# Presentation: 527431

## Teachback Methodology!A unique methodology for training trainers

**(Draft)**
**Centers for Disease Control & Prevention (CDC) ****Division of Tuberculosis Elimination (DTBE) Global AIDS Program (GAP)**

## Objectives for This Session

**Participants will be able to describe**** **
**The teachback methodology **
**How the methodology will be used in this training of trainers**
**The type of feedback that will be provided during the teachback methodology**

## Background

**Based on the increasing demand for trainers in various disciplines, the CDC Divisions of Global AIDS Program (GAP) and Tuberculosis Elimination (DTBE) determined there was a need to: **
**Provide training-of-trainers (TOT) courses**
**Provide a systematic method for planning and conducting training**

## Many Trainers Throughout the World. . .

**Have expertise in a particular content or technical area**
**Do not have formal education in training **
**Develop training skills either on the job, through professional training courses, or through self study**
**Model their training style after teachers they had in school**
**Have never received feedback on their performance from a professional trainer **
**Not sure how to conduct TOTs**

## Goal of the Teachback Method

**Provide participants with the opportunity to**
**Enhance training skills **
**Practice training skills in a safe and supportive environment**
**Receive feedback on their training skills**
**Enhance their own training styles **
**Observe other training styles**

## History of Teachback Methodology

**Originated in 1975**
**Developed from a cybernetics framework **
**Based on conversation theory**

**Dr. Gordon Pask****created Teachback**

## Development of the Teachback Curriculum

**First learned about Teachback from:**
**CDC/Division of HIV/AIDS Prevention, Domestic HIV Counseling & Testing Courses**
**CDC/Global Aids Program HIV Counseling & Testing Course**
**The CDC Global AIDS Program and the Division of Tuberculosis Elimination recognized the potential to use Teachback **
**To teach this methodology to other trainers**
**In other courses to create TOTs**
**Began developing the CDC Teachback Methodology Curriculum in 2003**

## Courses that Have Used Teachback Methodology to Create TOTs

**WHO/CDC Surveillance of HIV, AIDS, and STDs  (Africa)**
**PMTCT Monitoring System (Nigeria)**
**HIV in the Workplace (Botswana)**
**PMTCT (Kenya) **
**Epi Info (Vietnam)**
**TB/HIV Diagnostic Testing and Counseling (Tanzania and Kenya)**
**TB/HIV Surveillance (Botswana)**
**Managing TB at the Raion Level (Russia)**
**TB Operational Research (Argentina)**
**MDR TB and Pulmonology (Latvia)**
**HIV Rapid Test, CD4 , Hematology, and Chemistry Lab Courses (Africa)**

## CDC Teachback Course Participants

**Various professions**** **

| Physicians
Researchers
Clinical officers
Nurses | Laboratorians
Data entry clerks
Trainers
 |
| --- | --- |

**Various amounts of training experience**

**Various countries**

| Africa
Asia
Europe | Caribbean
North and South America |
| --- | --- |

| No previous training experience
Over 20 years training experience |
| --- |

## Train-Up with Teachback!A Unique Training Methodology

**Videotape**

## Videotape Review

**What are the three steps to the Teachback Methodology?**
**What type of feedback should be given?**
**How many positive comments does it take to over come a negative comment?**

## Skills that Can be Taught

## Feedback Forms – Different Form for  Each Skill

***Feedback Forms – Different Form for  Each Skill***

## Benefits of the Teachback Methodology

**For participants, Teachback can be very empowering because they can:**
**Integrate training theory with teaching course content**
**Practice training in a safe environment **
**Receive feedback on their performance of training skills **
**Learn from their peers  **
**Learn multiple styles of performing a skill**
**Develop confidence in training others**

## For trainers, Teachback can be very gratifying because they can:
See an immediate application of participants’ knowledge, skills, and attitudes
Directly observe participants’ performance 
Provide feedback
Creates a participatory learning environment
Apply adult learning principles
Build capacity for training

**See an immediate application of participants’ knowledge, skills, and attitudes**
**Directly observe participants’ performance **
**Provide feedback**
**Creates a participatory learning environment**
**Apply adult learning principles**
**Build capacity for training**

***Benefits of the Teachback Methodology***

## Day 1Trainers Teach Participants

**Discuss Training Basics **
**For each of the skills (i.e., interactive lecture, group discussion, role play)**
**Discuss how to facilitate each of the skills**
**Demonstrate facilitating the skills**
**Demonstrate feedback on performance of skill**
**Participants receive teachback assignments**

**Notes:**
WHO/CDC Faculty 
Will teach Module 1
Will model the behavior for
Presenting lectures
Leading group discussions 
Person modeling the behavior provides a self assessment of how they performed
Will receive constructive  feedback on
Presenting a lecture 
Leading a group discussion 
Course Participants 
Will teach the rest of the course. 
Each participant will 
Present a lecture 
Lead a group discussion 
Participant provides a self-assessment of how they performed
Each participant will receive constructive feedback on
Presenting a lecture 
Leading a group discussion 
Accuracy of the content

## Day 2 Participants Prepare for Teachbacks

**Participants work in teams ****to prepare for their ****teachbacks**
**Trainers assist participants ****with course content and ****training issues**

**Notes:**
WHO/CDC Faculty 
Will teach Module 1
Will model the behavior for
Presenting lectures
Leading group discussions 
Person modeling the behavior provides a self assessment of how they performed
Will receive constructive  feedback on
Presenting a lecture 
Leading a group discussion 
Course Participants 
Will teach the rest of the course. 
Each participant will 
Present a lecture 
Lead a group discussion 
Participant provides a self-assessment of how they performed
Each participant will receive constructive feedback on
Presenting a lecture 
Leading a group discussion 
Accuracy of the content

## Days 2 through Last Day Participants Do Teachbacks

**Participants teach each other ****using a portion of the curriculum**
**Each participant**
**Facilitates an interactive lecture **
**Co-facilitates exercises, group discussions, and/or a role play**
**Each participant receives feedback on performance of skills**
**Self-assessment **
**Trainer provides feedback**
**Another participant provides feedback**

**Notes:**
WHO/CDC Faculty 
Will teach Module 1
Will model the behavior for
Presenting lectures
Leading group discussions 
Person modeling the behavior provides a self assessment of how they performed
Will receive constructive  feedback on
Presenting a lecture 
Leading a group discussion 
Course Participants 
Will teach the rest of the course. 
Each participant will 
Present a lecture 
Lead a group discussion 
Participant provides a self-assessment of how they performed
Each participant will receive constructive feedback on
Presenting a lecture 
Leading a group discussion 
Accuracy of the content

## Last Day

**Trainers teach how to plan ****for a Teachback TOT **
**Participants create an action plan**

**Notes:**
WHO/CDC Faculty 
Will teach Module 1
Will model the behavior for
Presenting lectures
Leading group discussions 
Person modeling the behavior provides a self assessment of how they performed
Will receive constructive  feedback on
Presenting a lecture 
Leading a group discussion 
Course Participants 
Will teach the rest of the course. 
Each participant will 
Present a lecture 
Lead a group discussion 
Participant provides a self-assessment of how they performed
Each participant will receive constructive feedback on
Presenting a lecture 
Leading a group discussion 
Accuracy of the content