ABSTRACT

Background

The aim of this study was to investigate the impact of a novel, brief CBTp-informed skills training, called Positive Practices for working with Psychosis (PPP), on recovery-orientation of frontline inpatient psychiatric staff, and on staff knowledge of and confidence using skills informed by Cognitive Behavior Therapy for psychosis.

Methods

Twenty five providers participated in 12 hours of PPP training. We examined changes in providers’ skills in delivering recovery-oriented care (focusing on skills advocacy, evidence based practice, stigma, optimism, and client preference), and providers’ knowledge of, and confidence in using CBTp informed skills, using the Competency Assessment Instrument (CAI) and the Knowledge and Confidence Using CBTp Skills Scale (KC-CBTp).

Results

were analyzed using paired-sample t-tests. Results: Significant gains (p < .001) in self-rated knowledge and confidence using CBTp skills were seen on 8 of 9 domains measured. On the CAI, significant gain in optimism was seen (p = .004).

Discussion

Brief CBTp informed PPP training is a potential intervention for frontline staff, associated with significant gains in knowledge of, and confidence in using, evidence based CBTp-informed skills, and increased optimism in attitudes towards recovery. Limited change on recovery based competencies of staff was seen in other domains and requires further investigation.

中文翻译：

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培训住院精神科护士和工作人员在急性住院精神科环境中利用 CBTp 知情技能

摘要

背景

本研究的目的是调查一种新颖的、简短的 CBTp 知情技能培训的影响，称为精神病治疗的积极实践 (PPP)，对一线住院精神病科工作人员的康复导向，以及工作人员对使用的知识和信心的影响认知行为疗法为精神病患者提供的技能。

方法

25 家供应商参加了 12 小时的 PPP 培训。我们使用能力评估检查了提供者在提供以康复为导向的护理方面的技能变化（侧重于技能宣传、循证实践、耻辱、乐观和客户偏好），以及提供者对使用 CBTp 知情技能的知识和信心工具 (CAI) 和使用 CBTp 技能量表 (KC-CBTp) 的知识和信心。

结果

使用配对样本 t 检验分析。结果：在测量的 9 个领域中的 8 个领域中，使用 CBTp 技能的自评知识和信心显着提高 (p < .001)。在 CAI 上，乐观情绪显着提高 (p = .004)。

讨论

简短的 CBTp 知情 PPP 培训是一线员工的一种潜在干预措施，与对基于证据的 CBTp 知情技能的知识和使用信心的显着提高以及对康复态度的乐观态度有关。在其他领域发现员工基于恢复的能力变化有限，需要进一步调查。