherence among people with psoriasis.
• Ljoså, Tone Marte & Wahl, Astrid Klopstad (2012). Smerte og ubehag i huden hos pasienter med psoriasis. BestPractice Norge.  (7), s 6- 7

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