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Implementation and Outcomes of a Train-the-Trainer Program at Behavioral Health Treatment Centers as a Mechanism to Maintain Organizational Capacity to Address Tobacco Use Disorder

Despite prior successful implementation of Taking Texas Tobacco Free (TTTF), an evidence-based tobacco-free workplace program, in local mental health authorities (LMHAs), post-implementation employee attrition necessitated continuing education on tobacco-free policies and tobacco treatment practices...

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Autores principales: Nitturi, Vijay, Chen, Tzuan A., Martinez Leal, Isabel, Correa-Fernández, Virmarie, Drenner, Kelli, Kyburz, Bryce, Williams, Teresa, Obasi, Ezemenari M., Britton, Maggie, Howard, Molly, Rangel, Rogelio, Sharp, Jeni, Smith, Shelley, Reitzel, Lorraine R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8583380/
https://www.ncbi.nlm.nih.gov/pubmed/34770149
http://dx.doi.org/10.3390/ijerph182111635
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author Nitturi, Vijay
Chen, Tzuan A.
Martinez Leal, Isabel
Correa-Fernández, Virmarie
Drenner, Kelli
Kyburz, Bryce
Williams, Teresa
Obasi, Ezemenari M.
Britton, Maggie
Howard, Molly
Rangel, Rogelio
Sharp, Jeni
Smith, Shelley
Reitzel, Lorraine R.
author_facet Nitturi, Vijay
Chen, Tzuan A.
Martinez Leal, Isabel
Correa-Fernández, Virmarie
Drenner, Kelli
Kyburz, Bryce
Williams, Teresa
Obasi, Ezemenari M.
Britton, Maggie
Howard, Molly
Rangel, Rogelio
Sharp, Jeni
Smith, Shelley
Reitzel, Lorraine R.
author_sort Nitturi, Vijay
collection PubMed
description Despite prior successful implementation of Taking Texas Tobacco Free (TTTF), an evidence-based tobacco-free workplace program, in local mental health authorities (LMHAs), post-implementation employee attrition necessitated continuing education on tobacco-free policies and tobacco treatment practices. Here, we report on the outcomes of a train-the-trainer program which trained “champions” to deliver tobacco cessation education at their LMHAs. Three LMHAs participated in program implementation via 10 champions, iteratively trained and coached by TTTF. Measures administered evaluated four goals: (1) increase champions’ self-efficacy in delivering trainings, (2) achieve program fidelity via TTTF staff evaluation of trainer effectiveness and knowledge increases among attending employees, (3) achieve stakeholder program acceptability, and (4) achieve program adoption via an increase in follow-up trainings. Champions’ self-efficacy increased throughout TTTF training. TTTF staff ratings of champion-led trainings met the targeted range for trainer effectiveness; employees had a 28.71% knowledge increase over baseline post-training (p < 0.001). Employees rated champions’ training delivery “very good” to “excellent”, on average; both champions and employees were, on average, “satisfied” to “extremely satisfied” with the curriculum and training received. There was an increase over baseline in trainings delivered during follow-up, and trainings increased in length and topic coverage. Ultimately, the train-the-trainer program achieved the intended goals, although not all changes were statistically significant, likely at least partially attributable to small sample sizes. Overall, these results suggest that TTTF’s train-the-trainer program was successful in its delivery and intention to build capacity for the provision of in-house tobacco education trainings to behavioral health employees/providers. However, further evaluation in additional settings, with more champions, et cetera, is necessary to validate these findings, ensure their replicability, link program implementation with reduced patient tobacco use rates, and assess long-term sustainability.
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spelling pubmed-85833802021-11-12 Implementation and Outcomes of a Train-the-Trainer Program at Behavioral Health Treatment Centers as a Mechanism to Maintain Organizational Capacity to Address Tobacco Use Disorder Nitturi, Vijay Chen, Tzuan A. Martinez Leal, Isabel Correa-Fernández, Virmarie Drenner, Kelli Kyburz, Bryce Williams, Teresa Obasi, Ezemenari M. Britton, Maggie Howard, Molly Rangel, Rogelio Sharp, Jeni Smith, Shelley Reitzel, Lorraine R. Int J Environ Res Public Health Article Despite prior successful implementation of Taking Texas Tobacco Free (TTTF), an evidence-based tobacco-free workplace program, in local mental health authorities (LMHAs), post-implementation employee attrition necessitated continuing education on tobacco-free policies and tobacco treatment practices. Here, we report on the outcomes of a train-the-trainer program which trained “champions” to deliver tobacco cessation education at their LMHAs. Three LMHAs participated in program implementation via 10 champions, iteratively trained and coached by TTTF. Measures administered evaluated four goals: (1) increase champions’ self-efficacy in delivering trainings, (2) achieve program fidelity via TTTF staff evaluation of trainer effectiveness and knowledge increases among attending employees, (3) achieve stakeholder program acceptability, and (4) achieve program adoption via an increase in follow-up trainings. Champions’ self-efficacy increased throughout TTTF training. TTTF staff ratings of champion-led trainings met the targeted range for trainer effectiveness; employees had a 28.71% knowledge increase over baseline post-training (p < 0.001). Employees rated champions’ training delivery “very good” to “excellent”, on average; both champions and employees were, on average, “satisfied” to “extremely satisfied” with the curriculum and training received. There was an increase over baseline in trainings delivered during follow-up, and trainings increased in length and topic coverage. Ultimately, the train-the-trainer program achieved the intended goals, although not all changes were statistically significant, likely at least partially attributable to small sample sizes. Overall, these results suggest that TTTF’s train-the-trainer program was successful in its delivery and intention to build capacity for the provision of in-house tobacco education trainings to behavioral health employees/providers. However, further evaluation in additional settings, with more champions, et cetera, is necessary to validate these findings, ensure their replicability, link program implementation with reduced patient tobacco use rates, and assess long-term sustainability. MDPI 2021-11-05 /pmc/articles/PMC8583380/ /pubmed/34770149 http://dx.doi.org/10.3390/ijerph182111635 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Nitturi, Vijay
Chen, Tzuan A.
Martinez Leal, Isabel
Correa-Fernández, Virmarie
Drenner, Kelli
Kyburz, Bryce
Williams, Teresa
Obasi, Ezemenari M.
Britton, Maggie
Howard, Molly
Rangel, Rogelio
Sharp, Jeni
Smith, Shelley
Reitzel, Lorraine R.
Implementation and Outcomes of a Train-the-Trainer Program at Behavioral Health Treatment Centers as a Mechanism to Maintain Organizational Capacity to Address Tobacco Use Disorder
title Implementation and Outcomes of a Train-the-Trainer Program at Behavioral Health Treatment Centers as a Mechanism to Maintain Organizational Capacity to Address Tobacco Use Disorder
title_full Implementation and Outcomes of a Train-the-Trainer Program at Behavioral Health Treatment Centers as a Mechanism to Maintain Organizational Capacity to Address Tobacco Use Disorder
title_fullStr Implementation and Outcomes of a Train-the-Trainer Program at Behavioral Health Treatment Centers as a Mechanism to Maintain Organizational Capacity to Address Tobacco Use Disorder
title_full_unstemmed Implementation and Outcomes of a Train-the-Trainer Program at Behavioral Health Treatment Centers as a Mechanism to Maintain Organizational Capacity to Address Tobacco Use Disorder
title_short Implementation and Outcomes of a Train-the-Trainer Program at Behavioral Health Treatment Centers as a Mechanism to Maintain Organizational Capacity to Address Tobacco Use Disorder
title_sort implementation and outcomes of a train-the-trainer program at behavioral health treatment centers as a mechanism to maintain organizational capacity to address tobacco use disorder
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8583380/
https://www.ncbi.nlm.nih.gov/pubmed/34770149
http://dx.doi.org/10.3390/ijerph182111635
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