Exploring the 'train the trainer' model for delivering Making Every Contact Count (MECC) training at scale: A...

Area of Science:

• Public Health
• Health Professional Training
• Behavioral Science

Background:

• Making Every Contact Count (MECC) aims to embed health behavior change conversations into routine practice.
• The train the trainer (TtT) model is a strategy to scale up MECC training delivery.
• Effective implementation of TtT models requires understanding delivery facilitators and barriers.

Purpose of the Study:

• To explore the delivery of the MECC TtT model in the North East and North Cumbria (NENC) region.
• To identify factors influencing the successful cascade of MECC training through the TtT model.

Main Methods:

• Qualitative study utilizing semi-structured interviews with 21 participants (MECC TtT trainees, non-trainees, and principal trainers).
• Data analysis employed the Framework Method, guided by the Theoretical Domains Framework (TDF).
• Meta-themes transcending TDF domains were generated to capture overarching findings.

Main Results:

• Four meta-themes emerged: psychological preparedness of trainers, influence of MECC training content on cascade success, accessibility of pedagogical approaches, and a need to prioritize quality over quantity in MECC cascade.
• Trainers' sense of ownership and perceived ability to deliver MECC training are crucial.
• Pedagogical approaches for both MECC TtT and MECC training require accessible design.

Conclusions:

• The MECC TtT model offers significant value for scaling high-quality MECC training.
• Recommendations include a skills-based approach for MECC training and an experiential approach for MECC TtT.
• Clear cascade expectations, trainer adaptability, and quality-focused evaluation are essential for the MECC TtT program.