title: Motivational interviewing-based training enhances clinicians' skills and knowledge in psoriasis: findings from the Pso Well®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 for patients with long-term conditions. This study assessed change in clinicians' MI skills and psoriasis knowledge following Psoriasis and Wellbeing (Pso Well®) training.
  
  
  OBJECTIVE
  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.affiliation: Manchester Centre for Dermatology Research, University of Manchester, Manchester, U.K.|Manchester Academic Health Science Centre, University of Manchester, Manchester, U.K.|Manchester Centre for Health Psychology, University of Manchester, Manchester, U.K.
authors.forename: A
authors.initials: A
authors.lastname: Chisholm
authors.affiliation: Manchester Centre for Dermatology Research, University of Manchester, Manchester, U.K.|Manchester Academic Health Science Centre, University of Manchester, Manchester, U.K.
authors.forename: P A
authors.initials: PA
authors.lastname: Nelson
authors.affiliation: Manchester Centre for Dermatology Research, University of Manchester, Manchester, U.K.|Manchester Academic Health Science Centre, University of Manchester, Manchester, U.K.|Manchester Centre for Health Psychology, University of Manchester, Manchester, U.K.
authors.forename: C J
authors.initials: CJ
authors.lastname: Pearce
authors.affiliation: Manchester Centre for Dermatology Research, University of Manchester, Manchester, U.K.|Manchester Academic Health Science Centre, University of Manchester, Manchester, U.K.
authors.forename: A J
authors.initials: AJ
authors.lastname: Littlewood
authors.affiliation: Manchester Centre for Dermatology Research, University of Manchester, Manchester, U.K.|Manchester Academic Health Science Centre, University of Manchester, Manchester, U.K.
authors.forename: K
authors.initials: K
authors.lastname: Kane
authors.affiliation: Manchester Centre for Dermatology Research, University of Manchester, Manchester, U.K.|Manchester Academic Health Science Centre, University of Manchester, Manchester, U.K.|Manchester Centre for Health Psychology, University of Manchester, Manchester, U.K.
authors.forename: A L
authors.initials: AL
authors.lastname: Henry
authors.affiliation: Manchester Centre for Dermatology Research, University of Manchester, Manchester, U.K.|Manchester Academic Health Science Centre, University of Manchester, Manchester, U.K.|Manchester Centre for Health Psychology, University of Manchester, Manchester, U.K.
authors.forename: R
authors.initials: R
authors.lastname: Thorneloe
authors.affiliation: Manchester Academic Health Science Centre, University of Manchester, Manchester, U.K.|Manchester Centre for Health Economics, University of Manchester, Manchester, U.K.
authors.forename: M P
authors.initials: MP
authors.lastname: Hamilton
authors.affiliation: School of Nursing, Midwifery and Social Work, University of Manchester, Manchester, U.K.
authors.forename: J
authors.initials: J
authors.lastname: Lavallee
authors.affiliation: Manchester Academic Health Science Centre, University of Manchester, Manchester, U.K.|Centre for Musculoskeletal Research, University of Manchester, Manchester, U.K.
authors.forename: M
authors.initials: M
authors.lastname: Lunt
authors.affiliation: Manchester Centre for Dermatology Research, University of Manchester, Manchester, U.K.|Manchester Academic Health Science Centre, University of Manchester, Manchester, U.K.|Salford Royal NHS Foundation Trust, Manchester, U.K.
authors.forename: C E M
authors.initials: CE
authors.lastname: Griffiths
authors.affiliation: Manchester Centre for Dermatology Research, University of Manchester, Manchester, U.K.|Manchester Academic Health Science Centre, University of Manchester, Manchester, U.K.|Manchester Centre for Health Psychology, University of Manchester, Manchester, U.K.
authors.forename: L
authors.initials: L
authors.lastname: Cordingley
authors.affiliation: Manchester Centre for Dermatology Research, University of Manchester, Manchester, U.K.|Manchester Academic Health Science Centre, University of Manchester, Manchester, U.K.|Manchester Centre for Health Psychology, University of Manchester, Manchester, U.K.
authors.forename: C
authors.initials: C
authors.lastname: Bundy
mesh_terms: D002983:Clinical Competence / Q000592:standards*; D003142:Communication; D015897:Comorbidity; D003376:Counseling; D000072085:Dermatologists / Q000592:standards; D003880:Dermatology / Q000193:education; D004501:Education, Medical / Q000379:methods; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007318:Inservice Training; D008297:Male; D062405:Motivational Interviewing / Q000379:methods*; D009726:Nurses / Q000592:standards; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D058007:Physicians, Primary Care / Q000592:standards; D011565:Psoriasis / Q000628:therapy*; D012307:Risk Factors