Publications by authors named "Rachael M Hewitt"
Skin conditions carry a significant physical, psychological, and social burden. People with skin conditions often engage in health-threatening behaviours that can worsen symptoms and increase cardiovascular disease risk. However, access to dedicated psychological and behaviour-change support is limited.
View Article and Find Full Text PDFBackground: The Global Research on the Impact of Dermatological Diseases (GRIDD) project is developing the new Patient-Reported Impact of Dermatological Diseases (PRIDD) measure. PRIDD measures the impact of dermatological conditions on the patient's life.
Objectives: This study aimed to seek consensus from patients on which items to prioritize for inclusion in PRIDD.
Background: The Global Research on the Impact of Dermatological Diseases (GRIDD) team is developing the new Patient-Reported Impact of Dermatological Diseases (PRIDD) measure of the impact of dermatological conditions on the patient's life, in partnership with patients. To develop PRIDD, we conducted a systematic review, followed by a qualitative interview study with 68 patients worldwide and subsequently a global Delphi survey of 1,154 patients to ensure PRIDD items were meaningful and important to patients.
Objective: To pilot test PRIDD with patients with dermatological conditions, focusing on its content validity (comprehensiveness, comprehensibility, and relevance), acceptability, and feasibility.
Background: Dermatological conditions can have a substantial impact on psychological as well as physical health yet dedicated face-to-face psychological support for patients is lacking. Thus, individuals may require additional support to self-manage dermatological conditions effectively. Digital technology can contribute to long-term condition management, but knowledge of the effectiveness of digital interventions addressing psychological (cognitive, emotional, and behavioural) aspects of dermatological conditions is limited.
View Article and Find Full Text PDFExisting patient-reported outcome measures cannot comprehensively capture the full impact of living with a dermatological condition. The aim of this study was to develop a conceptual framework on which to build a new Patient-Reported Impact of Dermatological Diseases (PRIDD) measure. Adults (≥ 18 years of age) living with a dermatological condition, worldwide and/or representatives from a patient organization recruited via a global patient organization network, were invited to an individual or group interview.
View Article and Find Full Text PDFArticle Synopsis
- Remote consultations via telephone or video have been effective for managing psoriasis and ensuring continuous patient care during the SARS-CoV-2 pandemic, though patient experiences are not well-documented.
- A survey of 126 individuals with psoriasis and psoriatic arthritis revealed that while 78% were satisfied with remote consultations, preferences varied, with some wanting to alternate between remote and in-person visits.
- Five themes emerged from the analysis, highlighting the importance of remote consultations for routine follow-ups, especially for stable patients, and suggesting that clinician skills training could enhance these virtual interactions.
Objectives: To investigate the impact of SARS-CoV-2 on self-reported mood, coping and health behaviours of people living with existing health conditions in the UK to understand how to improve coping responses to the threat of SARS-CoV-2.
Design: Quantitative design using a cross-sectional survey.
Setting: Online survey in the UK.
Background: There is currently a lack of qualitative research exploring how cognitive and emotional reactions to the threat of SARS-CoV-2 affected the health behaviours of people living with and without pre-existing mental and physical health conditions. We aimed to investigate how the threat of SARS-CoV-2 influenced the thoughts, feelings and health behaviours of people with and without pre-existing health conditions in the UK.
Methods: A cross-sectional online survey of UK adults (aged 18 and over).
Article Synopsis
- The study investigates how dermatologists' personal beliefs and assumptions influence their approach to patient care, particularly in managing psoriasis with the new treatment Apremilast.
- Two main themes emerged from interviews: clinicians' personal models of patient care, which include varying degrees of patient-centeredness and underlying stereotypes, and the impact these models have on their consultation styles and decision-making.
- Despite many doctors supporting a patient-centered approach, inconsistencies in practice were noted, suggesting a need for enhanced training to ensure better implementation of shared decision-making in consultations.
The Psoriasis and Well-being (PsoWell)™ training programme, incorporating motivational interviewing, improves clinicians' knowledge and skills to manage complex psoriasis, including behaviour change. The aims of this study were to deliver the PsoWell™ training programme to dermatology specialists, and to evaluate the acceptability and feasibility of implementing the PsoWell™ model across dermatology services. Framework analysis of 19 qualitative semi-structured interviews was performed, following delivery of nine, 1-day PsoWell™ training days involving 119 participants.
View Article and Find Full Text PDFTo determine if a weight gain prevention intervention is acceptable to young women with a normal Body Mass Index and a moderately increased or high risk of breast cancer. Qualitative semi-structured interview study involving 14 women aged 26-35 years who were registered with a Family History Clinic in Manchester, UK, due to family history of breast cancer. Participants' views were analysed thematically.
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