title: Predicting dissemination of a disaster mental health "Train-the-Trainer" program.
abstract: 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.
authors.affiliation: Department of Psychiatry, University of Rochester Medical Center, USA. Wendi_Cross@URMC.Rochester.edu
authors.forename: Wendi
authors.initials: W
authors.lastname: Cross
authors.forename: Catherine
authors.initials: C
authors.lastname: Cerulli
authors.forename: Heidi
authors.initials: H
authors.lastname: Richards
authors.forename: Hua
authors.initials: H
authors.lastname: He
authors.forename: Jack
authors.initials: J
authors.lastname: Herrmann
mesh_terms: D000223:Adaptation, Psychological; D004189:Disaster Planning / Q000379:methods*; D004522:Educational Status; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D033181:Information Dissemination / Q000379:methods*; D016015:Logistic Models; D008297:Male; D008603:Mental Health; D008605:Mental Health Services / Q000458:organization & administration*; D008875:Middle Aged; D015999:Multivariate Analysis; D020380:Needs Assessment; D009518:New York; D011361:Professional Competence / Q000592:standards* / Q000706:statistics & numerical data; D012066:Relief Work; D018709:Statistics, Nonparametric; D013315:Stress, Psychological; D011795:Surveys and Questionnaires