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Table 2 Template for intervention description and replication (TIDieR) for the implementation of MECC across the trust

From: Assessing fidelity of design and training of Making Every Contact Count (MECC) in a mental health inpatient setting

TIDieR Checklist Item

Mental Health Inpatient Setting MECC Implementation

Name

Making Every Contact Count (MECC) implementation

Why

(Identified from documents:

MECC Logic Model,

MECC Fact Sheet,

MECC Evaluation Framework,

MECC Plan

Implementation Checklist,

MECC Implementation Guide)

The primary aim of the MECC training programme in the trust is to:

• Improve staff confidence in having opportunistic healthy lifestyle conversations with service users.

• To deliver healthy lifestyle messages and encourage service users to change their behaviour.

• Supporting service users to make positive changes to their physical and mental health.

• Increase number of MECC conversations that staff are having with service users about healthy weight, physical activity and healthy eating.

• To highlight considerations for the evaluation of MECC programmes that are specific to mental health settings.

What

Materials: Pre- and post-training questionnaires were sent to all participants of the training to enable internal training evaluation.

All training resources and copies of training slides are added to the MECC hub website.

Procedure: A training package was designed by the trust to deliver two training pathways. The first was a train the trainer session to enable staff to gain the skills needed to deliver cascade MECC training to their colleagues. The second was a bespoke training which combined Core MECC training with the element of A Weight Off Your Mind to provide staff with the skills and information needed to deliver MECC conversations. Prior to September 2022 Core MECC training was delivered without the addition of A Weight Off Your Mind. Training was delivered between both in online and face-to-face formats.

Planning and implementation of training through A Weight Off Your Mind steering group.

Who

The training is designed by the public health and wellbeing lead in the trust. Train the trainer training is delivered by a wellbeing specialist/regional MECC trainer within the trust. Bespoke training is delivered by a health improvement specialist with the trust. Clinical staff working in mental health inpatient settings across the trust are invited to take part in the training.

How

Online training via Microsoft Teams

Face-to-face within hospital settings

Where

Northeast England mental health inpatient setting

When and how much

Post COVID-19, the training package relaunched in September 2022. The initial planned sessions occurred between September-December 2022, then recommenced in March 2023 and are currently ongoing.

Train the trainer training sessions lasted 3 h, and Core MECC + A Weight Off Your Mind were 90 min. 5 train the trainer and 15 core MECC training sessions have been delivered since September 2022.

Tailoring

Both training sessions included showing staff examples of MECC scripts for A Weight Off Your Mind following the 3 A’s structure which focused on healthy weight management, physical activity and alcohol consumption to prepare staff how to deliver MECC conversations.

Modifications

No modifications

How well

No intervention adherence or fidelity assessed