Hostname: page-component-5db6c4db9b-mcx2m Total loading time: 0 Render date: 2023-03-23T14:28:06.179Z Has data issue: true Feature Flags: { "useRatesEcommerce": false } hasContentIssue true

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

Published online by Cambridge University Press:  08 April 2013


Objective: 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.

Methods: 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.

Results: 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.

Conclusions: 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.

(Disaster Med Public Health Preparedness. 2010;4:339-343)

Concepts in Disaster Medicine
Copyright © Society for Disaster Medicine and Public Health, Inc. 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)



1.Kade, KA, Brinsfield, KH, Serino, RA, Savoia, E, Koh, HK.Emergency medical consequence planning and management for national special security events after September 11: Boston 2004. Disaster Med Public Health Prep. 2008;2 (3):166173.CrossRefGoogle ScholarPubMed
2.Klein, KR, Pepe, PE, Burkle, FM, Nagel, NE, Swienton, RE.Evolving need for alternative triage management in public health emergencies: a Hurricane Katrina case study. Disaster Med Public Health Prep. 2008;2(Suppl 1)S40S44.CrossRefGoogle ScholarPubMed
3.Abramson, D, Stehling-Ariza, T, Garfield, R, Redlener, I.Prevalence and predictors of mental health distress post-Katrina: findings from the Gulf Coast Child and Family Health Study. Disaster Med Public Health Prep. 2008;2 (2):7786.CrossRefGoogle ScholarPubMed
4.Herrmann, J.When does mental health become public health? J Public Health Manag Pract. 2007;13 (5):527529.CrossRefGoogle ScholarPubMed
5.Parker, CL, Barnett, DJ, Everly, GS Jr, Links, JM.Expanding disaster mental health response: a conceptual training framework for public health professionals. Int J Emerg Ment Health. 2006;8 (2):101109.Google ScholarPubMed
6.Reid, WM, Ruzycki, S, Haney, ML, et alDisaster mental health training in Florida and the response to the 2004 hurricanes. J Public Health Manag Pract. 2005;11(Suppl)S57S62.CrossRefGoogle Scholar
7.Donahue, SA, Lanzara, CB, Felton, CJ, Essock, SM, Carpinello, S.Project Liberty: New York's crisis counseling program created in the aftermath of September 11, 2001. Psychiatr Serv. 2006;57 (9):12531258.CrossRefGoogle ScholarPubMed
8.Frank, RG, Pindyck, T, Donahue, SA, et alImpact of a media campaign for disaster mental health counseling in post-September 11 New York. Psychiatr Serv. 2006;57 (9):13041308.CrossRefGoogle ScholarPubMed
9.Jackson, CT, Covell, NH, Shear, KM, et alThe road back: predictors of regaining preattack functioning among Project Liberty clients. Psychiatr Serv. 2006;57 (9):12831290.CrossRefGoogle ScholarPubMed
10.Aakko, E, Weed, N, Konrad, R, Wiesman, J.Rethinking volunteer management using a centralized volunteer staging and training area. Disaster Med Public Health Prep. 2008;2 (2):127129.CrossRefGoogle ScholarPubMed
11.Hites, LS, Lafreniere, AV, Wingate, MS, et alExpanding the public health emergency preparedness competency set to meet specialized local and evolving national needs: a needs assessment and training approach. J Public Health Manag Pract. 2007;13 (5):497505.CrossRefGoogle ScholarPubMed
12.Subbarao, I, Lyznicki, JM, Hsu, EB, et alA consensus-based educational framework and competency set for the discipline of disaster medicine and public health preparedness. Disaster Med Public Health Prep. 2008;2 (1):5768.CrossRefGoogle ScholarPubMed
13.Merrill, S.Train the Trainer: 101. Training Development. 2008:2831.Google Scholar
14.Levine, SA, Brett, B, Robinson, BE, et alPracticing physician education in geriatrics: lessons learned from a train-the-trainer model. J Am Geriatr Soc. 2007;55 (8):12811286.CrossRefGoogle ScholarPubMed
15.Becker, SM.Psychosocial care for adult and child survivors of the tsunami disaster in India. J Child Adolesc Psychiatr Nurs. 2007;20 (3):148155.CrossRefGoogle ScholarPubMed
16.Coogle, CL, Osgood, NJ, Parham, IA.A statewide model detection and prevention program for geriatric alcoholism and alcohol abuse: increased knowledge among service providers. Community Ment Health J. 2000;36 (2):137148.CrossRefGoogle ScholarPubMed
17.Gelkopf, M, Ryan, P, Cotton, SJ, Berger, R.The impact of a “training the trainer” course for helping tsunami-survivor children on Sri Lankan disaster volunteer workers. Int J Stress Manag. 2008;15:117135.CrossRefGoogle Scholar
18.Holton, E III, Bates, RA, Ruona, WEA.Development of a Generalized Learning Transfer System Inventory. Hum Resource Dev Q. 2001;11:333360.3.0.CO;2-P>CrossRefGoogle Scholar
19.Grogger, J, Carson, R.Models of truncated counts. J Appl Econometrics. 1991;6:225238.CrossRefGoogle Scholar
20.Knowles, M, Holton, EF, Swanson, R.The Adult Learner: The Definitive Classic in Adult Education and Human Resource Development. Houston, TX: Gulf Professional.; 1998.Google Scholar
21. McGill, I.Action Learning Handbook: Powerful Techniques for Education, Professional Development and Training. London: Routledge Falmer.; 2003.Google Scholar
22.Salas, E, Cannon-Bowers, JA.The science of training: a decade of progress. Annu Rev Psychol. 2001;52:471499.CrossRefGoogle ScholarPubMed
23.Stuart, GW, Tondora, J, Hoge, MA.Evidence-based teaching practice: implications for behavioral health. Adm Policy Ment Health. 2004;32 (2):107130.CrossRefGoogle ScholarPubMed
24.Snyder, J, Reid, J, Stoolmiller, M, et alThe role of behavior observation in measurement systems for randomized prevention trials. Prev Sci. 2006;7 (1):4356.CrossRefGoogle ScholarPubMed