Effectiveness of brief training in cognitive behaviour therapy techniques for palliative care practitioners
Effectiveness of brief training in cognitive behaviour therapy techniques for palliative care practitioners
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DOI：
10.1177/0269216306071058
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发表时间：
2006-01-01
影响因子：
4.4
通讯作者：
Scott, Jan
中科院分区：
文献类型：
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作者：
Mannix, Kathryn A.;Blackburn, Ivy Marie;Scott, Jan
我们对20名姑息治疗从业人员进行了CBT技术培训，为期12天的等效教学加上为期6个月的技能建设监督。学员在日常工作中与病人互动的录音带使用特别设计的“认知急救”评分量表（CFARS）进行评分。CFARS具有高度的内部一致性（Cronbach's Alpha 0.93）和高信度。受训人员在六个月内表现出CBT技能能力的显著提高（p=0.001）。在最初的培训后，一半的受训者被随机分配到停止监督；六个月后重新评估时，他们的CBT技能和自我报告的信心都有所下降，而那些继续接受监督的人获得了进一步的技能并保持了信心（p=0.007）。姑息治疗从业人员可以通过简单而简短的培训课程和支持性的技能建设监督来培训CBT技能。这些技能符合国家关于向癌症各个阶段的患者提供心理支持的指导方针。监督是必要的，以确保技能的维护和使用它们的信心。
We describe training in CBT techniques for 20 palliative care practitioners delivered as 12 days' equivalent teaching plus skills-building supervision over a six month period. Audiotapes of trainees' interactions with patients during their usual work were rated using a specially devised 'Cognitive First Aid' rating scale (CFARS). The CFARS was highly internally consistent (Cronbach's Alpha 0.93) and inter-rater reliability was high. Trainees showed significant gain in CBT skills competency over six months (p=0.001). After initial training, half the trainees were randomised to discontinue supervision; their measured CBT skill dropped as did their self-reported confidence when reassessed six months later, whereas those who continued in supervision gained further skill and maintained confidence (p=0.007). Palliative care practitioners can be trained in CBT skills by a simple and brief training course and supportive, skills-building supervision. These skills are compatible with national guidelines on delivery of psychological support to patients at all stages of cancer. Supervision is necessary to ensure maintenance of skills and confidence to use them.