Training Pediatric Primary Care Residents in Trauma-Informed Care: A Feasibility Trial

Dueweke, Aubrey R.; Hanson, Rochelle F.; Wallis, Elizabeth; Fanguy, Emily; Newman, Carla

doi:10.1177/0009922819859868

Cited by 24 publications

(26 citation statements)

References 26 publications

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“…The resulting 19 articles, with two conference abstracts, 21,22 were examined in-depth to determine the participants, mode and length of training, topics, and evaluation methods and results. [21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39] We identified 17 different curricula in the 19 articles included for final analysis. The two articles by Green et al discuss the same curriculum, but evaluate different outcomes.…”

Section: Resultsmentioning

confidence: 99%

“…Trainings were taught by a mixture of health professionals including TIC experts, clinical psychologists, social workers, physicians, and nurses. [21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39] (Continued on next page)…”

Section: Resultsmentioning

confidence: 99%

“…Green BL, et al (2016) 24 Sorkin Half of the curricula self-identified as pilots, feasibility studies, or discussed curricula in development, revealing that trauma-related trainings for primary care providers is still an area of active development and research. [23][24][25][26][27][28][29][30][31] Two educational curricula were adapted from prior curricula, while the remainder were created from a variety of sources, including Substance Abuse and Mental Health Services Administration principles, 4 the American Academy of Pediatrics Trauma Toolbox for Primary Care, 40 guidelines from the American Psychological Association, 41 evidence-based literature, and expert feedback. [21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39] Bursch et al adapted the "Families OverComing Under Stress" resiliency training program (a strength-based, trauma-informed training program for deployed military personnel) for use with medical residents.…”

Section: Impact Of Training On Overall Practicementioning

confidence: 99%

“…[23][24][25][26][27][28][29][30][31] Two educational curricula were adapted from prior curricula, while the remainder were created from a variety of sources, including Substance Abuse and Mental Health Services Administration principles, 4 the American Academy of Pediatrics Trauma Toolbox for Primary Care, 40 guidelines from the American Psychological Association, 41 evidence-based literature, and expert feedback. [21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39] Bursch et al adapted the "Families OverComing Under Stress" resiliency training program (a strength-based, trauma-informed training program for deployed military personnel) for use with medical residents. 25 Green et al adapted the Risking Connection curriculum (a strength-based training program for helping people who have been hurt in interpersonal relationships, previously used in mental health, congregate care, faith-based, and medical facilities) for use with primary care residents, advanced practice providers, and physicians.…”

Section: Impact Of Training On Overall Practicementioning

confidence: 99%

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A Scoping Review of Trauma-Informed Curricula for Primary Care Providers

Gundacker

Barry

Laurent

et al. 2021

Fam Med

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Background and Objectives: Traumatic experiences such as abuse, neglect, and household dysfunction have a lifetime prevalence of 62%-75% and can negatively impact health outcomes. However, many primary care providers (PCPs) are inadequately prepared to treat patients with trauma due to a lack of training. Our objective was to identify trauma-informed approach curricula for PCPs, review their effectiveness, and identify gaps. Methods: We systematically identified articles from Medline, Scopus, Web of Science, Academic Search Premier, Cochrane, PsycINFO, MedEd Portal, and the STFM Resource Library. Search term headings “trauma-informed care (TIC),” “resilience,” “patient-centered care,” “primary care,” and “education.” Inclusion criteria were PCP, pediatric and adult patients, and training evaluation. Exclusion criteria were outside the United States, non-English articles, non-PCPs, and inpatient settings. We used the TIC pyramid to extract topics. We analyzed evaluation methods using the Kirkpatrick Model. Results: Researchers reviewed 6,825 articles and identified 17 different curricula. Understanding health effects of trauma was the most common topic (94%). Evaluation data revealed overall positive reactions and improved knowledge, attitudes, and confidence. Half (53%) reported Kirkpatrick level 3 behavior change evaluation outcomes with increased trauma screening and communication, but no change in referrals. Only 12% (2/17) evaluated Kirkpatrick level 4 patient satisfaction (significant results) and health outcomes (not significant). Conclusions: Pilot findings from studies in our review show trauma-informed curricula for PCPs reveal positive reactions, an increase in knowledge, screening, communication, and patient satisfaction, but no change in referrals or health outcomes. Further research is needed to examine the impact of trainings on quality of care and health outcomes.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Impact Of Training On Overall Practicementioning

confidence: 99%

Section: Impact Of Training On Overall Practicementioning

confidence: 99%

See 2 more Smart Citations

A Scoping Review of Trauma-Informed Curricula for Primary Care Providers

Gundacker

Barry

Laurent

et al. 2021

Fam Med

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“…Moreover, providers do not need to know the details of the trauma to exert a positive influence [ 41 , 42 ]. Continuing education and training on discussing discrimination should improve providers’ competence and increase screening for discrimination [ 43 ].…”

Section: Approaches To Discussing Racism With Patients: Trauma-informed Care As a Frameworkmentioning

confidence: 99%

This is our lane: talking with patients about racism

Diop

Taylor

Murillo

et al. 2021

womens midlife health

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Racism has significantly impacted communities of color for centuries. The year 2020 is a reminder that racism is an ongoing public health crisis. Healthcare institutions have an important role in dismantling racism because of their ability to implement innovative solutions that advance diversity, address social determinants of health, and promote health equity. Healthcare professionals have the unique opportunity to support patients by discussing patients’ experiences of bias and racism. Asking about discrimination, however, can be difficult because of the sensitive nature of the topic and lack of appropriate education. This review highlights the importance of addressing patients’ experiences of racism, utilizing the frameworks of trauma-informed care, structural competency, provider bias, and intersectionality. Furthermore, this review provides ways to engage in meaningful dialogue around discrimination and includes important patient-centric resources.

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Barriers to emergency department clinicians' confidence in providing paediatric trauma‐informed care

et al. 2022

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Background: It has been estimated that around 31% of children will experience a traumatic event during childhood, most commonly serious accidents that lead to hospitalisation. Around 15% of children who experience such events go onto develop post-traumatic stress disorder. Emergency department (ED) clinicians have a unique opportunity to intervene during the early peri-trauma period, which can involve incorporating a trauma-informed approach within their care. The available evidence indicates that clinicians internationally need further education and training to enhance their knowledge and confidence in providing trauma-informed psychosocial care. However, UK/Ireland specific knowledge is limited. Methods:The current study analysed the UK and Irish subset of data (N = 434) that was collected as part of an international survey of ED clinicians. Questionnaires indexed clinician confidence in providing psychosocial care, and a range of potential barriers to providing that care. Hierarchical linear regression was used to identify predictors of clinician confidence. Results: Clinicians reported moderate levels of confidence in providing psychosocial care to injured children and families (M = 3.19, SD = 0.46). Regression analyses identified negative predictors of clinical confidence, including a lack of training, worrying about further upsetting children and parents, and low levels of perceived departmental performance in providing psychosocial care (R 2 = 0.389). Conclusions: The findings highlight the need for further training in psychosocial care for ED clinicians. Future research must identify nationally relevant pathways to implement training programmes for clinicians, in order to improve their skills in relation to paediatric traumatic stress and to reduce the perception of barriers identified in the present study.

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Training Pediatric Primary Care Residents in Trauma-Informed Care: A Feasibility Trial

Cited by 24 publications

References 26 publications

A Scoping Review of Trauma-Informed Curricula for Primary Care Providers

A Scoping Review of Trauma-Informed Curricula for Primary Care Providers

This is our lane: talking with patients about racism

Barriers to emergency department clinicians' confidence in providing paediatric trauma‐informed care

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