Evaluation of a new online cognitive remediation therapy (CIRCuiTSTM) training for mental health professionals

IF 2.6 3区 医学 Q2 PSYCHIATRY Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2023-11-30 DOI:10.1111/papt.12510
Rumina Taylor, Adam Crowther, Rose Tinch-Taylor, Caroline da Cunha Lewin, Caterina Cali, Clare Reeder, Matteo Cella, Til Wykes
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Abstract

Objective

Cognitive remediation (CR) improves cognition and aids recovery in people with psychosis. An active therapist provides increased benefit, but CR training for therapists is not routinely available, so CR has limited scalability. This study describes the development and evaluation of the first online CR therapist training programme.

Methods

An online CR training, based on expert and novice therapist consultations, was developed, and then pilot tested with novice trainees and changes made to produce the evaluation version. Feasibility, acceptability, and training benefits were assessed in a group of naïve UK NHS mental health professionals. Training engagement with a group of clinicians who accessed the programme for professional development was compared to those who paid fees.

Results

Most mental health professionals finished training and passed the knowledge test, indicating that training enhanced clinicians' knowledge. Fee-paying trainees had significantly faster completion times and a higher proportion finished in the recommended time. Those who were successful at passing the knowledge questionnaire had significantly fewer years in practice. The majority were satisfied with the programme, felt they had made considerable progress and that training would allow them to begin practicing CR, and would recommend the training to colleagues.

Conclusions

This online CR training programme was feasible, acceptable to participants and showed benefits for clinicians. It improved knowledge even in the most junior of staff who have had less time to develop clinical know-how.

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评估一种新的在线认知补救疗法(CIRCuiTSTM)对心理健康专业人员的培训。
目的:认知修复(Cognitive remediation, CR)能改善精神病患者的认知能力,帮助其康复。积极的治疗师可以提供更多的益处,但治疗师的CR培训并不是常规的,因此CR的可扩展性有限。本研究描述了第一个在线CR治疗师培训计划的发展和评估。方法:基于专家和新手治疗师的咨询,开发了一种在线CR培训,然后对新学员进行试点测试,并进行修改,生成评估版本。可行性,可接受性和培训效益在一组naïve英国NHS心理健康专业人员中进行了评估。与一组临床医生的培训参与进行比较,这些临床医生参加了专业发展计划,与付费的临床医生进行了比较。结果:大多数心理卫生专业人员完成了培训并通过了知识测试,说明培训提高了临床医生的知识水平。付费学员的完成时间明显更快,在推荐时间内完成的比例也更高。那些成功通过知识问卷的人在实践中的时间明显更短。大多数人对该计划感到满意,认为他们已经取得了相当大的进步,培训将使他们开始实践企业社会责任,并将培训推荐给同事。结论:这种在线CR培训方案是可行的,参与者可以接受,并且对临床医生有好处。它甚至提高了那些没有多少时间发展临床知识的最初级工作人员的知识。
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来源期刊
CiteScore
6.10
自引率
5.90%
发文量
68
审稿时长
6 months
期刊介绍: Psychology and Psychotherapy: Theory Research and Practice (formerly The British Journal of Medical Psychology) is an international scientific journal with a focus on the psychological and social processes that underlie the development and improvement of psychological problems and mental wellbeing, including: theoretical and research development in the understanding of cognitive and emotional factors in psychological problems; behaviour and relationships; vulnerability to, adjustment to, assessment of, and recovery (assisted or otherwise) from psychological distresses; psychological therapies with a focus on understanding the processes which affect outcomes where mental health is concerned.
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