scholarly journals Therapist perceptions of client memory for psychological treatment contents and use of memory support strategies: A survey study of clinical practice.

2019 ◽  
Vol 50 (5) ◽  
pp. 288-295
Author(s):  
Garret G. Zieve ◽  
Nicole B. Gumport ◽  
Claire Weaver ◽  
Mary E. McNamara ◽  
Allison G. Harvey
2019 ◽  
Vol 36 (1) ◽  
pp. 1-11
Author(s):  
Garret G. Zieve ◽  
Lu Dong ◽  
Allison G. Harvey

AbstractPatient memory for treatment contents is defined as memory for the ideas, concepts, skills, and/or insights (termed treatment points) that the therapist thinks are important for the patient to remember and implement as a part of therapy. This article reviews key findings on patient memory for treatment contents, describes the development and evaluation of the Memory Support Intervention (MSI), and outlines future directions for research. Patient memory for treatment contents is poor, and worse memory is associated with worse treatment outcome. The MSI is composed of eight memory support strategies that therapists incorporate frequently alongside treatment points delivered during treatment-as-usual. Training therapists to deliver the MSI may yield better treatment outcomes by enhancing patient memory for treatment contents. Future research is needed to understand how to best measure patient memory for treatment contents, and the mediators, moderators, and dissemination potential of the MSI.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jan Schmidt ◽  
Nikoloz Gambashidze ◽  
Tanja Manser ◽  
Tim Güß ◽  
Michael Klatthaar ◽  
...  

Abstract Background Many hospitals seek to increase patient safety through interprofessional team-trainings. Accordingly, these trainings aim to strengthen important key aspects such as safety culture and communication. This study was designed to investigate if an interprofessional team-training, administered to a relatively small group of nurses and physicians would promote a change in healthcare professionals’ perceptions on safety culture and communication practices throughout the hospital. We further sought to understand which safety culture aspects foster the transfer of trained communication practices into clinical practice. Methods We conducted a pre-post survey study using six scales to measure participants’ perceptions of safety culture and communication practices. Mean values were compared according to profession and participation in training. Using multiple regression models, the relationship between safety culture and communication practices was determined. Results Before and after the training, we found high mean values for all scales. A significant, positive effect was found for the communication practices of the physicians. Participation in the training sessions played a variably relevant role in the communication practices. In addition, the multiple regression analyses showed that specific safety culture aspects have a cross-professional influence on communication practices in the hospital. Conclusions This study suggest that interprofessional team-trainings of a small group of professionals can successfully be transferred into clinical practice and indicates the importance of safety culture aspects for such transfer processes. Thus, we recommend the consideration of safety culture aspects before starting a training intervention.


2017 ◽  
Vol 46 (2) ◽  
pp. 226-237 ◽  
Author(s):  
Mark Hayward ◽  
Rebecca Edgecumbe ◽  
Anna-Marie Jones ◽  
Clio Berry ◽  
Clara Strauss

Background: Hearing voices can be a common and distressing experience. Psychological treatment in the form of cognitive behavioural therapy for psychosis (CBTp) is effective, but is rarely available to patients. The barriers to increasing access include a lack of time for clinicians to deliver therapy. Emerging evidence suggests that CBTp delivered in brief forms can be effective and offer one solution to increasing access. Aims: We adapted an existing form of CBTp, coping strategy enhancement (CSE), to focus specifically on distressing voices in a brief format. This intervention was evaluated within an uncontrolled study conducted in routine clinical practice. Method: This was a service evaluation comparing pre–post outcomes in patients who had completed CSE over four sessions within a specialist out-patient service within NHS Mental Health Services. The primary outcome was the distress scale of the Psychotic Symptoms Rating Scale – Auditory Hallucinations (PSYRATS-AH). Results: Data were available from 101 patients who had completed therapy. A reduction approaching clinical importance was found on the PSYRATS distress scale post-therapy when compared with the baseline. Conclusions: The findings from this study suggest that CSE, as a focused and brief form of CBTp, can be effective in the treatment of distressing voices within routine clinical practice. Within the context of the limitations of this study, brief CSE may best be viewed as the beginning of a therapeutic conversation and a low-intensity intervention in a stepped approach to the treatment of distressing voices.


2010 ◽  
Vol 17 (2) ◽  
pp. 213-221 ◽  
Author(s):  
Kimberly E. DiGiorgio ◽  
Carol R. Glass ◽  
Diane B. Arnkoff

2016 ◽  
Vol 52 (6) ◽  
pp. 480-490 ◽  
Author(s):  
Gavin I. Clark ◽  
Tanya L. Hanstock ◽  
Laura H. Clark

2020 ◽  
Vol 34 (7-8) ◽  
pp. 1251-1266 ◽  
Author(s):  
David E. Marra ◽  
James B. Hoelzle ◽  
Jeremy J. Davis ◽  
Eben S. Schwartz

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