A process evaluation of a Training of Trainers (TOT) model of men's health training

M Lefkowich, N Richardson, L Brennan, B Lambe, P Carroll

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)


This study set out to identify the mediators of diffusion of a Training of Trainers (ToT) programme; focusing on ENGAGE, Ireland's national men's health training programme, we explored the process (planning, implementation and maintenance) of using a ToT model of training to affect change in gender sensitive health and social service provision for men. Our findings indicate that an experiential learning approach in combination with mechanisms for feedback and fostering peer-based support during training and beyond are key strategies that foster individual (Trainer), community (of Trainers) and organizational (Trainer workplaces) level ownership. Moreover, by adapting in response to feedback, ENGAGE was able to remain relevant over a number years and to different cohorts of Trainers. As such, core strategies used by ENGAGE could be used to inform new models of health training elsewhere.

Original languageEnglish
Pages (from-to)60-70
Number of pages11
JournalHealth Promotion International
Issue number1
Publication statusPublished - 01 Feb 2018


  • Training of Trainers
  • institutionalisation
  • men's health
  • sustainability


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