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

Marie Curie Hospice, Newcastle upon Tyne, Nottingham

Ivy Marie Blackburn

Newcastle Cognitive Therapy Centre, Newcastle upon Tyne, Nottingham

Anne Garland

Nottingham Psychotherapy Unit, Nottingham

Jennifer Gracie

Marie Curie Hospice, Newcastle upon Tyne, London

Stirling Moorey

Maudsley Hospital, London

Barbara Reid

Marie Curie Hospice, Newcastle upon Tyne, London

Sally Standart

Newcastle Cognitive Therapy Centre, Newcastle upon Tyne, London

Jan Scott

Institute of Psychiatry, London

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.

Key Words: cognitive behaviour therapy (CBT) • palliative care • psychological support • rating scale • supervision • training

Palliative Medicine, Vol. 20, No. 6, 579-584 (2006)
DOI: 10.1177/0269216306071058


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