Adverse Childhood Experiences and Trauma-Informed Care: An Online Module for Pediatricians

Introduction The epidemic of adverse childhood experiences (ACEs) has many known health consequences. Robust research has linked ACEs to increased morbidity and mortality. Because of their frequent interaction with children and their families, pediatricians should be educated to recognize ACEs and p...

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Autores principales:	Anna Schmitz, Susan Light, Courtney Barry, Kelly Hodges
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2019
Materias:	Adverse Childhood Experiences Trauma-Informed Care Resident Education Pediatrics Preventive Medicine Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/47e15667fec94e8bbc076a3454ec7c0c
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spelling	oai:doaj.org-article:47e15667fec94e8bbc076a3454ec7c0c2021-11-22T13:59:40ZAdverse Childhood Experiences and Trauma-Informed Care: An Online Module for Pediatricians10.15766/mep_2374-8265.108512374-8265https://doaj.org/article/47e15667fec94e8bbc076a3454ec7c0c2019-11-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10851https://doaj.org/toc/2374-8265Introduction The epidemic of adverse childhood experiences (ACEs) has many known health consequences. Robust research has linked ACEs to increased morbidity and mortality. Because of their frequent interaction with children and their families, pediatricians should be educated to recognize ACEs and practice trauma-informed care (TIC). There is a lack of education for pediatric residents on ACEs despite their significance. Our goals were to identify residents' baseline perceived importance, confidence, and frequency of discussion of ACEs, TIC, toxic stress, and resiliency and evaluate the efficacy of an educational module addressing these topics. Methods A 25-minute self-directed module was created for pediatric residents. The module was accessible online and independently completed by residents during the child advocacy rotation. Pre- and postmodule surveys using a 5-point Likert scale (1 = low, 5 = high) were administered, and median scores of 11 participants who completed both surveys were compared using the Wilcoxon signed rank test. Results Presurvey results demonstrated that residents were not confident discussing ACEs, TIC, or resiliency (median = 2). Residents reported that it was very important to discuss ACEs, toxic stress, and resiliency with families (median = 5), although they were rarely discussed in clinic (median = 1 or 2). Matched pre/post data showed significant increases in knowledge, confidence, and discussion frequency. Discussion The results demonstrated a need for ACE education for pediatric residents. The matched survey results showed the module's success in knowledge and behavior change. The module can be adapted to other learners to enhance understanding of ACEs.Anna SchmitzSusan LightCourtney BarryKelly HodgesAssociation of American Medical CollegesarticleAdverse Childhood ExperiencesTrauma-Informed CareResident EducationPediatricsPreventive MedicineMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 15 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Adverse Childhood Experiences Trauma-Informed Care Resident Education Pediatrics Preventive Medicine Medicine (General) R5-920 Education L
spellingShingle	Adverse Childhood Experiences Trauma-Informed Care Resident Education Pediatrics Preventive Medicine Medicine (General) R5-920 Education L Anna Schmitz Susan Light Courtney Barry Kelly Hodges Adverse Childhood Experiences and Trauma-Informed Care: An Online Module for Pediatricians
description	Introduction The epidemic of adverse childhood experiences (ACEs) has many known health consequences. Robust research has linked ACEs to increased morbidity and mortality. Because of their frequent interaction with children and their families, pediatricians should be educated to recognize ACEs and practice trauma-informed care (TIC). There is a lack of education for pediatric residents on ACEs despite their significance. Our goals were to identify residents' baseline perceived importance, confidence, and frequency of discussion of ACEs, TIC, toxic stress, and resiliency and evaluate the efficacy of an educational module addressing these topics. Methods A 25-minute self-directed module was created for pediatric residents. The module was accessible online and independently completed by residents during the child advocacy rotation. Pre- and postmodule surveys using a 5-point Likert scale (1 = low, 5 = high) were administered, and median scores of 11 participants who completed both surveys were compared using the Wilcoxon signed rank test. Results Presurvey results demonstrated that residents were not confident discussing ACEs, TIC, or resiliency (median = 2). Residents reported that it was very important to discuss ACEs, toxic stress, and resiliency with families (median = 5), although they were rarely discussed in clinic (median = 1 or 2). Matched pre/post data showed significant increases in knowledge, confidence, and discussion frequency. Discussion The results demonstrated a need for ACE education for pediatric residents. The matched survey results showed the module's success in knowledge and behavior change. The module can be adapted to other learners to enhance understanding of ACEs.
format	article
author	Anna Schmitz Susan Light Courtney Barry Kelly Hodges
author_facet	Anna Schmitz Susan Light Courtney Barry Kelly Hodges
author_sort	Anna Schmitz
title	Adverse Childhood Experiences and Trauma-Informed Care: An Online Module for Pediatricians
title_short	Adverse Childhood Experiences and Trauma-Informed Care: An Online Module for Pediatricians
title_full	Adverse Childhood Experiences and Trauma-Informed Care: An Online Module for Pediatricians
title_fullStr	Adverse Childhood Experiences and Trauma-Informed Care: An Online Module for Pediatricians
title_full_unstemmed	Adverse Childhood Experiences and Trauma-Informed Care: An Online Module for Pediatricians
title_sort	adverse childhood experiences and trauma-informed care: an online module for pediatricians
publisher	Association of American Medical Colleges
publishDate	2019
url	https://doaj.org/article/47e15667fec94e8bbc076a3454ec7c0c
work_keys_str_mv	AT annaschmitz adversechildhoodexperiencesandtraumainformedcareanonlinemoduleforpediatricians AT susanlight adversechildhoodexperiencesandtraumainformedcareanonlinemoduleforpediatricians AT courtneybarry adversechildhoodexperiencesandtraumainformedcareanonlinemoduleforpediatricians AT kellyhodges adversechildhoodexperiencesandtraumainformedcareanonlinemoduleforpediatricians
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Adverse Childhood Experiences and Trauma-Informed Care: An Online Module for Pediatricians

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