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A Pilot Evaluation of a Brief CBT Training Course: Impact on Trainees' Satisfaction, Clinical Skills and Patient Outcomes

Published online by Cambridge University Press:  23 September 2008

David Westbrook*
Affiliation:
Oxford Cognitive Therapy Centre, Warneford Hospital, UK
Alison Sedgwick-Taylor
Affiliation:
Gloucestershire NHS Partnership Trust, Gloucester, UK
James Bennett-Levy
Affiliation:
Oxford Cognitive Therapy Centre, Warneford Hospital, UK
Gillian Butler
Affiliation:
Oxford Cognitive Therapy Centre, Warneford Hospital, UK
Freda McManus
Affiliation:
Oxford Cognitive Therapy Centre, Warneford Hospital, UK
*
Reprint requests to David Westbrook, Oxford Cognitive Therapy Centre, Warneford Hospital, Oxford OX3 7JX, UK. E-mail: [email protected]

Abstract

This study reports an evaluation of a 10-day training course in cognitive behaviour therapy (CBT). The course comprised both formal CBT workshops and clinical case supervision, and was evaluated on measures of trainee satisfaction, trainee- and assessor-rated measures of CBT skill, and clinical outcomes for a subgroup of trainees' patients. The course was well received by trainees and their post-training therapy tapes were rated significantly higher on both trainee- and assessor-rated measures of CBT skills. In addition, trainees achieved significantly better outcomes with their patients after the training course than before, suggesting that the training impacted not only on their skills but also on their effectiveness in routine clinical practice. The limitations of the study and implications for future research in training are discussed.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2008

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References

Barkham, M., Mellor-Clark, J., Connell, J. and Cahill, J. (2006). A core approach to practice-based evidence: a brief history of the origins and applications of the CORE-OM and CORE System. Counselling and Psychotherapy Research, 6, 315.CrossRefGoogle Scholar
Bennett-Levy, J. and Beedie, A. (2007). The ups and downs of cognitive therapy training: what happens to trainees' perceptions of their competence during a cognitive therapy training course? Behavioural and Cognitive Psychotherapy, 35, 6175.CrossRefGoogle Scholar
Brosan, L., Reynolds, S. and Moore, R. G. (2006). Factors associated with competence in cognitive therapists. Behavioural and Cognitive Psychotherapy, 35, 179190.CrossRefGoogle Scholar
Centre for Economic Performance, Mental Health Policy Group (2006). The Depression Report: a new deal for depression and anxiety disorders. London: London School of Economics.Google Scholar
Davidson, K., Scott, J., Schmidt, U., Tata, P., Thornton, S. and Tyrer, P. (2004). Therapist competence and clinical outcome in the Prevention of Parasuicide by Manual Assisted Cognitive Behaviour Therapy Trial: the POPMACT study. Psychological Medicine, 34, 855863.CrossRefGoogle ScholarPubMed
Department of Health (2000). The NHS Plan: a plan for investment; a plan for reform. London: Department of Health.Google Scholar
Grey, N., Salkovskis, P., Quigley, A., Ehlers, A. and Clark, D. M. (2006). Dissemination of Cognitive Therapy for Panic Disorder in Primary Care. Presented at BABCP conference, Warwick, 1921 July.Google Scholar
James, I., Blackburn, I-M., Milne, D. and Reichfelt, F. (2001). Moderators of trainee therapists' competence in cognitive therapy. British Journal of Clinical Psychology, 40, 131141.CrossRefGoogle ScholarPubMed
King, M., Davidson, O., Taylor, F., Haines, A., Sharp, D. and Turner, R. (2002). Effectiveness of teaching general practitioners skills in brief cognitive behaviour therapy to treat patients with depression: randomised controlled trial. British Medical Journal, 324, 947950.CrossRefGoogle ScholarPubMed
Kingdon, D., Tyrer, P., Seivewright, N., Ferguson, B. and Murphy, S. (1996). The Nottingham Study of neurotic disorder: influence of cognitive therapists on outcome. British Journal of Psychiatry, 169, 9397.CrossRefGoogle ScholarPubMed
Mannix, K., Blackburn, I-M., Garland, A., Gracie, J., Moorey, S., Reid, B., Standart, S. and Scott, J. (2006). Effectiveness of brief training in cognitive behaviour therapy techniques for palliative care practitioners. Palliative Medicine, 20, 579584.CrossRefGoogle ScholarPubMed
Milne, D., Baker, C., Blackburn, I-M., James, I. and Reichelt, K. (1999). Effectiveness of cognitive therapy training. Journal of Behavior Therapy and Experimental Psychiatry, 30, 8192.CrossRefGoogle ScholarPubMed
Milne, D., Claydon, T., Blackburn, I-M., James, I. and Sheikh, A. (2001). Rationale for a new measure of competence in therapy. Behavioural and Cognitive Psychotherapy, 29, 2133.CrossRefGoogle Scholar
Mullin, T., Barkham, M., Mothersole, G., Bewick, B. and Kinder, A. (2006). Recovery and improvement benchmarks for counselling and the psychological therapies in routine primary care. Counselling and Psychotherapy Research, 6, 6880.CrossRefGoogle Scholar
NICE (2004a). Anxiety: management of anxiety (panic disorder, with or without agoraphobia, and generalised anxiety disorder) in adults in primary, secondary and community care. Clinical Guideline 26. London: National Institute for Health and Clinical Excellence.Google Scholar
NICE (2004b). Depression: management of depression in primary and secondary care. Clinical Guideline 23. London: National Institute for Health and Clinical Excellence.Google Scholar
Reichelt, K., James, I. and Blackburn, I-M. (2003). Impact of training on rating competence in cognitive therapy. Journal of Behavior Therapy and Experimental Psychiatry, 34, 8799.CrossRefGoogle ScholarPubMed
Rønnestad, M. and Ladany, N. (2006). The impact of psychotherapy training: introduction to the special section. Psychotherapy Research, 16, 261267.CrossRefGoogle Scholar
Shaw, B. F., Elkin, I., Yamaguchi, J., Olmsted, M., Vallis, T. M., Dobson, K. S., Lowery, A., Sotsky, S. M., Watkins, J. T. and Imber, S. D. (1999). Therapist competence ratings in relation to clinical outcome in cognitive therapy of depression. Journal of Consulting and Clinical Psychology, 67, 837846.CrossRefGoogle ScholarPubMed
Sholomskas, D., Syracuse-Siewert, G., Rounsaville, B., Ball, S., Nuro, K. and Carroll, K. (2005). We don't train in vain: a dissemination trial of three strategies of training clinicians in cognitive-behavioral therapy. Journal of Consulting and Clinical Psychology, 73, 106115.CrossRefGoogle Scholar
Walters, S., Matson, S., Baer, J. and Ziedonis, D. (2005). Effectiveness of workshop training for psychosocial addiction treatments: a systematic review. Journal of Substance Abuse Treatment, 29, 283293.CrossRefGoogle ScholarPubMed
Westbrook, D., Kennerley, H. and Kirk, J. (2007). An Introduction to Cognitive Behaviour Therapy: skills and applications. London: Sage.Google Scholar
Young, J. E. and Beck, A. T. (1980). Cognitive Therapy Scale Rating Manual. Unpublished manuscript, Centre for Cognitive Therapy, University of Pennsylvania, PA 19104, USA.Google Scholar
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