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Training community matrons in basic cognitive behavioural therapy-based techniques for patients with COPD.

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Community matrons showed improved knowledge of cognitive behavioral therapy (CBT) skills for treating anxiety and depression in chronic obstructive pulmonary disease (COPD) patients. Peer sharing of best practices can enhance the effective use of these CBT techniques.

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Area of Science:

  • Mental Health
  • Pulmonology
  • Health Services Research

Background:

  • Chronic obstructive pulmonary disease (COPD) is frequently comorbid with anxiety and depression.
  • COPD patients are underserved by mental health services.
  • Community matrons are well-positioned to deliver mental health support to COPD patients.

Purpose of the Study:

  • To explore the process and practical implications of supervising community matrons in using cognitive behavioral therapy (CBT)-based skills with COPD clients.
  • To assess the impact of CBT skills training and supervision on community matrons' practice.

Main Methods:

  • Twenty community matrons completed a 2-day CBT skills training program.
  • Knowledge and understanding of CBT were assessed pre- and post-training.
  • Matrons received 6 months of supervision from CBT therapists.
  • Feedback was collected through written responses and a focus group.

Main Results:

  • Community matrons demonstrated significant improvement in knowledge and understanding of CBT techniques post-training.
  • Training alone did not always ensure seamless integration into clinical practice.
  • Supervisors recommended peer sharing of successful CBT technique implementation.

Conclusions:

  • CBT skills training enhances community matrons' capacity to support COPD patients' mental health.
  • Ongoing supervision and peer support are crucial for effective CBT practice integration.
  • Facilitating peer learning can maximize the value of CBT-based interventions in primary care for COPD.