Evidence map›Paper›PMID 41922657›Full record

ArticleInternational journal of behavioral medicine2026

Mixed Methods Evaluation of the "Train the Trainer" Model for Delivering Core "Making Every Contact Count" (MECC) Training.

Beth Nichol, Angela M Rodrigues, Mei Yee Tang, Anna Haste, Sarah Audsley, Craig Robson, Jill Harland, Catherine Haighton

Abstract read
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Article in International journal of behavioral medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Beth NicholSchool of Communities and Education, Faculty of Health and Wellbeing, Northumbria University, Newcastle Upon-Tyne, UK. beth.nichol@newcastle.ac.uk.ORCID http://orcid.org/0000-0002-7642-1448
Angela M RodriguesSchool of Psychology, Faculty of Health and Wellbeing, Northumbria University, Newcastle Upon-Tyne, UK.ORCID http://orcid.org/0000-0001-5064-8006
Mei Yee TangFuse, Centre for Translational Research in Public Health, Newcastle University, Newcastle Upon-Tyne, UK.ORCID http://orcid.org/0000-0002-3116-6025
Anna HasteFuse, Centre for Translational Research in Public Health, Newcastle University, Newcastle Upon-Tyne, UK.ORCID http://orcid.org/0000-0002-5001-0763
Sarah AudsleyFuse, Centre for Translational Research in Public Health, Newcastle University, Newcastle Upon-Tyne, UK.ORCID http://orcid.org/0000-0002-0372-6881
Craig RobsonFuse, Centre for Translational Research in Public Health, Newcastle University, Newcastle Upon-Tyne, UK.
Jill HarlandNorthumbria Healthcare NHS Foundation Trust, North Shields, UK.
Catherine HaightonSchool of Communities and Education, Faculty of Health and Wellbeing, Northumbria University, Newcastle Upon-Tyne, UK. katie.haighton@northumbria.ac.uk.ORCID http://orcid.org/0000-0002-8061-0428

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe current study aimed to evaluate the regional implementation of the Train the Trainer (TtT) model to deliver Making Every Contact Count (MECC, an opportunistic and person-centred approach to the promotion of health and well-being) training across the North East and North Cumbria.

methodsA mixed methods evaluation included secondary data from pre- and post-MECC TtT training survey evaluations and cascade behaviour of MECC trainers, qualitative semi-structured interviews with individuals who were eligible for the MECC TtT programme (n = 21) analysed according to the Theoretical Domains Framework (TDF), content analysis of the existing MECC TtT programme to identify behaviour change techniques (BCTs) and intervention functions (IFs), and a strategic behavioural analysis to identify the extent to which the current programme addressed the behavioural problem.

resultsOnly 4.4% of MECC trainers who completed the post-survey evaluation reported a cascade of core MECC training following the TtT programme. MECC TtT training significantly improved knowledge but not confidence or motivation of trainees to deliver the MECC training. However, motivation and confidence post-training significantly predicted intention to cascade. Neither mode of delivery nor post-training knowledge significantly predicted intention to cascade. Six key TDF domains were identified as key barriers and facilitators to the cascade of core MECC training: Environmental Context and Resources, Knowledge, Social Influences, Beliefs about Consequences, Skills, and Intentions. MECC TtT training only sufficiently addressed the key TDF domain skills.

conclusionsA targeted approach to recruitment to the regional MECC TtT programme should be adopted to ensure trainees have top-down and peer support, previous MECC knowledge and delivery within their role, and experience of delivering training. Otherwise, additional support is needed for MECC trainers.

Indexed as

Behaviour changeBehaviour change wheelHealth promotionMaking every contact countStrategic behavioural analysisTheoretical domains frameworkTrain-the-trainerWorkforce development

Identifiers

PMID41922657

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.