Introduction and Objective: Chronic disease behavioral interventions have become widespread across healthcare sectors. While success of these interventions is largely dependent on their implementation, there is an absence of train-the-trainer (TTT) protocols and evaluations to serve as frameworks for behavioral interventions. Therefore, the objective of this study was to develop and evaluate the effectiveness of a theory-based TTT protocol at training researchers to deliver a clinical culinary medicine intervention for at-risk youth with T1D in a public health setting utilizing a mixed methods approach.Methods: A multi-component TTT protocol was developed and implemented to research assistants (RAs) of the intervention. A 24-item survey assessing key TTT constructs (T1D knowledge, disparities; health literacy, cultural sensitivity; research ethics, study design) was completed by RAs at baseline and post-test. Six additional qualitative questions gathered RA feedback on the TTT protocol at post-test.Results: Eighteen RAs completed the baseline and post-test surveys (100%), with significant improvements from baseline to post-test across all key TTT constructs (T1D knowledge (p<0.001); T1D disparities (p<0.001); health literacy, cultural sensitivity (p= 0.02); research ethics, study design (p<0.001)). Post-training feedback indicated strong preference (94.4%) for the multi-component approach but the in-person training day 2 (knowledge application with role play, demonstrations) best prepared RAs for their role.Conclusion: The TTT framework is an effective training model for clinical and public health diabetes interventions. Utilizing a multi-component approach with in-person knowledge application appears to resonate best with trainees and can serve as a model to integrate into chronic disease behavioral interventions in the clinical and public health sector to enhance chronic disease intervention efficacy and patient outcomes.
C.R. McManus: None.
American Diabetes Association (11-21-JDFHD-13)
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