Exploring the ‘train the trainer’ model for delivering Making Every Contact Count ( <scp>MECC</scp> ) training at scale: A qualitative study

OBJECTIVES: To explore the delivery of the train the trainer (TtT) model for Making Every Contact Count (MECC) training in the North East and North Cumbria (NENC) region of England. DESIGN: A qualitative study, utilizing semi-structured interviews. METHODS: Interviews were conducted with 21 participants, including MECC TtT trainees (n = 13), eligible non-trainees (n = 6) and principal trainers (n = 2). Data analysis utilized the Framework Method guided by the Theoretical Domains Framework (TDF), and meta-themes were generated that transcended individual TDF domains. RESULTS: Four meta-themes were identified: the need for psychological preparedness to deliver MECC training, successful cascade is influenced by the MECC training content, limited accessibility of the pedagogical approach to both MECC TtT and MECC training, and a need to shift the focus from quantity to quality of MECC training cascade. CONCLUSIONS: The TtT model potentially provides unique value for delivering high-quality MECC training at scale, providing trainers feel ownership over and able to deliver MECC training. A skills-based approach to MECC training and an experiential learning approach to MECC TtT training are recommended. The MECC TtT programme should provide clear expectations of cascade at sign up stage, allow trainers to adapt content and evaluate success based on quality.