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Effectiveness of brief training in cognitive behaviour therapy techniques for palliative care practitioners

Lookup NU author(s): Anne Garland, Jennifer Gracie, Barbara Reid, Emeritus Professor Jan Scott


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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.

Publication metadata

Author(s): Mannix KA, Blackburn IM, Garland A, Gracie J, Moorey S, Reid B, Standart S, Scott J

Publication type: Article

Publication status: Published

Journal: Palliative Medicine

Year: 2006

Volume: 20

Issue: 6

Pages: 579-584

Print publication date: 01/01/2006

ISSN (print): 0269-2163

ISSN (electronic): 1477-030X

Publisher: Sage


DOI: 10.1177/0269216306071058


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