Implementation of the PsoWellâ„¢ Model for the Management of People with Complex Psoriasis.

Hewitt, Rachael M; Pattinson, Rachael; Cordingley, Lis; Griffiths, Christopher E M; Kleyn, Elise; McAteer, Helen; Schofield, Julia; Bundy, Chris

The Psoriasis and Well-being (PsoWell)â„¢ 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 PsoWellâ„¢ training programme to dermatology specialists, and to evaluate the acceptability and feasibility of implementing the PsoWellâ„¢ model across dermatology services. Framework analysis of 19 qualitative semi-structured interviews was performed, following delivery of 9, 1-day PsoWellâ„¢ training days involving 119 participants. Two themes were identified: "Perceptions and Priorities" and "Awareness", sub-divided into: "Awareness Not Competence" and "Increasing Awareness". The PsoWellâ„¢ 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 PsoWellâ„¢ approach.