Implementation of the PsoWell™ Model for the Management of People with Complex Psoriasis.

Autor: Hewitt RM; School of Healthcare Sciences, Cardiff University, CF24 0AB Cardiff, United Kingdom. E-mail: hewittr2@cardiff.ac.uk., Pattinson R, Cordingley L, Griffiths CEM, Kleyn CE, McAteer H, Schofield J, Bundy C
Jazyk: angličtina
Zdroj: Acta dermato-venereologica [Acta Derm Venereol] 2021 Apr 29; Vol. 101 (4), pp. adv00445. Date of Electronic Publication: 2021 Apr 29.
DOI: 10.2340/00015555-3802
Abstrakt: 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 psycho-logical 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 show-ing the impact on health outcomes are needed and might overcome scepticism. Remote consultation could adopt the PsoWell™ approach.
Databáze: MEDLINE