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Confidence in the face of risk: the Risk Assessment and Management Self-Efficacy Study (RAMSES)

  • Jaime Delgadillo (a1), Omar Moreea (a1), Hannah Outhwaite-Luke (a1), Toby Dace (a1), Brenda Nicholls (a1), Georgina Ramseyer (a1) and Veronica Dale (a2)...
Abstract
Aims and method

To evaluate a comprehensive risk management programme. A Risk Assessment and Management Self-Efficacy Scale (RAMSES) was used to evaluate the impact of a clinical guideline and training course. Fifty-three psychological therapists were randomly allocated to training v. waiting list in a controlled, delayed-intervention design. Differences in mean self-efficacy scores between groups were examined using analysis of covariance (ANCOVA).

Results

The RAMSES measure had adequate factor structure, internal consistency and construct validity. When adjusting for baseline scores and cluster design, the group exposed to training had a higher mean self-efficacy score than controls. Mean differences between groups were not significant after the control group received training, nor at 6 months' follow-up.

Clinical implications

Exposure to training and clinical guidelines can improve self-efficacy in risk assessment and management. An important advance put forward by this study is the specification of areas of competence in risk assessment and management, which can be measured using a psychometrically sound tool.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Jaime Delgadillo (jaime.delgadillo@nhs.net)
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Declaration of interest

None.

Footnotes
References
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Confidence in the face of risk: the Risk Assessment and Management Self-Efficacy Study (RAMSES)

  • Jaime Delgadillo (a1), Omar Moreea (a1), Hannah Outhwaite-Luke (a1), Toby Dace (a1), Brenda Nicholls (a1), Georgina Ramseyer (a1) and Veronica Dale (a2)...
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