Motivational interviewing-based training enhances clinicians' skills and knowledge in psoriasis: findings from the Pso Well(®) study

A Chisholm, P A Nelson, Christina Pearce, Alison Littlewood, K Kane, A L Henry, R Thorneloe, M P Hamilton, J Lavallee, M Lunt, C E M Griffiths, L Cordingley, C Bundy, Identification and Management of Psoriasis-Associated Co-morbidiTy (IMPACT) Team

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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 with patients with long-term conditions. This study assessed change in clinicians' MI skills and psoriasis knowledge following Psoriasis and Well-being (Pso Well(®) ) training.

OBJECTIVES: (1) To investigate whether the Pso Well(®) training intervention improves clinicians' MI skills and knowledge about psoriasis-related comorbidities and risk factors. (2) 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 feasibility and acceptability of the training.

RESULTS: Sixty-one clinicians completed the training (35 dermatology nurses; 23 dermatologists; 3 primary care clinicians). Clinicians' MI skills (p<.001) and knowledge (p< .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. This article is protected by copyright. All rights reserved.

Original languageEnglish
JournalBritish Journal of Dermatology
Early online date4 Jul 2016
Publication statusPublished - Feb 2017


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