Do Attitudes Matter? Evaluating the Influence of Training in CBT-p-Informed Strategies on Attitudes About Working with People Who Experience Psychosis.
alliance; Attitudes; beliefs; CBT-p informed skills; Cognitive behavioral therapy for psychosis; cognitive-behavioral therapy; dangerousness; illness; mental-health professionals; outcomes; perceptions; Recovery; schizophrenia; schizophrenia; staff attitudes; Stigma
Attitudes of mental health providers are an important consideration in training and delivering evidence-based practices. Treatment approaches for individuals who experience schizophrenia consistently endorse the importance of a recovery perspective. At the same time, a review of the literature suggests that the attitudes of many providers and many policies of community health care settings serving individuals who experience schizophrenia, may not align with the recovery perspective. This brief report provides a summary of the program evaluation outcomes of a wide range of mental health providers who participated in a 2-day intensive training to learn strategies informed by Cognitive Behavioral Therapy for Psychosis (CBT-p). This intensive training emphasizes engagement strategies and person-centered approaches inherent in the recovery perspective. Consistent with the aims of the training, participants' attitudes about working with people who experience psychosis appeared to be positively influenced by training.
Sivec Harry J; Kreider Valerie A L; Buzzelli Christopher; Hrouda Debra R; Hricovec Megan M
Community mental health journal
2020
2020-03-28
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
journalArticle
<a href="http://doi.org/10.1007/s10597-020-00611-w" target="_blank" rel="noreferrer noopener">10.1007/s10597-020-00611-w</a>
Transtheoretical Model-chronic Disease Care For Obesity In Primary Care: A Randomized Trial
chronic disease; clinical-trials; cognitive-behavioral therapy; dietary-fat intake; Endocrinology & Metabolism; exercise behavior; intervention; motivational readiness; Nutrition & Dietetics; physical-activity; program; randomized controlled trial; self-efficacy; services task-force; treatment; weight management; weight loss
Objective: To compare health benefits achieved in a transtheoretical model-chronic disease (TM-CD) minimal intervention for obesity vs. augmented usual care (AUC). Research Method and Procedures: This was a 2-year, randomized clinical trial with overweight or obese men and women from 15 primary care sites. AUC (n = 336) included dietary and exercise advice, prescriptions, and three 24-hour dietary recalls every 6 months. TM-CD care (n = 329) included AUC elements plus "stage of change" (SOC) assessments for five target behaviors every other month, mailed SOC and target behavior-matched-workbooks, and monthly telephone calls from a weight-loss advisor. Weight change was the primary outcome. Results: Repeated measures models under the missing at random assumption yielded nonsignificant adjusted differences between. the AUC and TM-CD groups for weight change, waist circumference, energy intake or expenditure, blood pressure, and blood lipids. The pattern of change over time suggested that TM-CD participants were trying harder to impact target behaviors during the first 6 to 12 months of the trial but relapsed afterward. Sixty percent of trial participants maintained their baseline weights for 18 to 24 months. Discussion: A combination of mailed patient materials and monthly telephone calls based on, the transtheoretical model and some elements of chronic disease care is not powerful enough, relative to AUC, to alter target behaviors among overweight primary care patients in an obesogenic environment. AUC may be sufficient to maintain weights among at-risk primary care patients.
Logue E E; Sutton K; Jarjoura D; Smucker W; Baughman K; Capers C
Obesity Research
2005
2005-05
Journal Article or Conference Abstract Publication
<a href="http://doi.org/10.1038/oby.2005.106" target="_blank" rel="noreferrer noopener">10.1038/oby.2005.106</a>