Predicting Dissemination of a Disaster Mental Health “Train-the-Trainer” Program

Cross, Wendi; Cerulli, Catherine; Richards, Heidi; He, Hua; Herrmann, Jack

doi:10.1001/dmp.2010.6

Cited by 19 publications

(20 citation statements)

References 23 publications

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“…Program developers and trainers may need to consider previous training as a potential obstacle to new trainers' adherence and consider strategies to ameliorate the impact during TTT. The finding that females were more adherent on average is consistent with findings from a previous TTT study (Cross et al, 2010), although the underlying reasons for a gender difference is not clear. Additional research to examine the factors associated with the gender difference is recommended.…”

Section: Discussionsupporting

confidence: 87%

Measuring Trainer Fidelity in the Transfer of Suicide Prevention Training

Cross

Pisani

Schmeelk-Cone

et al. 2014

Crisis

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Background Finding effective and efficient models to train large numbers of suicide prevention interventionists, including ‘hotline’ crisis counselors, is a high priority. Train-the-trainer (TTT) models are widely used but understudied. Aims To assess the extent to which trainers following TTT delivered the Applied Suicide Intervention Skills Training (ASIST) program with fidelity, and to examine fidelity across two trainings and seven training segments. Methods We recorded and reliably rated trainer fidelity, defined as adherence to program content and competence of program delivery, for 34 newly trained ASIST trainers delivering the program to crisis center staff on two separate occasions. A total of 324 observations were coded. Trainer demographics were also collected. Results On average, trainers delivered two-thirds of the program. Previous training was associated with lower levels of trainer adherence to the program. 18% of trainers' observations were rated as solidly competent. Trainers did not improve fidelity from their first to second training. Significantly higher fidelity was found for lectures and lower fidelity was found for interactive training activities including asking about suicide and creating a safe plan. Conclusions We found wide variability in trainer fidelity to the ASIST program following TTT and few trainers had high levels of both adherence and competence. More research is needed to examine the cost-effectiveness of TTT models.

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Section: Discussionsupporting

confidence: 87%

Measuring Trainer Fidelity in the Transfer of Suicide Prevention Training

Cross

Pisani

Schmeelk-Cone

et al. 2014

Crisis

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“…They recommended behavioral rehearsal and role-play practice, small group problemsolving, and expert feedback to increase self-efficacy and readiness to train following the train-the-trainer training. 18 Evaluation of the current SPR training and support program was based on the 3 main aims of the program: (1) recruit, train and support competent trainers; (2) improve the confidence of a large number of practitioners to use SPR; and (3) encourage practitioners' use of SPR with community members in disasteraffected areas. In addition, we were particularly interested in examining whether a psychology professional background and cognitive-behavioral therapy (CBT) theoretical orientation of trainers and practitioners involved in the program influenced their performance and behavior.…”

Section: Introductionmentioning

confidence: 99%

Skills for Psychological Recovery: Evaluation of a post-disaster mental health training program

et al. 2014

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Skills for Psychological Recovery (SPR) is a brief skills-based approach to assist community members to better cope after a disaster or other tragedy. This paper reports on an evaluation of a large SPR training and support program following floods and cyclones in Queensland, Australia. The program sought to recruit, train and support competent SPR trainers; provide systematic high-quality training in SPR skills for practitioners; improve the confidence of a large number of practitioners to use SPR; and encourage practitioners' use of SPR with community members. Trainers recruited to the program facilitated 49 training sessions for 788 practitioners across Queensland. Trainers were assessed by practitioners to have high-level competencies to run training sessions. Practitioners reported improved confidence to use each SPR intervention following training and at 6 months post-training. Based on available data, more than 6 out of 10 practitioners used an SPR intervention during the follow up period, with each intervention used by over half of the practitioners at both 3 and 6 months. The most frequently reported barrier to using SPR was not having seen a community member with problems requiring SPR. For trainers, a psychology background and cognitive-behavioral therapy (CBT) orientation were unrelated to their competencies to facilitate practitioner training sessions. For practitioners, a psychology background and to some extent a CBT orientation were related to confidence to use SPR interventions. In summary, this study provides details of an evaluation of a large-scale mental health training and support program to enhance response to meet the mental health needs of those affected by disaster.

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“…This study is the first to use a validated instrument to assess how participants viewed the match between the education they received about suicide risk and the demands and resources present in their usual practice setting. Participants' assessment of this match has been shown in previous studies to be a critical factor in predicting transfer of training (Cross et al, 2010). …”

Section: Discussionmentioning

confidence: 97%

Evaluation of the Commitment to Living (CTL) Curriculum

Pisani

Cross

Watts

et al. 2012

Crisis

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Background Finding effective and efficient options for training mental health professionals to assess and manage suicide risk is a high priority. Aims To test whether an innovative, brief workshop can improve provider knowledge, confidence, and written risk assessment in a multidisciplinary sample of ambulatory and acute services professionals and trainees. Methods We conducted a pre/post evaluation of a 3 h workshop designed to improve clinical competence in suicide risk assessment by using visual concept mapping, medical records documentation, and site-specific crisis response options. Participants (N = 338 diverse mental health professionals) completed pre- and postworkshop questionnaires measuring their knowledge and confidence. Before and after the workshop, participants completed documentation for a clinical vignette. Trained coders rated the quality of risk assessment formulation before and after training. Results Participants' knowledge, confidence, and objectively-rated documentation skills improved significantly (p < .001), with large effect sizes. Participants' expectation of their ability to transfer workshop content to their clinical practice was high (mean = 4.10 on 1–5 scale). Conclusions Commitment to Living is a promising, innovative, and efficient curriculum for educating practicing clinicians to assess and respond to suicide risk. Well-designed, brief, suicide risk management programs can improve clinicians' knowledge, confidence, and skill.

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Predicting Dissemination of a Disaster Mental Health “Train-the-Trainer” Program

Cited by 19 publications

References 23 publications

Measuring Trainer Fidelity in the Transfer of Suicide Prevention Training

Measuring Trainer Fidelity in the Transfer of Suicide Prevention Training

Skills for Psychological Recovery: Evaluation of a post-disaster mental health training program

Evaluation of the Commitment to Living (CTL) Curriculum

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