Rehabilitation staff perspectives on training for problem-solving therapy for primary care in a low vision service

Author:

Sturrock Bonnie Adele1,Holloway Edith1,Keefe Jill2,Hegel Mark3,Casten Robin4,Mellor David5,Rees Gwyneth1

Affiliation:

1. University of Melbourne, Australia

2. LV Prasad Eye Institute, Australia

3. Geisel School of Medicine, USA

4. Thomas Jefferson University, USA

5. Deakin University, Australia

Abstract

Vision rehabilitation staff were trained to deliver problem-solving therapy for primary care (PST-PC) over the telephone to adults with depressive symptoms and low vision. Training was a 2-day workshop, completion of training cases, and assessment of treatment fidelity. Staff perspectives of training and challenges in PST-PC delivery were explored. Telephone-administered semi-structured interviews were conducted pre- and post-workshop and following PST-PC competency. In all, 14 staff (mean age = 47.64 years, SD = 12.68 years, 93% females) achieved competency and 6 withdrew. Results showed an increased understanding of PST-PC from pre- to post-workshop ( Z = −2.71, p = .007) and pre-workshop to post-competency ( Z = −3.09, p = .002). A high level of satisfaction with training was reported. Staff challenges included the clients’ ability to define problems and brainstorm solutions. Training enabled staff to competently deliver PST-PC and may serve as a model for integrating depression care into vision rehabilitation services recommended by international guidelines.

Publisher

SAGE Publications

Subject

Ophthalmology

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