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Updated: Oct 16, 2025

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
Anecdote Increases Patient Willingness to Take a Biologic Medication for Psoriasis
Matthew C Johnson1, Elias Oussedik1, William Wei-Ting Huang1
1Drs. Johnson, Oussedik, Huang, and Feldman are from the Center for Dermatology Research, Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, North Carolina. Dr. Feldman also is from the Departments of Pathology and Social Sciences & Health Policy. Dr. Oussedik also is from the Faculty of Medicine, McGill University, Montreal, Quebec, Canada. Dr. Kammrath is from the Department of Psychology, Wake Forest University, Winston-Salem.
Patient apprehension about biologic psoriasis treatments can be reduced. Sharing personal stories (anecdotes), alongside clinical data, significantly boosts patient willingness to start these effective medications.
Area of Science:
- Dermatology
- Psychology
- Clinical Research
Background:
- Biologic medications are effective for psoriasis but patient apprehension is common.
- Fears often relate to side effects and perceived efficacy.
- Understanding factors influencing treatment acceptance is crucial.
Purpose of the Study:
- To assess patient willingness to initiate biologic therapy for psoriasis.
- To compare the impact of clinical trial evidence versus patient anecdotes on willingness.
- To evaluate the combined effect of evidence and anecdotes.
Main Methods:
- Prospective online survey of 222 psoriasis patients.
- Randomized presentation of clinical trial data, patient anecdotes, or both.
- Willingness assessed using a 10-point Likert scale.
- Statistical analysis using Kruskal-Wallis and Dunn tests.
Main Results:
- Presenting patient anecdotes, alone or combined with clinical evidence, increased willingness to take biologics.
- Both clinical evidence and anecdotes showed a positive impact.
- The combination of anecdote and clinical evidence was particularly effective.
Conclusions:
- Patient anecdotes can be a powerful tool in improving acceptance of biologic psoriasis treatments.
- Integrating personal stories with scientific data may overcome patient hesitancy.
- This approach can enhance adherence to evidence-based dermatological care.
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