Appendix 3: a List of Competences (Knowledge and Skills) for Group Behavioral Support

Appendix 3: A list of competences (knowledge and skills) for group behavioral support identified in relevant national and international Stop Smoking Services (SSS) guidance documents and manuals

Manual of Smoking Cessation (21) HDA (20)

Competence number and summary label

Ability to …

GBM1 Encourage group discussions Encourage group discussions Stimulate and facilitate supportive group discussions

GBM2 Encourage group tasks that promote interaction Group tasks that promote Describe and apply and/or bonding interaction and/or bonding techniques for enhancing group support

GBM3 Encourage mutual support Encourage mutual support Explain the ways in which group processes can sustain or enhance motivation to stop smoking

GBM4 Use furniture to reinforce group interaction Use furniture to reinforce group interaction

GBM5 Emphasise that each individual has a responsibility Emphasise that each individual has a Describe and apply for the group responsibility for the group strategies for dealing with "difficult" group members

GBM6 Encourage clients to make a public promise Public promise (contract with group (contract with group members) members) GBM7 Communicate group member identities Communicate group member identities

GBM8 Encourage comparison of carbon monoxide Encourage comparison of carbon readings monoxide readings

GBM9 Report on missing members Report on missing members

GA1 Implement a buddy system Implement a buddy system

GA2 Implement a betting game Implement a betting game

GA3 Facilitate choice of medications in the group Facilitate choice of context medications in the group context

GRD1 Establish a ‘closed group’ Establish a ‘closed group’

GRD2 Manage problems of co-morbidity (psychological Manage problems of co- and physical) appropriately morbidity (psychological and physical) appropriately

GRI1 Screen suitability for group based support Screen suitability for group based Assess patients for their support suitability for group treatment

GRC1 Explain group support Explain group support Present the treatment and create accurate positive treatment expectations within the group context.

GRC2 Discuss maintenance support Discuss maintenance support Outline current practice of maintenance/relapse prevention sessions for group members

GP1 Implement a system of keeping records of group Implement a system of attendance and outcome keeping records of group attendance and outcome

GP2 Use of range of methodologies to evaluate group outcomes GP3 Knowledge of potential difficulties and pitfalls in Describe potential recruiting patients for group treatment and ways difficulties and pitfalls in of coping with these recruiting patients for group treatment and ways of coping with these

GP4 Knowledge of the size of catchment area needed Show awareness of the size to run successful group programmes and of of catchment area needed expected local throughput to run successful group programmes and of expected local throughput

GP5 Knowledge of the logistic demands of organising Describe logistic demands group clinics of organising group clinics

GP6 Knowledge of short-term and long-term results Show awareness of short- typically achieved in the UK smoking cessation term and long-term results services with group treatments typically achieved in the UK smoking cessation services with group treatments