| Self-management experiences in adults with mild-moderate psoriasis: an exploratory study and implications for improved support. | |
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MedLine Citation:
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PMID: 20560955 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Psoriasis is a long-term condition affecting 2-3% of the population. The mainstay of treatment for mild-moderate disease is the regular application of topical medication by the individual. At present little is known about how people with psoriasis self-manage and how they may best be supported in this endeavour. OBJECTIVES: To explore how adults with mild-moderate psoriasis manage their condition and to identify strategies that can support people to self-manage effectively. METHODS: A qualitative investigation was carried out using six focus groups to collect data from purposively sampled participants managed in the community (n = 22). RESULTS: Thematic data analysis generated three categories that offer new insights into how people currently manage their condition, their low expectations of health services and how self-management may be better supported. People with mild-moderate psoriasis do not always achieve what they perceive to be optimal self-management. They often do not use topical therapy systematically and frequently abandon it if rapid improvements are not seen. Factors which participants identified as likely to improve self-management included the provision of individualized education directed towards improving effective adherence techniques by medical and nonmedical personnel who have practical experience in topical application of psoriatic therapies. CONCLUSIONS: People with mild-moderate psoriasis continue to find self-management problematic; however, they can identify strategies that could enable them to become more effective in self-managing. There is a need to incorporate these strategies in 'self-management plans' in order to support individuals to self-manage as effectively as possible to help improve their skin condition and quality of life. |
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Authors:
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S J Ersser; F C Cowdell; S M Latter; E Healy |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The British journal of dermatology Volume: 163 ISSN: 1365-2133 ISO Abbreviation: Br. J. Dermatol. Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-10-27 Completed Date: 2011-01-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0004041 Medline TA: Br J Dermatol Country: England |
Other Details:
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Languages: eng Pagination: 1044-9 Citation Subset: IM |
Copyright Information:
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© 2010 The Authors. Journal Compilation © 2010 British Association of Dermatologists. |
Affiliation:
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Centre for Wellbeing and Quality of Life, Room 110, Royal London House, Bournemouth University, Christchurch Road, Bournemouth BH1 3LT, UK. sersser@bournemouth.ac.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Family Practice / standards Female Focus Groups Humans Male Middle Aged Patient Satisfaction Psoriasis / therapy* Qualitative Research Self Care* / methods |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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