title: Training community matrons in basic cognitive behavioural therapy-based techniques for patients with COPD.
abstract: People with chronic obstructive pulmonary disease (COPD) experience anxiety and depression with a higher prevalence than the general population. Despite this, they are under-represented in mental health services on a national scale, but do regularly have contact with health-care professionals such as community matrons. We aimed to explore the process of CBT-based skills supervision and the practical implications for community matrons using CBT-based techniques with COPD clients as part of their standard practice. Twenty community matrons took part in a 2-day CBT-based skills training programme. Measurements of their knowledge and understanding of CBT-based skills were taken before and following the training. Additionally, they completed written feedback relating to the training. They were then supervised by CBT therapists for 6 months. Written feedback was obtained following this and some supervisors participated in a 1-hour focus group to discuss the process. Community matrons' knowledge and understanding of CBT-based techniques significantly improved following training, although findings did indicate that merely training did not always seamlessly translate into effective practice. Supervisor feedback suggested that it would be beneficial for community matrons to share positive practice of their use of basic CBT-based techniques among peers to maximise the perceived value of this approach.
authors.affiliation: Primary Care Mental Health Worker, Gateshead Talking Therapies Service, South Tyneside NHS Foundation Trust.
authors.forename: David
authors.initials: D
authors.lastname: Barker
authors.affiliation: CBT Therapist, Gateshead Talking Therapies Service, South Tyneside NHS Foundation Trust.
authors.forename: Caroline
authors.initials: C
authors.lastname: Davies
authors.affiliation: CBT Therapist, South Tyneside Talking Therapies Service, South Tyneside NHS Foundation Trust.
authors.forename: Brendan
authors.initials: B
authors.lastname: Dixon
authors.affiliation: CBT Therapist, South Tyneside Talking Therapies Service, South Tyneside NHS Foundation Trust.
authors.forename: Amanda
authors.initials: A
authors.lastname: Hodgson
authors.affiliation: CBT Therapist/Clinical Lead, Gateshead Talking Therapies Service, South Tyneside NHS Foundation Trust.
authors.forename: Simon
authors.initials: S
authors.lastname: Reay
authors.affiliation: Psychological Wellbeing Practitioner, Gateshead Talking Therapies Service, South Tyneside NHS Foundation Trust.
authors.forename: Nicola
authors.initials: N
authors.lastname: Barclay
mesh_terms: D000328:Adult; D001007:Anxiety / Q000451:nursing* / Q000523:psychology; D015928:Cognitive Behavioral Therapy / Q000193:education*; D003152:Community Health Nursing / Q000193:education*; D004509:Education, Nursing, Continuing / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D015403:Nursing Evaluation Research; D029424:Pulmonary Disease, Chronic Obstructive / Q000451:nursing* / Q000523:psychology