A Chisholm1,2,3, P A Nelson1,2, C J Pearce1,2,3, A J Littlewood1,2, K Kane1,2, A L Henry1,2,3, R Thorneloe1,2,3, M P Hamilton2,4, J Lavallee5, M Lunt2,6, C E M Griffiths1,2,7, L Cordingley1,2,3, C Bundy1,2,3. 1. Manchester Centre for Dermatology Research, University of Manchester, Manchester, U.K. 2. Manchester Academic Health Science Centre, University of Manchester, Manchester, U.K. 3. Manchester Centre for Health Psychology, University of Manchester, Manchester, U.K. 4. Manchester Centre for Health Economics, University of Manchester, Manchester, U.K. 5. School of Nursing, Midwifery and Social Work, University of Manchester, Manchester, U.K. 6. Centre for Musculoskeletal Research, University of Manchester, Manchester, U.K. 7. Salford Royal NHS Foundation Trust, Manchester, U.K.
Abstract
BACKGROUND: Psoriasis is a common long-term, immune-mediated skin condition associated with behavioural factors (e.g. smoking, excess alcohol, obesity), which increase the risk of psoriasis onset, flares and comorbidities. Motivational interviewing (MI) is an evidence-based approach to health-related behaviour change that has been used successfully for patients with long-term conditions. This study assessed change in clinicians' MI skills and psoriasis knowledge following Psoriasis and Wellbeing (Pso Well® ) training. OBJECTIVES: To investigate whether the Pso Well training intervention improves clinicians' MI skills and knowledge about psoriasis-related comorbidities and risk factors; and to explore the acceptability and feasibility of the Pso Well training content, delivery and evaluation. METHODS: Clinicians attended the 1-day training programme focused on MI skills development in the context of psoriasis. MI skills were assessed pre- and post-training using the Behaviour Change Counselling Index. Knowledge about psoriasis-related comorbidity and risk factors was assessed with a novel 22-point measure developed for the study. Interviews with clinicians were analysed qualitatively to identify perceptions about the feasibility and acceptability of the training. RESULTS: Sixty-one clinicians completed the training (35 dermatology nurses, 23 dermatologists and three primary-care clinicians). Clinicians' MI skills (P < 0·001) and knowledge (P < 0·001) increased significantly post-training. Clinicians found the training valuable and relevant to psoriasis management. CONCLUSIONS: Attendance at the Pso Well training resulted in improvements in clinicians' knowledge and skills to manage psoriasis holistically. Clinicians deemed the training itself and the assessment procedures used both feasible and acceptable. Future research should investigate how this training may influence patient outcomes.
BACKGROUND: Psoriasis is a common long-term, immune-mediated skin condition associated with behavioural factors (e.g. smoking, excess alcohol, obesity), which increase the risk of psoriasis onset, flares and comorbidities. Motivational interviewing (MI) is an evidence-based approach to health-related behaviour change that has been used successfully for patients with long-term conditions. This study assessed change in clinicians' MI skills and psoriasis knowledge following Psoriasis and Wellbeing (Pso Well® ) training. OBJECTIVES: To investigate whether the Pso Well training intervention improves clinicians' MI skills and knowledge about psoriasis-related comorbidities and risk factors; and to explore the acceptability and feasibility of the Pso Well training content, delivery and evaluation. METHODS: Clinicians attended the 1-day training programme focused on MI skills development in the context of psoriasis. MI skills were assessed pre- and post-training using the Behaviour Change Counselling Index. Knowledge about psoriasis-related comorbidity and risk factors was assessed with a novel 22-point measure developed for the study. Interviews with clinicians were analysed qualitatively to identify perceptions about the feasibility and acceptability of the training. RESULTS: Sixty-one clinicians completed the training (35 dermatology nurses, 23 dermatologists and three primary-care clinicians). Clinicians' MI skills (P < 0·001) and knowledge (P < 0·001) increased significantly post-training. Clinicians found the training valuable and relevant to psoriasis management. CONCLUSIONS: Attendance at the Pso Well training resulted in improvements in clinicians' knowledge and skills to manage psoriasis holistically. Clinicians deemed the training itself and the assessment procedures used both feasible and acceptable. Future research should investigate how this training may influence patient outcomes.
Authors: Rachael M Hewitt; Rachael Pattinson; Lis Cordingley; Christopher E M Griffiths; C. Elise Kleyn; Helen McAteer; Julia Schofield; Chris Bundy Journal: Acta Derm Venereol Date: 2021-04-29 Impact factor: 3.875
Authors: P A Nelson; K Kane; C J Pearce; C Bundy; A Chisholm; R Hilton; R Thorneloe; H Young; C E M Griffiths; L Cordingley Journal: Br J Dermatol Date: 2017-08-17 Impact factor: 9.302
Authors: Marco Garrido-Cumbrera; David Gálvez-Ruiz; Carlos J Delgado-Domínguez; Denis Poddubnyy; Victoria Navarro-Compán; Laura Christen; Raj Mahapatra; Souzi Makri; Christine Bundy Journal: RMD Open Date: 2021-11
Authors: Emma Le Roux; Peter J Edwards; Emily Sanderson; Rebecca K Barnes; Matthew J Ridd Journal: Br J Gen Pract Date: 2020-10-01 Impact factor: 5.386