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We will also use the practitioner skill subscale from a self-report outcome measure designed for assessing CAM treatments [ 99, 100].
In a similar randomised, controlled study design, Lane et al. [ 31] trained health-care professionals using either a fellow trainee or a SP. Following training, each health professional performed one interview with one SP. This interview was rated using a validated measure of practitioner skill in behaviour-change counselling.
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Addressing these findings demands a much-needed rebalancing of the curriculum to reinstate essential practitioner skills transferable to a range of situations and crises; skills that have long been viewed as integral to social work by the international community.
Naturally, the professional background and related practitioner skills of personnel will influence the focus of practice.
Across these reports, the lack of practitioner skills or institutional regulations on practitioner education was found to be a cause of the adverse events.
Personnel working under such conditions frequently require knowledge and practitioner skills that extend beyond the traditional focus of the single, professional discipline [ 7].
The emerging evidence-base accordingly emphasises delivery adaptations (practitioner skills, characteristics and flexible patient centred approaches) over cultural adaptation of underlying principles of therapies [ 10- 12].
These issues would need to be considered alongside evidence that suggests that individual practitioner skills also need to be developed [ 9].
Yet case-finding is not without its problems, with well-recognised barriers including lack of time, cultural difficulties and inadequate resources and practitioner skills.
However, whilst some participants acknowledged the contribution general practitioner skills could bring to specialist consultations, others felt that the nurses were the more appropriate professionals to provide the holistic care needed.
A GP screening model thus has the potential to provide a widely-available, holistic and extremely cost effective screening service on a population basis – providing general practitioner skills are adequate for the identification process.
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