Nurse-led psychological interventions to improve diabetes control: assessing competencies.

Objective: To assess whether medical nurses can deliver motivational enhancement therapy (MET) and cognitive behavioural therapy (CBT) to a competent level and whether treatment fidelity is maintained.

Methods: Training consisted of classroom teaching, written materials, a training caseload, and audio-visual feedback. We used the Motivational Interviewing Treatment Integrity (MITI), the Revised 12-item Cognitive Therapy Scale (CTS-R), and components of the Motivational Interviewing Skill Code (MISC) to assess competency and treatment fidelity.

Motivational enhancement therapy with and without cognitive behavior therapy to treat type 1 diabetes: a randomized trial.

Background: Although psychological issues can interfere with diabetes care, the effectiveness of psychological treatments in improving diabetes outcomes is uncertain.

Objective: To determine whether motivational enhancement therapy with or without cognitive behavior therapy improves glycemic control in type 1 diabetes compared with usual care.

Design: Randomized, controlled trial.

The psychological costs of inadequate cervical smear test results: three-month follow-up.

We have previously shown that upon receipt of inadequate cervical smear test results, women have elevated levels of state anxiety and concern about their test results, similar to those of women receiving abnormal smear test results. The current paper reports data on the psychological impact three months after receiving an inadequate smear test result. Two groups of women who initially received a normal test result (n=184) or either a first or non-consecutive inadequate smear test result (n=140) responded.

The purpose of attributing cause: beliefs about the causes of myocardial infarction.

Patients' beliefs concerning the causes of their illnesses are core to a number of theoretical models of illness behaviour. The current study explored the themes that emerged from patients' accounts of the causes of their first myocardial infarctions (MIs). Semi-structured interviews were conducted with 12 patients within a week of their MI, at a UK district hospital.

Psychological impact of human papillomavirus testing in women with borderline or mildly dyskaryotic cervical smear test results: cross sectional questionnaire study.

Objective: To describe the psychological impact on women of being tested for human papillomavirus (HPV) when smear test results are borderline or mildly dyskaryotic.

Design: Cross sectional questionnaire study.

Setting: Two centres participating in an English pilot study of HPV testing in women with borderline or mildly dyskaryotic smear test results.