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Dr. Grist also said 11 studies of debriefing techniques, analyzed in a report this year in The Cochrane Library, a publication devoted to evidence-based medicine, found that some types of debriefing techniques were either ineffective in preventing the more serious symptoms or actually appeared to increase the risk.
Dr. Richard M. Gist, a signer of the letter who is an assistant to the director of the Fire Department in Kansas City, Mo., said he became concerned about debriefing techniques after using them in 1981, when an explosion in Kansas City killed six firefighters.
ICU professionals have no tradition in briefing and debriefing techniques and performance feedback.
The standard approach is to conduct focus groups with patients and to use cognitive debriefing techniques.
A crucial point in this regard is to provide support without applying debriefing techniques which seem to worsen the course of the acute stress of traumatized subjects [ 20].
Of all the PRO measures reviewed, only the LupusQoL, LupusPRO and L-QoL had documented evidence of qualitative involvement of patients with SLE to evaluate the face and content validity through cognitive debriefing techniques (Table 3).
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The Respondent Debriefing technique was used for the cognitive interviews.
The debriefing technique consists of reviewing the traumatic experience, encouraging emotional expression and promoting cognitive processing [ 3].
Although there are two major types of cognitive interviewing methods (think-aloud and respondent debriefing), the PROMIS cognitive interviews employed the respondent debriefing technique [ 7].
He summarized the academic verdict on debriefing as follows: "The techniques practiced by most American grief counsellors to prevent P.T.S.D. are inert".
Miller said the historic technique of debriefing prisoners, now being applied to counter terrorism, had been effective.
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