Tate Mitchell posted the following to Co-Cure https://listserv.nodak.edu/cgi-bin/wa.exe?A2=ind1311b&L=co-cure&F=&S=&P=10014 :
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Note: More materials from the FINE trial have been released by the authors, including the 'Pragmatic Rehabilitation' therapist's manual and slides from training sessions provided to FINE nurse therapists.
FINE trial website-
http://www.fine-trial.net/gparea.asp?loggedin=1
Nurse induction and training slides-
http://www.fine-trial.net/downloads/PR induction and training (all).pdf
FINE TRIAL Pragmatic Rehabilitation Therapist Manual 07/01/05 http://www.fine-trial.net/downloads/Therapist PR manual.pdf
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Note: Description of training session materials from the FINE trial paper published in the BMJ.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2859122/
Outline of training sessions provided to FINE nurse therapists
Introduction (2 hour sessions)
Induction.
Understanding CFS/ME, reading lists.
How to read research papers.
Randomised controlled trials, ethical issues, informed consent.
The structure of the FINE trial
Pragmatic rehabilitation training (half day sessions, delivered approximately weekly)
Overview of therapy and outcomes. The pragmatic rehabilitation model and the importance of providing rationales.
Deconditioning: the physiology.
Deconditioning: the rationale for treatment, designing an activity programme, and goal setting.
Sleep, cortisol, circadian rhythms: the physiology.
Sleep, cortisol, circadian rhythms: the rationale for treatment, regularising sleep patterns, and goal setting.
Anxiety: the physiology.
Anxiety: the rationale for treatment, learning to relax, and goal setting Shadowing group delivery of pragmatic rehabilitation in a hospital over eight weeks The structure of treatment—how to use the visits and phone calls.
Delivering the rationale. Agenda setting.
Overcoming impediments to change.
Using techniques from motivational interviewing.
Psychosocial issues—helping people to look to the future, termination of therapy.
Summary, overview and getting ready to start working with practice patients. Supervision contracts.
Rehabilitation issues (back to work).
Practice patients started. Pragmatic rehabilitation supervision sessions (group and individual) started Relapse prevention Follow up 1—Learning from practice.
Follow up 2—Learning from practice.
Supportive listening training (half day sessions, delivered approximately weekly)
Introduction to supportive listening, diary keeping, confidentiality, codes of conduct, and use of supervision.
Background to person centred listening, core conditions, and listening skills. What counselling is not.
Qualities of the listener. Beginning therapy, engagement, and the patient’s frame of reference. Stages of the listening relationship.
Helping the patient to tell a story. Attending and listening, body language, and non-verbal messages. Reflecting back.
Open questions and role plays.
Films/discussion. Skills exercises (for example, using silence).
Barriers to listening. Directed reading
Group discussion of learning and insights. Challenge and specificity.
Skills practice.
Practice patients started. Supportive listening supervision sessions started.
Creating an emotional and physical environment conducive to the helping relationship.
Telephone counselling skills.
Telephone counselling skills—review and practice.
Review of progress, identification of further training needs.
Group work. Taking action. Endings.
Endings. Listening skills practice.
Follow up 1—Reviewing practice. Boundaries.
Follow up 2—Reviewing practice. Transference issues.
Training sessions used a mixture of presentations by the trainers, discussion, group activities, role play, videos, and review of case material. Reading lists were given. Homework was set in some sessions and reviewed at the next session.