TY  - JOUR
PY  - 2017//
TI  - Trainer fidelity as a predictor of crisis counselors' behaviors with callers who express suicidal thoughts
JO  - Psychiatric services
A1  - Cross, Wendi F.
A1  - Chen, Tian
A1  - Schmeelk-Cone, Karen
A1  - Tu, Xin
A1  - Kleinman, Marjorie
A1  - Gould, Madelyn S.
SP  - 1083
EP  - 1087
VL  - 68
IS  - 10
N2  - 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>
LA  - en
SN  - 1075-2730
UR  - http://dx.doi.org/10.1176/appi.ps.201600417
ID  - ref1
ER  -