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Implementation of the PsoWell™ model for the management of people with complex psoriasis

Hewitt, Rachael M., Pattinson, Rachael ORCID: https://orcid.org/0000-0002-3145-3710, Cordingley, Lis, Griffiths, Christopher E.M., Kleyn, C. Elise, McAteer, Helen, Schofield, Julia and Bundy, Chris ORCID: https://orcid.org/0000-0002-5981-3984 2021. Implementation of the PsoWell™ model for the management of people with complex psoriasis. Acta Dermato-Venereologica 101 (4) , adv00445. 10.2340/00015555-3802

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Abstract

The Psoriasis and Well-being (PsoWell)™ training programme, incorporating motivational interviewing, improves clinicians’ knowledge and skills to manage complex psoriasis, including behaviour change. The aims of this study were to deliver the PsoWell™ training programme to dermatology specialists, and to evaluate the acceptability and feasibility of implementing the PsoWell™ model across dermatology services. Framework analysis of 19 qualitative semi-structured interviews was performed, following delivery of nine, 1-day PsoWell™ training days involving 119 participants. Two themes were identified: “Perceptions and Priorities” and “Awareness”, sub-divided into: “Awareness Not Competence” and “Increasing Awareness”. The PsoWell™ model was found to be acceptable and feasible to implement across dermatology settings. Participants were more skilled and motivated to address psycho­logical issues, including behaviour change, but wanted further training to ensure competency. The trainees claimed that scepticism among some colleagues regarding whole-patient management might prevent uptake. Data show­ing the impact on health outcomes are needed and might overcome scepticism. Remote consultation could adopt the PsoWell™ approach.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Healthcare Sciences
Publisher: Society for Publication of Acta Dermato-Venereologica
ISSN: 1651-2057
Date of First Compliant Deposit: 21 May 2021
Date of Acceptance: 14 April 2021
Last Modified: 07 Nov 2023 20:43
URI: https://orca.cardiff.ac.uk/id/eprint/141518

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