Table 1.

Strategies to improve adherence in patients with psoriasis

Strategies related to the patient

– Health education

• To the patient

• Public campaigns

– Alcohol/tobacco cessation

– Psychotherapy

• Relaxation techniques

• Disease coping techniques

• Support groups

– Psychiatry referral if psychopathology

Strategies related to the patient–physician relationship

– Pleasant and friendly attitude

– Visual contact

– Empathy

– Trusting relationship with the patient

– Active listening

– Agreed therapeutic regimens

– Avoidance of medical jargon

Strategies related to the therapy

– Feasible to apply in patients with extensive involvement

– High efficacy

– Low cost

– Nongreasy, clean, nonsmelling, nonstaining (gels, foams, lotions)

– Infrequent application/intake (weekly, monthly)

– Minimal adverse effects

– Written instructions