Fitness facility staff can be trained to deliver a motivational interviewing-informed diabetes prevention program
Oral Presentation C6.5
DOI:
https://doi.org/10.14288/hfjc.v14i3.679Keywords:
Evaluation, Implementation Science, Health Behavior, Prediabetic State, ExerciseAbstract
Background: Training programs for community interventions must be evaluated to understand whether the training is successful at enabling staff to implement a program with fidelity. Purpose: Evaluate the effectiveness of the in-person Small Steps for Big Changes (SSBC) training program for fitness facility staff. Methods: Eight staff were trained to deliver the motivational interviewing (MI)-informed SSBC program for individuals at risk of developing type 2 diabetes. The Kirkpatrick 4-level training evaluation model was used to guide this research. Level one assessed staff satisfaction to the training. Level two assessed staff program knowledge and MI knowledge/skills. Level three assessed staff behaviors by examining their MI use with each client. Level four assessed training outcomes using clients perceived satisfaction with their staff and basic psychological needs support. Results: Staff were satisfied with the training (M = 4.43, SD = 0.62). All learning measures demonstrated high post-training scores that were retained at implementation follow-up. Staff used MI skills in practice and delivered the program at a client-centered level (M = 6.34, SD = 0.83). Overall, clients perceived staff supported their basic psychological needs (M = 6.59, SD = 0.62) and reported high staff satisfaction scores (M = 6.9, SD = 0.32). Conclusion: The SSBC training was successful, and staff delivered a MI-informed program. While not all staff operated at a client-centered level, clients perceived their basic psychological needs to be supported. Findings support the training for future scale-up sites. Community fitness staff represent a feasible resource through which to run evidence-based counselling programs. Funding: This research was funded by both a Social Sciences and Humanities Research Council Doctoral Scholarship (#767-2020-2130) and a Partnership Engage Grant (#892-2018-3065), the Canadian Institutes of Health Research (#333266), and Michael Smith Foundation for Health Research Reach Grant (#18120).
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Copyright (c) 2021 Tineke E. Dineen, Corliss Bean, Kaela D. Cranston, Megan M. MacPherson, Mary Jung
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