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Lookup NU author(s): Dr Karen Marshall
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND).
© The Author(s) 2025.Management of long-term conditions is a significant challenge in contemporary health care as people often require support for both physical and psychological symptoms. Assessing the competence of healthcare professionals delivering psychologically informed interventions informs decisions about future implementation. This is a comprehensive intervention fidelity assessment nested within a randomised controlled trial. We developed a bespoke intervention fidelity assessment framework to assess the competence of primary care respiratory nurses, physiotherapists and occupational therapists delivering a cognitive behavioural intervention for people with COPD. A total of 180 (representing 15% of trial cases) intervention audio files, from 36 intervention arm participants, were coded. The intervention was delivered with acceptable adherence for most components. Therapeutic competency was achieved and comparable with previous research studies. Interpersonal skills and focus had higher competency whilst guided discovery and application of appropriate change techniques was lower but still adequate. Skills improved over time and with an increased number of clients. With proper training and supervision, primary care respiratory nurses, physiotherapists and occupational therapists can deliver cognitive behavioural interventions with acceptable therapeutic competency but questioning and change techniques may need particular focus in training and greater practice.
Author(s): Wileman V, Steed L, Pinnock H, Kelly M, Sohanpal R, Heslop-Marshall K, Taylor SJC
Publication type: Article
Publication status: Published
Journal: npj Primary Care Respiratory Medicine
Year: 2025
Volume: 35
Issue: 1
Online publication date: 02/03/2025
Acceptance date: 31/01/2025
Date deposited: 17/03/2025
ISSN (electronic): 2055-1010
Publisher: Nature Research
URL: https://doi.org/10.1038/s41533-025-00416-y
DOI: 10.1038/s41533-025-00416-y
Data Access Statement: The Pragmatic Clinical Trials Unit (PCTU) at Queen Mary University of London has developed a data sharing policy to facilitate controlled access to data from PCTU studies. For all data sharing requests, please contact the PCTU and complete a Datasharing Request Form. For enquiries about data sharing: pctu-datasharing@qmul.ac.uk.
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