Train-the-trainer (TtT) cascade model for delivering MECC training at scale

Design · All designs
Evidence · 2 claims (1 for, 1 mixed) · 1 study (1 qualitative), q2 · 0 of 1 report an effect size · 2 claims rest on one study

Description

The TtT model "involves using a principal trainer to provide training to individuals so that they become MECC trainers, cascading MECC training to those they go on to deliver training to". The article presents it as an established approach proposed as cost-effective, able to deliver training at scale, and sensitive to context through tailoring opportunities. Its success depends on trainers actually cascading training, which the study found often did not occur. The study analysed this model as implemented for MECC across the NENC region of England.

Design Implications

Context

Requirements

• Trainers must cascade training after attending the TtT programme, upon which the model's success depends
• Organizational top-down support extending beyond TtT attendance to enabling cascade with time and resources

Constraints

• The study focused on the NENC approach to MECC training and the TtT programme, which may limit generalisability of the findings
• TtT models often report low cascade rates, with as few as 20% of trainers cascading training according to literature cited

Target Learners

• Adult staff across health care, local authority, and voluntary and community sectors eligible for MECC TtT training

Learning Goals

• Delivering person-centred behaviour change conversations (MECC) and cascading that training to others

Claims

• Ttt Local Knowledge Increases Training Quality [+M]
• Quantity Monitoring Overlooks Cascade Quality [~M]

Related Designs

Examples

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Key Sources

• Nichol Beth, Rodrigues Angela M., Audsley Sarah, Haste Anna, Tang Mei Yee, Robson Craig, Harland Jill, Haighton Catherine. (2026). Exploring the ‘train the trainer’ model for delivering Making Every Contact Count (MECC) training at scale: A qualitative study. British Journal of Health Psychology. https://doi.org/10.1111/bjhp.70076

Page metadata

Field	Value
type	design
id	ttt-cascade-model-mecc-at-scale
title	Train-the-trainer (TtT) cascade model for delivering MECC training at scale
description	The TtT model "involves using a principal trainer to provide training to individuals so that they become MECC trainers, cascading MECC training to those they go on to deliver training to".
status	review
generated	by process:settle-candidates on 2026-11-05
trust	unverified — no one has confirmed this page's content
sources	1 — nichol-beth-2026

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