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

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.

Suicide prevention by emergency nurses: perceived self-efficacy in assessment, management and referral at Kenyatta National Hospital in Kenya

“…The questionnaire consists of 18 items that assess training programs associated with risk management. The tool has been developed utilizing Albert Bandura’s Social Cognitive theory and has been found to have robust psychometric properties (with validity r = 0.71 and reliability of Cronbach’s α of 0.96 showing high internal consistency [7]. RAMSES contains the following three domains; assessment, management and referral.…”

“…RAMSES contains the following three domains; assessment, management and referral. It is a self-administered tool with respondents being prompted to assess their self perceived efficacy levels in a Likert scale that ranges from 0 for no confidence to 10 for complete confidence [7]. A composite score is then generated after adding all the items in RAMSES and dividing the result by 18.…”

Effective communication in eliciting and responding to suicidal thoughts: a systematic review protocol

“…Gask et al [ 4 ] developed the widely used STORM training package. Other training studies have also improved professionals’ self-rated competence [ 5 ]. A recent study by de Beurs et al [ 6 ] trained mental health teams in applying suicide guidelines and found a positive effect on professional self-rated competence and guideline adherence assessed by responding to online video clips.…”

Factors Influencing Lay and Professional Health Workers’ Self-efficacy in Identification and Intervention for Alcohol, Tobacco, and Other Substance Use Disorders in Kenya

“…In addition to the barriers of stigma and insufficient health capacity in SUDs and mental health in general (Saxena et al 2007; The Academy of Medical, 2008; WHO 2011), practitioners’ self-efficacy also affects how actively and effectively practitioners perform their duties (Delgadillo et al 2014; Elder et al 1999). Knowledge and skills are not enough to change behaviors.…”

“…Studies have shown that the concept of self-efficacy applies to physicians and other health professionals in relation to improving their practice (Grol and Wensing 2016; Lemieux et al 2011; O’Campo et al 2011), as well as use of counseling for patients on a variety of topics (Bahora et al 2008; Buckelew et al 2008; Miller Perrin et al 2005; Ozer et al 2004), including SUDs (Buckelew et al 2008; Gottlieb et al 1987; Harris et al 2016; Ozer et al 2004; Schram et al 2015; Thompson et al 1993; Woddruff et al 2010). Because insufficient self-efficacy compromises health workers’ performance, this project (the Computer-based Drug and Alcohol Training Assessment in Kenya [eDATA K]) aims to provide health care workers with more training opportunities to jumpstart a virtuous cycle that simultaneously strengthens confidence, skills, and desire to provide more comprehensive and effective SUDs screening (Delgadillo et al 2014). This is expected to drive sustainable long-term efforts to identify patients affected by SUDs and provide them with evidence-based preventive and clinical interventions (Bandura and Cervone 1983; Kay and Shipman 2014).…”