Department of Psychological Medicine, Cardiff University, Wales, United Kingdom.
J Trauma Stress. 2012 Jun;25(3):337-43. doi: 10.1002/jts.21705. Epub 2012 May 30.
Research has shown that developing a Train-the-Trainers (TTT) program is important if agencies are to implement guidelines, but the most effective way to deliver a TTT program remains unanswered. This article presents data from a 3-round Internet-based Delphi process, which was used to help develop consensus-based guidelines for a TTT programme to deliver to health and social care professionals throughout Europe a curriculum on traumatic stress. In Round 1, 74 experts rated the importance of statements relating to the TTT field and then reassessed their scores in the light of others' responses in subsequent rounds. Forty-one (67%) of 61 statements achieved consensus (defined as having a mean score >7 or < 3 on the 0-9 rating scales used and 70% of participants scoring 7 and above or 3 and below) for inclusion. Key TTT components included interactive and practical presentations, delivery to groups of 7-12 people over 2 days, external and local expert facilitation, course manuals, refresher courses, and supervision. The Delphi process allowed a consensus to be achieved in an area in which there are limitations in the current evidence.
研究表明，如果各机构要实施准则，那么制定培训师培训（TTT）计划很重要，但提供 TTT 计划的最有效方法仍未得到解答。本文介绍了基于互联网的 3 轮德尔菲流程的数据，该流程用于帮助制定面向整个欧洲卫生和社会保健专业人员的 TTT 计划准则，为他们提供创伤性应激课程。在第 1 轮中，74 名专家对与 TTT 领域相关的陈述的重要性进行了评分，然后根据后续几轮中其他人的回应重新评估了他们的评分。61 项陈述中的 41 项（67%）达成了共识（定义为使用 0-9 评分量表的平均得分为>7 或<3，且 70%的参与者评分为 7 或以上或 3 或以下），被纳入其中。TTT 的关键组成部分包括互动式和实践性的演示、为期两天、针对 7-12 人的小组授课、外部和本地专家协助、课程手册、复习课程和监督。德尔菲流程使在当前证据存在局限性的领域达成了共识。
