Addressing Cardiovascular Risk in People With Psoriatic Disease Using a Care Coordinator Model: A Qualitative...

Area of Science:

• Cardiology
• Dermatology
• Rheumatology
• Health Services Research

Background:

• Individuals with psoriatic disease face heightened cardiovascular event risk.
• A care coordination model was developed to manage this cardiovascular risk.
• A pilot study preceded a larger prospective clinical trial to refine the model.

Purpose of the Study:

• To gather qualitative feedback on the care coordination model from pilot trial participants.
• To optimize the care coordination approach based on constituent input.
• To enhance cardiovascular risk management strategies for psoriatic disease patients.

Main Methods:

• Conducted 42 qualitative interviews with diverse participants (patients, clinicians, care coordinators).
• Employed a rapid qualitative analysis approach to analyze interview data.
• Gathered feedback on a piloted care coordination model for cardiovascular risk in psoriatic disease.

Main Results:

• Participant perceptions of the care coordination model were overwhelmingly positive.
• The model successfully increased awareness of cardiovascular risk in psoriatic disease.
• Identified areas for improvement included eligibility, personalization, and follow-up clarity; concerns noted about statin focus.

Conclusions:

• Constituent feedback was integrated into the care coordination model and trial procedures.
• The optimized model and insights can inform interventions to close cardiovascular care gaps in psoriatic disease.
• Qualitative findings support the model's potential for broader application in managing chronic disease comorbidities.