Department of Psychiatry, University of Rochester Medical Center, USA.
Disaster Med Public Health Prep. 2010 Dec;4(4):339-43. doi: 10.1001/dmp.2010.6. Epub 2010 Jun 29.
Disaster mental health (DMH) is vital to comprehensive disaster preparedness for communities. A train-the-trainer (TTT) model is frequently used in public health to disseminate knowledge and skills to communities, although few studies have examined its success. We report on the development and implementation of a DMH TTT program and examine variables that predict dissemination.
This secondary analysis examines 140 community-based mental health providers' participation in a TTT DMH program in 2005-2006. Instructors' dissemination of the training was followed for 12 months. Bivariate and multivariate analyses were conducted to predict dissemination of the training program.
Sixty percent of the trainees in the DMH TTT program conducted training programs in the 12-month period following being trained. The likelihood of conducting training programs was predicted by a self-report measure of perceptions of transfer of training. The number of individuals subsequently trained (559) was predicted by prior DMH training and sex. No other variables predicted dissemination of DMH training.
The TTT model was moderately successful in disseminating DMH training. Intervention at the organizational and individual level, as well as training modifications, may increase cost-effective dissemination of DMH training.
灾难心理健康（DMH）对于社区的全面灾难准备至关重要。培训师培训（TTT）模式经常用于公共卫生领域，以向社区传播知识和技能，尽管很少有研究检验其成功与否。我们报告了 DMH TTT 计划的开发和实施情况，并研究了预测传播的变量。
本二次分析研究了 2005-2006 年间 140 名基于社区的心理健康提供者参加 DMH TTT 计划的情况。在接下来的 12 个月中，对讲师的培训传播情况进行了跟踪。进行了单变量和多变量分析，以预测培训计划的传播。
在接受培训后的 12 个月内，DMH TTT 计划中的 60%的受训者开展了培训项目。培训转移感知的自我报告衡量标准预测了开展培训项目的可能性。随后接受培训的人数（559 人）则由先前的 DMH 培训和性别来预测。没有其他变量可以预测 DMH 培训的传播。
TTT 模式在传播 DMH 培训方面取得了中等程度的成功。在组织和个人层面进行干预以及培训修改，可能会增加 DMH 培训的成本效益传播。
