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Updated: May 31, 2026
11:39
The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
Interventions to Improve Treatment Adherence in Psoriasis: A Systematic Review
Manisha Kumar1, Jonathan Nakad1, Cindy Kok1
1The Skin Hospital, Darlinghurst, New South Wales, Australia.
The Australasian Journal of Dermatology
|May 30, 2026
Summary
Improving psoriasis treatment adherence is crucial. Digital tools and healthcare professional support show modest benefits, but more research is needed for consistent clinical improvements.
Area of Science:
- Dermatology
- Health Services Research
- Behavioral Medicine
Background:
- Psoriasis requires long-term adherence for effective management.
- Suboptimal treatment adherence is common in clinical practice.
- Existing adherence interventions lack standardized reporting, hindering effectiveness evaluation.
Purpose of the Study:
- To systematically review interventions aimed at improving treatment adherence in psoriasis patients.
- To synthesize evidence on adherence outcomes and associated clinical/patient-reported effects.
Main Methods:
- Systematic literature search across major databases following PRISMA guidelines.
- Inclusion of 26 studies evaluating adherence-enhancing interventions for psoriasis.
- Focus on digital, technology-supported, and healthcare professional-led interventions.
Main Results:
- Digital and technology-supported interventions (apps, SMS, electronic monitoring) showed modest adherence improvements.
- Nurse and pharmacist-led interventions demonstrated potential adherence benefits.
- Adherence improvements were more consistent than changes in clinical severity or quality of life.
Conclusions:
- Diverse interventions exist to improve psoriasis treatment adherence.
- Methodological heterogeneity and inconsistent clinical outcomes necessitate standardized measures and longer follow-up.
- Further evaluation of scalable, multidisciplinary adherence support strategies is required.
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