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

doi:10.1111/bjd.14837

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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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 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 language	English
Journal	British Journal of Dermatology
Early online date	4 Jul 2016
DOIs	https://doi.org/10.1111/bjd.14837
Publication status	Published - Feb 2017

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Chisholm_et_al-2016-British_Journal_of_DermatologyAccepted author manuscript, 419 KB

Arthritis Research UK Centre of Excellence in Epidemiology.
Symmons, D., Bruce, I., Dixon, W., Felson, D., Hyrich, K., Lunt, M., Mcbeth, J., O'Neill, T. & Verstappen, S.
1/08/13 → 31/07/18
Project: Research

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Chisholm, A., Nelson, P. A., Pearce, C., Littlewood, A., Kane, K., Henry, A. L., Thorneloe, R., Hamilton, M. P., Lavallee, J., Lunt, M., Griffiths, C. E. M., Cordingley, L., Bundy, C., & Identification and Management of Psoriasis-Associated Co-morbidiTy (IMPACT) Team (2017). Motivational interviewing-based training enhances clinicians' skills and knowledge in psoriasis: findings from the Pso Well(®) study. British Journal of Dermatology. https://doi.org/10.1111/bjd.14837

@article{ed360fa796d0443794855ad034d5e98f,

title = "Motivational interviewing-based training enhances clinicians' skills and knowledge in psoriasis: findings from the Pso Well({\textregistered}) study",

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 with patients with long-term conditions. This study assessed change in clinicians' MI skills and psoriasis knowledge following Psoriasis and Well-being (Pso Well({\textregistered}) ) training.OBJECTIVES: (1) To investigate whether the Pso Well({\textregistered}) 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({\textregistered}) 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({\textregistered}) 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.",

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

year = "2017",

month = feb,

doi = "10.1111/bjd.14837",

language = "English",

journal = "British Journal of Dermatology",

issn = "0007-0963",

publisher = "John Wiley & Sons Ltd",

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Chisholm, A, Nelson, PA, Pearce, C, Littlewood, A, Kane, K, Henry, AL, Thorneloe, R, Hamilton, MP, Lavallee, J , Lunt, M , Griffiths, CEM , Cordingley, L, Bundy, C & Identification and Management of Psoriasis-Associated Co-morbidiTy (IMPACT) Team 2017, 'Motivational interviewing-based training enhances clinicians' skills and knowledge in psoriasis: findings from the Pso Well(®) study', British Journal of Dermatology. https://doi.org/10.1111/bjd.14837

TY - JOUR

T1 - Motivational interviewing-based training enhances clinicians' skills and knowledge in psoriasis

T2 - findings from the Pso Well(®) study

AU - Chisholm, A

AU - Nelson, P A

AU - Pearce, Christina

AU - Littlewood, Alison

AU - Kane, K

AU - Henry, A L

AU - Thorneloe, R

AU - Hamilton, M P

AU - Lavallee, J

AU - Lunt, M

AU - Griffiths, C E M

AU - Cordingley, L

AU - Bundy, C

AU - Identification and Management of Psoriasis-Associated Co-morbidiTy (IMPACT) Team

PY - 2017/2

Y1 - 2017/2

N2 - 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.

AB - 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.

U2 - 10.1111/bjd.14837

DO - 10.1111/bjd.14837

M3 - Article

C2 - 27373236

JO - British Journal of Dermatology

JF - British Journal of Dermatology

SN - 0007-0963

ER -

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

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Arthritis Research UK Centre of Excellence in Epidemiology.

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