Abstract
Background and objectives: Trauma exposure predicts mental disorders, medical morbidity, and health care costs. Yet trauma-related impacts have not received sufficient attention in primary care provider (PCP) training programs. This study adapted a theory-based approach to working with trauma survivors, Risking Connection, into a 6 hour CME course, Trauma-Informed Medical Care (TI-Med), and evaluated its efficacy.
Methods: We randomized PCPs to training or wait-list (delay) conditions; wait-list groups were trained after reassessment. The primary outcome assessing newly acquired skills was a patient-centeredness score derived from Roter Interactional Analysis System ratings of 90 taped visits between PCPs and standardized patients (SPs). PCPs were family medicine residents (n=17) and community physicians (n=13, 83% family medicine specialty), from four sites in the Washington, DC metropolitan area.
Results: Immediately trained PCPs trended toward a larger increase in patient centeredness than did the delayed PCPs, with a moderate effect size (.66). The combined trained PCP groups showed a significant increase in patient centeredness from before to after training.
Conclusions: This is a promising approach to supporting relationship- based trauma-informed care among PCPs to help promote better patient health and higher compliance with medical treatment plans.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 7-14 |
| Number of pages | 8 |
| Journal | Family Medicine |
| Volume | 47 |
| Issue number | 1 |
| State | Published - Jan 1 2015 |
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ASJC Scopus subject areas
- Family Practice
Cite this
Trauma-informed medical care : Cme communication training for primary care providers. / Green, Bonnie L.; Saunders, Pamela A.; Power, Elizabeth; Dass-Brailsford, Priscilla; Schelbert, Kavitha Bhat; Giller, Esther; Wissow, Lawrence S; Hurtado-De-Mendoza, Alejandra; Mete, Mihriye.
In: Family Medicine, Vol. 47, No. 1, 01.01.2015, p. 7-14.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Trauma-informed medical care
T2 - Cme communication training for primary care providers
AU - Green, Bonnie L.
AU - Saunders, Pamela A.
AU - Power, Elizabeth
AU - Dass-Brailsford, Priscilla
AU - Schelbert, Kavitha Bhat
AU - Giller, Esther
AU - Wissow, Lawrence S
AU - Hurtado-De-Mendoza, Alejandra
AU - Mete, Mihriye
PY - 2015/1/1
Y1 - 2015/1/1
N2 - Background and objectives: Trauma exposure predicts mental disorders, medical morbidity, and health care costs. Yet trauma-related impacts have not received sufficient attention in primary care provider (PCP) training programs. This study adapted a theory-based approach to working with trauma survivors, Risking Connection, into a 6 hour CME course, Trauma-Informed Medical Care (TI-Med), and evaluated its efficacy.Methods: We randomized PCPs to training or wait-list (delay) conditions; wait-list groups were trained after reassessment. The primary outcome assessing newly acquired skills was a patient-centeredness score derived from Roter Interactional Analysis System ratings of 90 taped visits between PCPs and standardized patients (SPs). PCPs were family medicine residents (n=17) and community physicians (n=13, 83% family medicine specialty), from four sites in the Washington, DC metropolitan area.Results: Immediately trained PCPs trended toward a larger increase in patient centeredness than did the delayed PCPs, with a moderate effect size (.66). The combined trained PCP groups showed a significant increase in patient centeredness from before to after training.Conclusions: This is a promising approach to supporting relationship- based trauma-informed care among PCPs to help promote better patient health and higher compliance with medical treatment plans.
AB - Background and objectives: Trauma exposure predicts mental disorders, medical morbidity, and health care costs. Yet trauma-related impacts have not received sufficient attention in primary care provider (PCP) training programs. This study adapted a theory-based approach to working with trauma survivors, Risking Connection, into a 6 hour CME course, Trauma-Informed Medical Care (TI-Med), and evaluated its efficacy.Methods: We randomized PCPs to training or wait-list (delay) conditions; wait-list groups were trained after reassessment. The primary outcome assessing newly acquired skills was a patient-centeredness score derived from Roter Interactional Analysis System ratings of 90 taped visits between PCPs and standardized patients (SPs). PCPs were family medicine residents (n=17) and community physicians (n=13, 83% family medicine specialty), from four sites in the Washington, DC metropolitan area.Results: Immediately trained PCPs trended toward a larger increase in patient centeredness than did the delayed PCPs, with a moderate effect size (.66). The combined trained PCP groups showed a significant increase in patient centeredness from before to after training.Conclusions: This is a promising approach to supporting relationship- based trauma-informed care among PCPs to help promote better patient health and higher compliance with medical treatment plans.
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UR - http://www.scopus.com/inward/citedby.url?scp=84921484995&partnerID=8YFLogxK
M3 - Article
C2 - 25646872
AN - SCOPUS:84921484995
VL - 47
SP - 7
EP - 14
JO - Family Medicine
JF - Family Medicine
SN - 0742-3225
IS - 1
ER -