Background: Compassion Focused Therapy (CFT) and Compassionate Mind Training (CMT) aim to help people cultivate compassion for self and others. To date, there is little evidence exploring the effects CMT has on those engaged in or embarking on a career in the helping professions. Interventions that encourage self-reflection and self-practice may help practitioners cultivate self-compassion, leading to the promotion of self-care.Aim: To explore the impact CMT has on students' levels of self-compassion and selfcriticism, and on their work as healthcare practitioners/counsellors/psychotherapists. Methodology:This was a mixed-methods study (N = 15). Pre-and post-quantitative data were collected via three questionnaires: The Self-Compassion Scale-SF, the Forms of Self-Criticising/Self-Attacking and Self-Reassuring Scale and the Functions of Self-Criticising/Self-Attacking Scale. Qualitative data were collected via diaries and a focus group to portray the impact training had on students.Findings: Results revealed a statistically significant increase in self-compassion posttraining and a statistically significant increase in scores on the reassured self subscale.Statistically significant reductions in self-correction scores and inadequate self scores were observed post-training. There was no statistical significant difference post-training on the hated self or self-persecution subscales. Themes identified from the weekly diaries included the following: the benefits of compassion; when compassion arises; and difficulties and opportunities. Themes identified by the focus group data included the following: self-reflection and self-practice; finding balance; and critical self and compassionate self.Implications: Incorporating interventions into education programmes that help student's foster compassion may help them cultivate a compassionate mindset and learn to be kinder to self.
Background: Echocardiographic screening can detect asymptomatic cases of rheumatic heart disease (RHD), facilitating access to treatment. Barriers to implementation of echocardiographic screening include the requirement for expensive equipment and expert practitioners. We aimed to evaluate the diagnostic accuracy of an abbreviated echocardiographic screening protocol (single parasternal-long-axis view with a sweep of the heart) performed by briefly trained, nonexpert practitioners using handheld ultrasound devices. Methods: Participants aged 5 to 20 years in Timor-Leste and the Northern Territory of Australia had 2 echocardiograms: one performed by an expert echocardiographer using a GE Vivid I or Vivid Q portable ultrasound device (reference test), and one performed by a nonexpert practitioner using a GE Vscan handheld ultrasound device (index test). The accuracy of the index test, compared with the reference test, for identifying cases with definite or borderline RHD was determined. Results: There were 3111 enrolled participants; 2573 had both an index test and reference test. Median age was 12 years (interquartile range, 10–15); 58.2% were female. Proportion with definite or borderline RHD was 5.52% (95% CI, 4.70–6.47); proportion with definite RHD was 3.23% (95% CI, 2.61–3.98). Compared with the reference test, sensitivity of the index test for definite or borderline RHD was 70.4% (95% CI, 62.2–77.8), specificity was 78.1% (95% CI, 76.4–79.8). Conclusions: Nonexpert practitioners can be trained to perform single parasternal-long-axis view with a sweep of the heart echocardiography. However, the specificity and sensitivity are inadequate for echocardiographic screening. Improved training for nonexpert practitioners should be investigated.
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