Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Department of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Psychol Psychother. 2024 Jun;97(2):234-247. doi: 10.1111/papt.12510. Epub 2023 Nov 30.
Cognitive remediation (CR) improves cognition and aids recovery in people with psychosis. An active therapist provides increased benefit, but CR training for therapists is not routinely available, so CR has limited scalability. This study describes the development and evaluation of the first online CR therapist training programme.
An online CR training, based on expert and novice therapist consultations, was developed, and then pilot tested with novice trainees and changes made to produce the evaluation version. Feasibility, acceptability, and training benefits were assessed in a group of naïve UK NHS mental health professionals. Training engagement with a group of clinicians who accessed the programme for professional development was compared to those who paid fees.
Most mental health professionals finished training and passed the knowledge test, indicating that training enhanced clinicians' knowledge. Fee-paying trainees had significantly faster completion times and a higher proportion finished in the recommended time. Those who were successful at passing the knowledge questionnaire had significantly fewer years in practice. The majority were satisfied with the programme, felt they had made considerable progress and that training would allow them to begin practicing CR, and would recommend the training to colleagues.
This online CR training programme was feasible, acceptable to participants and showed benefits for clinicians. It improved knowledge even in the most junior of staff who have had less time to develop clinical know-how.
认知矫正（CR）可改善精神病患者的认知功能并促进其康复。有经验的治疗师提供的帮助更大，但治疗师的 CR 培训通常无法获得，因此 CR 的可扩展性有限。本研究描述了首个在线 CR 治疗师培训计划的开发和评估。
基于专家和新手治疗师的咨询，开发了一种在线 CR 培训，并对新手学员进行了试点测试，然后根据测试结果进行了调整，以生成评估版本。在一组英国 NHS 心理健康专业人员中评估了该培训的可行性、可接受性和培训效益。将一组因职业发展而访问该计划的临床医生的培训参与度与付费访问的医生进行了比较。
大多数心理健康专业人员完成了培训并通过了知识测试，表明培训提高了临床医生的知识水平。付费学员的完成时间明显更快，且有更高的比例在推荐的时间内完成。那些成功通过知识问卷的人实际工作年限明显更短。大多数参与者对该计划感到满意，他们认为自己取得了很大的进步，并且培训将使他们能够开始进行 CR 治疗，并向同事推荐该培训。
这个在线 CR 培训计划是可行的、参与者认可的，并为临床医生带来了益处。它提高了知识水平，即使是那些工作经验较少、临床知识积累较少的初级员工也是如此。
