Ameliorating Patient Stigma Amongst Staff Working With Personality Disorder: Randomized Controlled Trial of Self-Management Versus Skills Training

Authors: Clarke, S., Taylor, G., Bolderston, H., Lancaster, J. and Remington, B.

Journal: Behavioural and Cognitive Psychotherapy

Publisher: Cambridge University Press

eISSN: 1469-1833

ISSN: 1352-4658

DOI: 10.1017/S1352465814000320

Abstract:

Background: Patients diagnosed with a personality disorder (PD) are often stigmatized by the healthcare staff who treat them. Aims: This study aimed to compare the impact on front-line staff of a self-management Acceptance and Commitment Therapy-based training intervention (ACTr) with a knowledge- and skills-based Dialectical Behaviour Training intervention (DBTr). Method: A service-based randomized controlled trial was conducted comparing the effects of 2-day ACTr (N = 53) and DBTr (N = 47) staff workshops over 6 months. Primary outcome measures were staff attitudes towards patients and staff-patient relationships. Results: For both interventions, staff attitudes, therapeutic relationship, and social distancing all improved pre- to postintervention, and these changes were maintained at 6-month follow-up. Conclusions: Although offering different resources to staff, both ACTr and DBTr were associated with an improved disposition towards PD patients. Future research could evaluate a combined approach, both for staff working with PD patients and those working with other stigmatized groups.

Source: Scopus

Ameliorating Patient Stigma Amongst Staff Working with Personality Disorder: Randomized Controlled Trial of Self-Management Versus Skills Training

Authors: Clarke, S., Taylor, G., Bolderston, H., Lancaster, J. and Remington, B.

Journal: Behavioural and Cognitive Psychotherapy

Volume: 43

Issue: 6

Pages: 692-704

eISSN: 1469-1833

ISSN: 1352-4658

DOI: 10.1017/S1352465814000320

Abstract:

Background: Patients diagnosed with a personality disorder (PD) are often stigmatized by the healthcare staff who treat them. Aims: This study aimed to compare the impact on front-line staff of a self-management Acceptance and Commitment Therapy-based training intervention (ACTr) with a knowledge- and skills-based Dialectical Behaviour Training intervention (DBTr). Method: A service-based randomized controlled trial was conducted comparing the effects of 2-day ACTr (N = 53) and DBTr (N = 47) staff workshops over 6 months. Primary outcome measures were staff attitudes towards patients and staff-patient relationships. Results: For both interventions, staff attitudes, therapeutic relationship, and social distancing all improved pre- to postintervention, and these changes were maintained at 6-month follow-up. Conclusions: Although offering different resources to staff, both ACTr and DBTr were associated with an improved disposition towards PD patients. Future research could evaluate a combined approach, both for staff working with PD patients and those working with other stigmatized groups.

Source: Scopus

Ameliorating Patient Stigma Amongst Staff Working With Personality Disorder: Randomized Controlled Trial of Self-Management Versus Skills Training.

Authors: Clarke, S., Taylor, G., Bolderston, H., Lancaster, J. and Remington, B.

Journal: Behav Cogn Psychother

Volume: 43

Issue: 6

Pages: 692-704

eISSN: 1469-1833

DOI: 10.1017/S1352465814000320

Abstract:

BACKGROUND: Patients diagnosed with a personality disorder (PD) are often stigmatized by the healthcare staff who treat them. AIMS: This study aimed to compare the impact on front-line staff of a self-management Acceptance and Commitment Therapy-based training intervention (ACTr) with a knowledge- and skills-based Dialectical Behaviour Training intervention (DBTr). METHOD: A service-based randomized controlled trial was conducted comparing the effects of 2-day ACTr (N = 53) and DBTr (N = 47) staff workshops over 6 months. Primary outcome measures were staff attitudes towards patients and staff-patient relationships. RESULTS: For both interventions, staff attitudes, therapeutic relationship, and social distancing all improved pre- to postintervention, and these changes were maintained at 6-month follow-up. CONCLUSIONS: Although offering different resources to staff, both ACTr and DBTr were associated with an improved disposition towards PD patients. Future research could evaluate a combined approach, both for staff working with PD patients and those working with other stigmatized groups.

Source: PubMed

Ameliorating Patient Stigma Amongst Staff Working With Personality Disorder: Randomized Controlled Trial of Self-Management Versus Skills Training

Authors: Clarke, S., Taylor, G., Bolderston, H., Lancaster, J. and Remington, B.

Journal: BEHAVIOURAL AND COGNITIVE PSYCHOTHERAPY

Volume: 43

Issue: 6

Pages: 692-704

eISSN: 1469-1833

ISSN: 1352-4658

DOI: 10.1017/S1352465814000320

Source: Web of Science (Lite)

Ameliorating Patient Stigma Amongst Staff Working With Personality Disorder: Randomized Controlled Trial of Self-Management Versus Skills Training.

Authors: Clarke, S., Taylor, G., Bolderston, H., Lancaster, J. and Remington, B.

Journal: Behavioural and cognitive psychotherapy

Volume: 43

Issue: 6

Pages: 692-704

eISSN: 1469-1833

ISSN: 1352-4658

DOI: 10.1017/s1352465814000320

Abstract:

Background

Patients diagnosed with a personality disorder (PD) are often stigmatized by the healthcare staff who treat them.

Aims

This study aimed to compare the impact on front-line staff of a self-management Acceptance and Commitment Therapy-based training intervention (ACTr) with a knowledge- and skills-based Dialectical Behaviour Training intervention (DBTr).

Method

A service-based randomized controlled trial was conducted comparing the effects of 2-day ACTr (N = 53) and DBTr (N = 47) staff workshops over 6 months. Primary outcome measures were staff attitudes towards patients and staff-patient relationships.

Results

For both interventions, staff attitudes, therapeutic relationship, and social distancing all improved pre- to postintervention, and these changes were maintained at 6-month follow-up.

Conclusions

Although offering different resources to staff, both ACTr and DBTr were associated with an improved disposition towards PD patients. Future research could evaluate a combined approach, both for staff working with PD patients and those working with other stigmatized groups.

Source: Europe PubMed Central