서브메뉴
검색
An Examination of Train-the-Trainer Across Two Generations: A "Scale-Up Penalty" on Training and Provider Outcomes?
An Examination of Train-the-Trainer Across Two Generations: A "Scale-Up Penalty" on Training and Provider Outcomes?
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20260202104808
- ISBN
- 9798288863387
- DDC
- 157
- 서명/저자
- An Examination of Train-the-Trainer Across Two Generations: A Scale-Up Penalty on Training and Provider Outcomes?
- 발행사항
- [Sl] : University of California, Berkeley, 2025
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2025
- 형태사항
- 66 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 87-01, Section: B.
- 주기사항
- Advisor: Harvey, Allison G.
- 학위논문주기
- Thesis (Ph.D.)--University of California, Berkeley, 2025.
- 초록/해제
- 요약Train-the-trainer (TTT) is a promising, yet understudied method for implementing and sustaining evidence-based psychological treatments (EBPTs) in community mental health centers (CMHCs). In TTT, external "expert" trainers train an initial cohort of providers (i.e., Generation 1). Next, Generation 1 providers are offered the opportunity to become "local" trainers, who train the next cohort of providers (i.e., Generation 2). A key assumption of TTT is that there is no significant reduction in key outcomes across generations of training. This dissertation evaluated whether training quality and key provider outcomes post-training are maintained across two generations of TTT in a hybrid Type 2 effectiveness-implementation trial. TTT was used to implement an EBPT for sleep and circadian dysfunction-the Transdiagnostic Intervention for Sleep and Circadian Dysfunction (TranS-C)-in CMHCs across California, United States. CMHCs were randomized to receive training in either Standard or Adapted TranS-C. Data from both conditions were combined to maximize power. For this dissertation, two expert trainers trained 115 providers in Generation 1 and 25 local trainers trained 42 providers in Generation 2. Trainings were coded for gold standard training elements (TranS-C content, training techniques) via the Gold Standard Training Checklist. Providers completed an evaluation post-training which measured TranS-C knowledge, acceptability, appropriateness, and feasibility of TranS-C, and willingness and confidence to use TranS-C. Local trainers in Generation 2 delivered more gold standard training techniques than expert trainers in Generation 1. No significant differences were found between generations on provider outcomes. However, sensitivity analyses excluding extreme outliers revealed that providers trained in Generation 2 rated TranS-C as more appropriate to their setting compared to providers trained in Generation 1. The extent of gold standard elements delivered in trainings was not related to provider outcomes. These findings support the potential of the TTT approach to sustain, and even improve, training quality and key provider outcomes in a second generation in a CMHC setting. Future research is needed to identify and harness the strengths of local trainers in TTT and identify the most potent training elements to optimize provider outcomes. The parent study for this dissertation was registered on ClinicalTrials.gov (NCT05956678). This dissertation was pre-registered on the Open Science Framework (osf-registrations-x7v38-v1).
- 일반주제명
- Clinical psychology
- 일반주제명
- Psychology
- 일반주제명
- Medicine
- 일반주제명
- Mental health
- 키워드
- TranS-C
- 키워드
- Training quality
- 기타저자
- University of California, Berkeley Psychology
- 기본자료저록
- Dissertations Abstracts International. 87-01B.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
008260126s2025 us c eng d■001000017358906
■00520260202104808
■006m o d
■007cr#unu||||||||
■020 ▼a9798288863387
■035 ▼a(MiAaPQ)AAI32166424
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a157
■1001 ▼aCallaway, Catherine Aracely.
■24513▼aAn Examination of Train-the-Trainer Across Two Generations: A "Scale-Up Penalty" on Training and Provider Outcomes?
■260 ▼a[Sl]▼bUniversity of California, Berkeley▼c2025
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2025
■300 ▼a66 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 87-01, Section: B.
■500 ▼aAdvisor: Harvey, Allison G.
■5021 ▼aThesis (Ph.D.)--University of California, Berkeley, 2025.
■520 ▼aTrain-the-trainer (TTT) is a promising, yet understudied method for implementing and sustaining evidence-based psychological treatments (EBPTs) in community mental health centers (CMHCs). In TTT, external "expert" trainers train an initial cohort of providers (i.e., Generation 1). Next, Generation 1 providers are offered the opportunity to become "local" trainers, who train the next cohort of providers (i.e., Generation 2). A key assumption of TTT is that there is no significant reduction in key outcomes across generations of training. This dissertation evaluated whether training quality and key provider outcomes post-training are maintained across two generations of TTT in a hybrid Type 2 effectiveness-implementation trial. TTT was used to implement an EBPT for sleep and circadian dysfunction-the Transdiagnostic Intervention for Sleep and Circadian Dysfunction (TranS-C)-in CMHCs across California, United States. CMHCs were randomized to receive training in either Standard or Adapted TranS-C. Data from both conditions were combined to maximize power. For this dissertation, two expert trainers trained 115 providers in Generation 1 and 25 local trainers trained 42 providers in Generation 2. Trainings were coded for gold standard training elements (TranS-C content, training techniques) via the Gold Standard Training Checklist. Providers completed an evaluation post-training which measured TranS-C knowledge, acceptability, appropriateness, and feasibility of TranS-C, and willingness and confidence to use TranS-C. Local trainers in Generation 2 delivered more gold standard training techniques than expert trainers in Generation 1. No significant differences were found between generations on provider outcomes. However, sensitivity analyses excluding extreme outliers revealed that providers trained in Generation 2 rated TranS-C as more appropriate to their setting compared to providers trained in Generation 1. The extent of gold standard elements delivered in trainings was not related to provider outcomes. These findings support the potential of the TTT approach to sustain, and even improve, training quality and key provider outcomes in a second generation in a CMHC setting. Future research is needed to identify and harness the strengths of local trainers in TTT and identify the most potent training elements to optimize provider outcomes. The parent study for this dissertation was registered on ClinicalTrials.gov (NCT05956678). This dissertation was pre-registered on the Open Science Framework (osf-registrations-x7v38-v1).
■590 ▼aSchool code: 0028.
■650 4▼aClinical psychology
■650 4▼aPsychology
■650 4▼aMedicine
■650 4▼aMental health
■653 ▼aTrain-the-trainer
■653 ▼aEvidence-based psychological treatments
■653 ▼aTranS-C
■653 ▼aTraining quality
■690 ▼a0622
■690 ▼a0621
■690 ▼a0564
■690 ▼a0347
■71020▼aUniversity of California, Berkeley▼bPsychology.
■7730 ▼tDissertations Abstracts International▼g87-01B.
■790 ▼a0028
■791 ▼aPh.D.
■792 ▼a2025
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17358906▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
