Developmental of an operationalised checklist of transdiagnostic therapeutic skills in general healthcare appointments
Description
Most people have no access to psychological interventions for mental or physical health conditions, particularly in lower- and middle-income countries. Teaching ultra-transdiagnostic psychological intervention skills to general healthcare staff is one way of improving access, however it is unlikely to be a feasible option unless these skills can be used in ways that do not require increased time or resources. Creating an evidence-base for this approach requires description and measurement of therapeutic skills used in general healthcare appointments. A two-day course to teach the skills was created by a multiprofessional committee of staff in the Malaysian mental health system, which included patients and carers. An operationalised list of skills was created following this course, which was modified after expert review. A panel of experts used the list to review videos of consultations found on the internet, with five of the experts rating at least 26 of the videos, which were included in the analysis. This was analysed using generalisability theory and inter-rater reliability was calculated for individual items. Doctors were then observed in consultations before and after the course. Rasch analysis was used to refine the scale, so that it was unidimensional and Rasch compliant. Mixed-model analysis showed that there was a pre-post increase in skills use by the doctors. Description of files: • Operationalised checklist of transdiagnostic therapeutic skills for use in general healthcare appointments.docx – this is a list of items in the scale • Scale validation data multi raters longthin 25.6.23.xlsx– the data file for generalisability theory analysis • gtheorytidiedforpubilcation.R – the R code for generalisability theory analysis • Comparing raters tidied 10.7.24.R – the R code to calculate the ICC between raters Observation data from the clinics is not published.