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

Abstract

The Psoriasis and Well-being (PsoWell)™ training pro-gramme, incorporating motivational interviewing, im-proves 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 Com-petence” 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 re-garding whole-patient management might prevent up-take. Data showing the impact on health outcomes are needed and might overcome scepticism. Remote con-sultation could adopt the PsoWell™ approach.