Testing an empirically derived mental health training model featuring small groups, distributed practice and patient discussion

Med Educ. 2009 Feb;43(2):140-5. doi: 10.1111/j.1365-2923.2008.03256.x.

Abstract

Objectives: Internationally, family doctors seeking to enhance their skills in evidence-based mental health treatment are attending brief training workshops, despite clear evidence in the literature that short-term, massed formats are not likely to improve skills in this complex area. Reviews of the educational literature suggest that an optimal model of training would incorporate distributed practice techniques; repeated practice over a lengthy time period, small-group interactive learning, mentoring relationships, skills-based training and an ongoing discussion of actual patients. This study investigates the potential role of group-based training incorporating multiple aspects of good pedagogy for training doctors in basic competencies in brief cognitive behaviour therapy (BCBT).

Methods: Six groups of family doctors (n = 32) completed eight 2-hour sessions of BCBT group training over a 6-month period. A baseline control design was utilised with pre- and post-training measures of doctors' BCBT skills, knowledge and engagement in BCBT treatment.

Results: Family doctors' knowledge, skills in and actual use of BCBT with patients improved significantly over the course of training compared with the control period.

Conclusions: This research demonstrates preliminary support for the efficacy of an empirically derived group training model for family doctors. Brief CBT group-based training could prove to be an effective and viable model for future doctor training.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Analysis of Variance
  • Cognitive Behavioral Therapy / education*
  • Cognitive Behavioral Therapy / methods
  • Education, Medical, Continuing / methods*
  • Educational Measurement / methods
  • Female
  • Group Processes
  • Humans
  • Male
  • Mental Health*
  • Middle Aged
  • Models, Educational
  • Patient Participation
  • Peer Group
  • Physicians, Family / education*
  • Program Evaluation