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Lookup NU author(s): Dr Beth NicholORCiD, Dr Angela Rodrigues, Sarah Audsley, Dr Anna Haste, Dr Mei Yee Tang, Professor Craig RobsonORCiD, Jill Harland, Dr Katie Haighton
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
© 2026 The Author(s). British Journal of Health Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society. Objectives: To explore the delivery of the train the trainer (TtT) model for Making Every Contact Count (MECC) training in the North East and North Cumbria (NENC) region of England. Design: A qualitative study, utilizing semi-structured interviews. Methods: Interviews were conducted with 21 participants, including MECC TtT trainees (n = 13), eligible non-trainees (n = 6) and principal trainers (n = 2). Data analysis utilized the Framework Method guided by the Theoretical Domains Framework (TDF), and meta-themes were generated that transcended individual TDF domains. Results: Four meta-themes were identified: the need for psychological preparedness to deliver MECC training, successful cascade is influenced by the MECC training content, limited accessibility of the pedagogical approach to both MECC TtT and MECC training, and a need to shift the focus from quantity to quality of MECC training cascade. Conclusions: The TtT model potentially provides unique value for delivering high-quality MECC training at scale, providing trainers feel ownership over and able to deliver MECC training. A skills-based approach to MECC training and an experiential learning approach to MECC TtT training are recommended. The MECC TtT programme should provide clear expectations of cascade at sign up stage, allow trainers to adapt content and evaluate success based on quality.
Author(s): Nichol B, Rodrigues AM, Audsley S, Haste A, Tang MY, Robson C, Harland J, Haighton C
Publication type: Article
Publication status: Published
Journal: British Journal of Health Psychology
Year: 2026
Volume: 31
Issue: 2
Print publication date: 01/05/2026
Online publication date: 26/04/2026
Acceptance date: 11/04/2026
Date deposited: 13/04/2026
ISSN (print): 1359-107X
ISSN (electronic): 2044-8287
Publisher: John Wiley and Sons Ltd
URL: https://doi.org/10.1111/bjhp.70076
DOI: 10.1111/bjhp.70076
Data Access Statement: Fully anonymised transcripts were uploaded onto the UK data service, publicly accessible here: https://reshare.ukdataservice.ac.uk/857461/. The preregistered protocol is available on Open Science Framework, publicly accessible here: https://osf.io/xz8au.
PubMed id: 42036839
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