Trauma-informed medical care: Cme communication training for primary care providers

Bonnie L. Green, Pamela A. Saunders, Elizabeth Power, Priscilla Dass-Brailsford, Kavitha Bhat Schelbert, Esther Giller, Lawrence S Wissow, Alejandra Hurtado-De-Mendoza, Mihriye Mete

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)7-14
Number of pages8
JournalFamily Medicine
Volume47
Issue number1
StatePublished - Jan 1 2015

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Primary Health Care
Communication
Wounds and Injuries
Health Care Costs
Medicine
Mental Disorders
Survivors
Morbidity
Physicians
Education
Health
Therapeutics

ASJC Scopus subject areas

  • Family Practice

Cite this

Green, B. L., Saunders, P. A., Power, E., Dass-Brailsford, P., Schelbert, K. B., Giller, E., ... Mete, M. (2015). Trauma-informed medical care: Cme communication training for primary care providers. Family Medicine, 47(1), 7-14.

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 journalArticle

Green, BL, Saunders, PA, Power, E, Dass-Brailsford, P, Schelbert, KB, Giller, E, Wissow, LS, Hurtado-De-Mendoza, A & Mete, M 2015, 'Trauma-informed medical care: Cme communication training for primary care providers', Family Medicine, vol. 47, no. 1, pp. 7-14.
Green BL, Saunders PA, Power E, Dass-Brailsford P, Schelbert KB, Giller E et al. Trauma-informed medical care: Cme communication training for primary care providers. Family Medicine. 2015 Jan 1;47(1):7-14.
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. / Trauma-informed medical care : Cme communication training for primary care providers. In: Family Medicine. 2015 ; Vol. 47, No. 1. pp. 7-14.
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