Fitness Facility Staff Can Be Trained to Deliver a Motivational Interviewing-Informed Diabetes Prevention Program

Bibliographic Data

ID22073126
AuthorsTineke E Dineen, Tineke Dineen (0000-0002-6398-3716, University of British Columbia), Corliss Bean (0000-0002-8262-5412, Brock University), Kaela D Cranston, Kaela Cranston (0000-0001-9858-5585, University of British Columbia), Megan MacPherson (0000-0001-7907-1394, University of British Columbia), Megan M MacPherson, Mary E Jung (0000-0002-2360-0952, University of British Columbia, corresponding author)
Year2021
Volume9
Pages728612-728612
Publication date2021-12-07
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2021.728612
PMID34950623
OpenAlexW4200499581
LanguageEN
References cited36

Background: Training programs must be evaluated to understand whether the training was successful at enabling staff to implement a program with fidelity. This is especially important when the training has been translated to a new context. The aim of this community case study was to evaluate the effectiveness of the in-person Small Steps for Big Changes training for fitness facility staff using the 4-level Kirkpatrick training evaluation model. Methods: Eight staff were trained to deliver the motivational interviewing-informed Small Steps for Big Changes program for individuals at risk of developing type 2 diabetes. Between August 2019 and March 2020, 32 clients enrolled in the program and were allocated to one of the eight staff. The Kirkpatrick 4-level training evaluation model was used to guide this research. Level one assessed staff satisfaction to the training on a 5-point scale. Level two assessed staff program knowledge and motivational interviewing knowledge/skills. Level three assessed staff behaviors by examining their use of motivational interviewing with each client. Level four assessed training outcomes using clients' perceived satisfaction with their staff and basic psychological needs support both on 7-point scales. Results: Staff were satisfied with the training ( M = 4.43; SD = 0.45; range = 3.86–4.71). All learning measures demonstrated high post-training scores that were retained at implementation follow-up. Staff used motivational interviewing skills in practice and delivered the program at a client-centered level (≥6; M = 6.34; SD = 0.83; range = 3.75–7.80). Overall, clients perceived staff supported their basic psychological needs ( M = 6.55; SD = 0.64; range = 6.17–6.72) and reported high staff satisfaction scores ( M = 6.88; SD = 0.33; range = 6–7). Conclusion: The Small Steps for Big Changes training was successful and fitness facility staff delivered a motivational interviewing-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 counseling programs

Fidelity · Interview · Medical education · Motivational interviewing · Psychological intervention · Applied Psychology · Cardiovascular and exercise physiology · Computer Science · Health and Lifestyle Studies · Medicine · Nursing · Physical Activity and Health · Psychology

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