EMPATHY Life in Psoriasis: Embracing Patients’ Well-Being in Their Journey of Moderate-to-Severe Psoriasis

Author:

Prignano Francesca1ORCID,Campione Elena2ORCID,Parodi Aurora3,Vegni Elena45ORCID,Bardazzi Federico6ORCID,Borroni Riccardo G.78ORCID,Burlando Martina9,Cinotti Elisa10ORCID,Dini Valentina11,Giacchetti Alfredo12,Giofrè Claudia13,Megna Matteo14ORCID,Zichichi Leonardo15,Fargnoli Maria Concetta1617ORCID

Affiliation:

1. Department of Health Sciences, Section of Dermatology, University of Florence, 50125 Florence, Italy

2. Dermatologic Unit, Department of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy

3. Section of Dermatology, Dipartimento di Scienze della Salute, University of Genoa, Ospedale-Policlinico San Martino, IRCCS, Largo R. Benzi, 10, 16132 Genova, Italy

4. Department of Health Sciences, University of Milan, 20146 Milan, Italy

5. Unit of Clinical Psychology, ASST Santi Paolo and Carlo Hospitals, 20142 Milan, Italy

6. Dermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico S. Orsola Malpighi, 40126 Bologna, Italy

7. Department of Biomedical Sciences, Humanitas University, 20089 Milan, Italy

8. Dermatology Unit, Humanitas Research Hospital—IRCCS, 20089 Milan, Italy

9. Dermatologic Clinic, DISSAL, San Martino Hospital, 16132 Genova, Italy

10. Dermatology Unit, Department of Medical, Surgical and Neurological Sciences, University of Siena, 53100 Siena, Italy

11. Unit of Dermatology, University of Pisa, 56126 Pisa, Italy

12. UOC Dermatology, IRCCS INRCA, 60124 Ancona, Italy

13. Dermatology Complex Operative Unit, Papardo Hospital, 98158 Messina, Italy

14. Section of Dermatology, Department of Clinical, Medicine and Surgery, University of Naples Federico II, 80138 Naples, Italy

15. Unit of Dermatology, San Antonio Abate Hospital, 80057 Trapani, Italy

16. Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, 67100 L’Aquila, Italy

17. Dermatology Unit, Ospedale San Salvatore, 67100 L’Aquila, Italy

Abstract

Background: Psoriasis is a chronic inflammatory skin condition that affects millions of individuals worldwide, impacting their physical and emotional well-being. The management of psoriasis requires effective communication and a strong physician–patient relationship. Objective: We aim to develop a novel algorithm to enhance patient well-being and care in moderate-to-severe psoriasis, considering the time constraints that dermatologists have in public hospitals. Methods: This project employed a multidisciplinary approach, involving collaboration between 14 experienced dermatologists (referred to as Key Opinion Leaders: KOLs) and a psychologist. During three separate meetings (an initial virtual session, a face-to-face meeting, and a final virtual meeting), an algorithm (Embracing Patients’ Well-being in their Journey of Moderate-to-Severe psoriasis: EMPATHY), describing the patient’s reception through the entire first visit and follow-up visits, was developed and refined. Results: The EMPATHY algorithm provides a step-by-step approach from the moment the patient arrives at reception, through the first visit and on to subsequent visits. This algorithm fills a critical gap in the existing guidelines by specifically addressing how to foster empathy during psoriasis patient visits within time-limited consultations. The algorithm outlines patient-centered strategies at each visit. Key aspects include creating a welcoming environment, active listening, respecting privacy, tailoring communication styles, and managing patient expectations. Conclusions: The EMPATHY algorithm represents a novel and promising approach to improving patient care and well-being in moderate-to-severe psoriasis. Developed together by dermatologists and a psychologist, this algorithm offers healthcare providers practical guidance for managing both initial and follow-up patient visits. While further validation is necessary, the potential for adapting the EMPATHY algorithm to diverse healthcare settings and patient populations holds promise for improving patient outcomes across various chronic conditions.

Funder

Almirall S.p.A.: Milan, Italy

Publisher

MDPI AG

Reference42 articles.

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