@article{ref1,
title="Trainer fidelity as a predictor of crisis counselors' behaviors with callers who express suicidal thoughts",
journal="Psychiatric services",
year="2017",
author="Cross, Wendi F. and Chen, Tian and Schmeelk-Cone, Karen and Tu, Xin and Kleinman, Marjorie and Gould, Madelyn S.",
volume="68",
number="10",
pages="1083-1087",
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. <br><br>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. <br><br>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. <br><br>CONCLUSIONS: Trainer selection for competence may be particularly critical for group-based TTT programs involving experienced counselors and the use of experiential activities.<p /> <p>Language: en</p>",
language="en",
issn="1075-2730",
doi="10.1176/appi.ps.201600417",
url="http://dx.doi.org/10.1176/appi.ps.201600417"
}