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Clinical and economic outcomes of remotely delivered cognitive behaviour therapy versus treatment as usual for repeat unscheduled care users with severe health anxiety: a multicentre randomised controlled trial.

BMC Med · 2019 · PMC6343350 · PMID 30670044

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an overall trendno p-value reported
Therapist competency assessments using the CTSR indicated CBT skill levels between the ‘competent’ and ‘proficient’ range for all therapists, with an overall trend of improved skill over time.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.