an evaluation of the effect of an educational intervention for australian social workers on competence in delivering brief cognitive behavioural strategies a randomised controlled trial评估澳大利亚社会工作者的教育干预的影响能力在提供简短的认知行为策略的随机对照试验.pdfVIP

Armstrong et al. BMC Health Services Research 2010, 10:304 /1472-6963/10/304 RESEARCH ARTICLE Open Access An evaluation of the effect of an educational intervention for Australian social workers on competence in delivering brief cognitive behavioural strategies: A randomised controlled trial 1* 1 2 3 4 5 6 G Armstrong , G Blashki , L Joubert , R Bland , R Moulding , J Gunn , L Naccarella Abstract Background: Broad community access to high quality evidence-based primary mental health care is an ongoing challenge around the world. In Australia one approach has been to broaden access to care by funding psychologists and other allied health care professionals to deliver brief psychological treatments to general practitioners’ patients. To date, there has been a scarcity of studies assessing the efficacy of social worker delivered psychological strategies. This study aims to build the evidence base by evaluating the impact of a brief educational intervention on social workers’ competence in delivering cognitive behavioural strategies (strategies derived from cognitive behavioural therapy). Methods: A randomised controlled trial design was undertaken with baseline and one-week follow-up measurement of both objective and self-perceived competence. Simulated consultations with standardised depressed patients were recorded on videotape and objective competence was assessed by blinded reviewers using the Cognitive Therapy Scale. Questionnaires completed by participants were used to measure self-perceived competence. The training intervention was a 15 hour face-to-face course involving presentations, video example consultations, written materials and rehearsal of skills in pairs. Results: 40 Melbourne-based (Australia) social wor