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  • Title: Trainer Fidelity as a Predictor of Crisis Counselors' Behaviors With Callers Who Express Suicidal Thoughts.
    Author: Cross WF, Chen T, Schmeelk-Cone K, Tu X, Kleinman M, Pisani A, Munfakh JL, Gould MS.
    Journal: Psychiatr Serv; 2017 Oct 01; 68(10):1083-1087. PubMed ID: 28566029.
    Abstract:
    OBJECTIVE: The relationship between trainer fidelity during a two-day suicide prevention program for counselors at crisis centers and counselors' behaviors during calls from individuals with suicidal thoughts was examined. METHODS: The study used two data sets from a randomized control trial of a suicide prevention program delivered by counselors at 17 crisis centers who had previously received training (train-the-trainer [TTT] approach). One data set examined counselors' behaviors by silently monitoring calls (N=764) to the crisis lines, and one assessed adherence to manual content and competence in delivery among trainers (N=34) by coding training videotapes. Multilevel modeling was used to account for nested data. RESULTS: Use of recommended behaviors by counselors was primarily related to trainers' competence in delivery of the program rather than adherence to the program content. CONCLUSIONS: Trainer selection for competence may be particularly critical for group-based TTT programs involving experienced counselors and the use of experiential activities.
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