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

Hewitt, Rachael M., Pattinson, Rachael, Cordingley, Lis, Griffiths, Christopher E.M., Kleyn, C. Elise, McAteer, Helen, Schofield, Julia and Bundy, Chris 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: Published Online
Status: In Press
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: 12 Oct 2021 13:28
URI: http://orca.cardiff.ac.uk/id/eprint/141518

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