The non-pharmacological interventions of people with psoriasis: a scoping review

Abstract

Abstract Introduction The ultimate aim of health care is to eradicate a disease and return the person’s life to normal. But until the day comes when this has been achieved there will be a need to support and assist many people with psoriasis in non-pharmacological interventions. These ‘adjuvant’ approaches receive too little attention while dermatologists and researchers strive for better pharmacological therapy. Methods This scoping review identifies and catalogues non-pharmacological interventions in people with psoriasis. EMBASE, PubMed, CINAHL, PsycINFO and Scopus were searched from inception to June 2022. Regardless of the type of study, the research was included for non-pharmacological interventions in people with psoriasis. Following themes were extracted from the included articles. Two reviewers independently screened and analyzed them. Results From 1322 initial records, 71 studies were identified and analyzed. The non-pharmacological interventions for people with psoriasis include two levels of organizational and individual intervention. The organizational non-pharmacological interventions included the following: nationwide health care model (PsPSP, ProvenCare®, PsoHealth German, PsoNet, IMPROVE model and PsoWell clinic), innovative teledermatology models (mHealth APP, eTIPs study and therapist-Guided internet-based cognitive and behavioral treatments) and multidisciplinary intervention. The individual non-pharmacological interventions included educational interventions (therapeutic patient education, psycho-educational intervention and self-management education), psychosocial interventions (cognitive and behavioral treatments, self-help and peer to peer support program) and others (happify and motivational interviewing-based training). Conclusions Based on the previous literatures, a protocol of nationwide health care model was constructed for people with psoriasis. It not only provides a direction for building a new psoriatic health care model, but also a basis for summarizing the non-pharmacological interventions in people suffered from psoriasis to help them adapt to a variety of changes in skin disorder.