Table 11 Different formats of Distress Brief Intervention Level 1 training

∙ E-learning module: Produced with an e-learning content developer, the development of the e-learning module was iterative, starting with structural and style elements before incorporating the learning material and creating opportunities for learners to engage and use the content effectively. All complementary training resources (handouts, aide-memoirs, examples of information sheets and referral forms) were incorporated and available for direct download and printing. The e-learning module underwent multiple rounds of review and feedback with Level 1 partners, members of the Distress Brief Intervention National Programme Board, Scottish Government, health literacy and accessibility experts, as well as national stigma organisations and those with lived experience of distress. Learning content was refined and navigation, accessibility and functionality was improved. Access to the e-module was via webpage which provided information about the training and learner eligibility, before routing learners to the e-learning platform where an account was created and the DBI e-learning module was allocated.

∙ Facilitated group module: Produced for local or organisational leads to deliver to groups of staff and comprising a written booklet addressing the standard core learning material, PowerPoint slides for facilitators to introduce the intervention, training and facilitate discussion and reflection around activities. Facilitator guidance was included to enable local or organisational leads to deliver training within the local area or organisation.

∙ Facilitated module for Police Scotland: Produced for Police Scotland training leads to deliver all standard core learning material using PowerPoint and facilitated discussion. Facilitator guidance was included to enable Police Scotland training leads to deliver training.