Validation of the Attitudes Related to Trauma-Informed Care Scale (ARTIC).

Abstract

Objective:The purpose of the current study is to validate the Attitudes Related to Trauma-Informed Care Scale (ARTIC; Baker et al., 2016), a measure of trauma-informed care (TIC) attitudes for human service/health providers and educators. Method: The current study with 1,395 human services/health providers and educators from 17 settings examined the factor structure, reliability, and construct validity of the ARTIC. Results: The 7-factor structure of the ARTIC-45 and the 5-factor structure of the ARTIC-35 were replicated with regard to the absolute fit indices though they failed to meet the cutoff for the incremental fit indices, likely due to the complexity of the measure. Internal consistencies ranged from acceptable to excellent across the instrument's forms, subscales, and versions. Providing support for construct validity, ARTIC scores were predictably related to familiarity with and knowledge about TIC, compassion satisfaction, burnout, and secondary traumatic stress, with effect sizes typically in the medium range. However, predicted relationships between ARTIC scores and training in TIC and trauma-sensitive school elements were not evident. Conclusions: The ARTIC is a direct, efficient, and cost-effective measure of attitudes related to TIC. This study further demonstrates the reliability of the ARTIC and provides some support for its validity. Evaluating the favorability of staff attitudes about TIC plays a key role in ensuring readiness for, effectiveness of, and sustainability of TIC in systems. Clinical Impact StatementThe Attitudes Related to Trauma-Informed Care Scale provides a cost-effective and efficient way to measure the trauma-informed care (TIC) attitudes of human services/health providers and educators across the stages of TIC implementation.

Reliability and Validity of the Japanese Version of the Attitudes Related to Trauma-Informed Care (ARTIC-10) Scale

“…Psychometrically robust instruments need to be developed and validated to evaluate, improve, and cause to become widely known TIC. One of the most used instruments is the Attitudes Related to Trauma-Informed Care (ARTIC) Scale, which was developed to evaluate the TIC relevant attitudes of staff working in the settings serving individuals with histories of trauma ( Baker et al, 2016 ; Baker et al, 2021 ). Previous studies confirmed the reliability and the validity of the original version of ARTIC, which has been used increasingly in western countries ( Black et al, 2022 ; Parker et al, 2020 ; Schneider et al, 2022 ).…”

Examining the effectiveness of Trauma Smart® training: Staff satisfaction, knowledge, and attitudes.

“…The Attitudes Related to Trauma-Informed Care (ARTIC; Baker et al, 2016; Baker et al, 2020), a psychometrically validated 45-item measure that assesses respondents’ attitudes toward trauma-informed care, was collected before the first training and after the final training. Respondents provided a nonidentifying personal code at each administration that was used to match pre-and posttest ARTICs.…”

“…Higher scores indicate more favorable attitudes toward trauma-informed approaches. The ARTIC has demonstrated strong reliability and content validity with educators and service providers (Baker et al, 2016; Baker et al, 2020). Internal consistency reliability in the current sample was excellent (α = .91).…”

“What Does it Mean to be Trauma-Informed?”: A Mixed-Methods Study of a Trauma-Informed Community Initiative

“…The items were derived from key stakeholder feedback, expert opinions, and scholarly literature (Baker et al, 2016). The new measure has been validated with human health and service providers and school-based staff (Baker et al, 2016(Baker et al, , 2021 and is an efficient and cost-effective measure of attitudes toward trauma-informed care.…”