Train-the-Foot-Trainer

Train-the-Foot-Trainer ( TtFT) Program: “How to set up a Step-by-Step Project”

From Step-by-Step programmes to Train-the-Foot Trainer Courses

How to set up a Step-by-Step program

The spin-off effect of the Step-by-Step (SbS) courses is significant. This programme was successfully first introduced in 2004 and per December 2012 in over a dozen other countries implemented since. Because of its success there is a rapidly and increasing demand for these programmes in countries throughout the world. As a result it was felt that in order to sustain this good initiative  a new model had to be adopted, which was robust both financial and in manpower terms.

For this reason the Step-by-Step Development and Research Group (SSDRG) of the IWGFD initiated at the end of 2010 the idea of developing the Train-the-Foot-Trainer program; How to set up a Step-by-Step project, aimed to reach more regions in a shorter period and to respond in an efficient way the demands.

The first pilot project was held as TtFT course in the SACA (South and Central America) region in Brasilia, Brazil, from 5-8 December 2012.

Train-the-Foot-Trainer program, how to set up a Step-by-Step project

Brasilia, Brazil  5-8 12 2012

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First TtFT course: participants, faculty, sponsors and observers

Introduction
Given the enormous success in the past decade of the Step-by-Step programs (SbS), the Step-by-Step Development and Research Group (SSDRG) of the IWGFD initiated at the end of 2010 the idea of developing a Train-the-Foot-Trainer program, how to set up a Step-by-Step project, aimed to reach more regions in a shorter period and to respond in an efficient way the demands.  As a result the first Train-the-Foot-Trainer (TtFT) course was held in Brasilia, Brazil 5-8 December 2012. This was the first of a series planned to be executed in several regions around the world.

Content of the course
The course consisted of 4 major parts:

  1. General considerations as history, background, overview of the significant success of the SbS projects to reduce the number of amputations throughout the world, aspects of attitude and motivation.
  2. Content and procedures, how to install the basic course of the SbS program in ones own country.
  3. Content and procedures, how to install the advanced course of the SbS program.
  4. How to successfully implement the SbS program, to create sustainability, how to proceed with  data collection, regional networking, publicity and create further awareness. Special information on funding of these programs was given.

Organisation
IWGDF, IDF DFP, SACA region, SBD (Brazilian Diabetes Association), FAP (Fundaςão de Apoio a Pesquisa-Foot Acquisition Program-) and ADB (Associãςao dos Diabético do Brasil)

Local faculty
-Dr Hermelinda Pedrosa, (local chair), Brazil
-Dr Daniel Braver, (chair GLEPED), Argentina
-Dr Nalini Campillo, Dominica
-Dr Geisa Macedo, Brazil
-Dr Yamile Jubiz, Columbia

International Faculty
-Dr Kristien van Acker, (international chair), Belgium
-Professor Vilma  Urbančič, Slovenia
-Dr Stephan Morbach, Germany
-Pod Mr Neil Baker, UK
-Dr ZG Abbas, Tanzania
-Pod Ms Simone McConnie, Barbados
-Mr John Greedy (Rot Club of Ledbury),UK

Advisory Board
Dr Manuel Vera Gonzalez, (chair IDF SACA region), Cuba
Dr Karel Bakker, (chair IWGDF/IDF DFP), the Netherlands

Participation
59 people (of which 15 observers) from 14 countries of the SACA region participated in the course. The course was given in English, Spanish and Portuguese.

Course
This first TtFT course was a great success. It was a truly interactive program, the workshops in smaller groups were very well received, and the teaching lectures by the so experienced faculty members performed were very much appreciated. To all participants tools were given to install SbS programs in their own countries as well as guidelines for implementation and data collection to create sustainability. Educational materials (books, videos for patients and health care workers, poster materials and IWGDF Diabetic Foot guidelines 2011) were presented to all country representatives.
The participants felt inspired by the course and grateful to receive enough motivation, to try to install programs in their own countries to improve the management and prevention of diabetic foot.

Future steps
Tentatively the time schedule for implementation was defined as follows: feedback report on implementation plans to be delivered in june 2013. To be followed by a basic course in their countries before June 2014. Subsequently data collection will be started to be followed again by the  advanced course before the end of  June 2015. International and Local Faculty members will help to guide and monitor this process.

Funding
This course was financially made possible by unrestricted grants from the IDF, the SBD, ADB, FAP and the following industrial sponsors: Woerwag, Podartis, Molnlycke, Sanofi-Aventis, Servier and Medical Monofilament Mfg.

Acknowledgement
The organizers are grateful to the Brazilian Diabetes Associations (SBD and ADB)  and  the local faculty for hosting the course in Brasilia.

Contacts:
Dr Kristien Van Acker, Belgium: dr.k.van.acker@mac.com
Dr Karel Bakker, the Neteherlands: karel.bakker@hetnet.nl

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