Interactive Case-Based Childhood Adversity and Trauma-Informed Care Electronic Modules for Pediatric Primary Care

Introduction Training health professionals for the skills and capacity to respond adequately to children and adults who have been exposed to adverse childhood experiences is recognized as an essential need in health care. Accessible opportunities to educate physicians and physician-trainees are limi...

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Autores principales:	Binny Chokshi, Kuan-Lung Daniel Chen, Lee Beers
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	Adverse Childhood Experiences Trauma-Informed Care Resiliency Primary Care Pediatrics Online/Distance Learning Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/82fe2de5efe0433c9bdd55e250ef9d43
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spelling	oai:doaj.org-article:82fe2de5efe0433c9bdd55e250ef9d432021-11-19T14:49:12ZInteractive Case-Based Childhood Adversity and Trauma-Informed Care Electronic Modules for Pediatric Primary Care10.15766/mep_2374-8265.109902374-8265https://doaj.org/article/82fe2de5efe0433c9bdd55e250ef9d432020-10-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10990https://doaj.org/toc/2374-8265Introduction Training health professionals for the skills and capacity to respond adequately to children and adults who have been exposed to adverse childhood experiences is recognized as an essential need in health care. Accessible opportunities to educate physicians and physician-trainees are limited. Methods Four computer-based e-modules were created focusing on addressing childhood adversity and implementing trauma-informed care in the pediatric primary care setting. These childhood adversity and trauma-informed care (CA-TIC) e-modules were designed as an individualized, self-directed experience to allow for distance learning with flexibility to be embedded into existing coursework. To foster an engaging learning environment, we narrated the modules, prioritized images, and included the opportunity for participant interaction via multiple-choice and short-answer questions. Twenty-eight pediatric residents, two medical students, four attending physicians, and one fellow at Children's National Hospital completed the e-modules. Results Overall, participants rated the CA-TIC e-modules 4.6 (SD = 0.5) out of 5 for design and quality. Using paired t tests and Wilcoxon signed rank tests, we found statistically significant score increases from presession to postsession for participants' knowledge, attitudes, practice, and confidence related to CA-TIC. The most commonly cited learning points and practice changes included asking about trauma in practice and the seven C's of resilience. Discussion A trauma-informed, strengths-based approach to care can assist health care providers in mitigating the link between adversity and related poor health outcomes. The CA-TIC e-modules provide an opportunity to train health professionals using an innovative, self-directed, and low-resource mechanism.Binny ChokshiKuan-Lung Daniel ChenLee BeersAssociation of American Medical CollegesarticleAdverse Childhood ExperiencesTrauma-Informed CareResiliencyPrimary CarePediatricsOnline/Distance LearningMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Adverse Childhood Experiences Trauma-Informed Care Resiliency Primary Care Pediatrics Online/Distance Learning Medicine (General) R5-920 Education L
spellingShingle	Adverse Childhood Experiences Trauma-Informed Care Resiliency Primary Care Pediatrics Online/Distance Learning Medicine (General) R5-920 Education L Binny Chokshi Kuan-Lung Daniel Chen Lee Beers Interactive Case-Based Childhood Adversity and Trauma-Informed Care Electronic Modules for Pediatric Primary Care
description	Introduction Training health professionals for the skills and capacity to respond adequately to children and adults who have been exposed to adverse childhood experiences is recognized as an essential need in health care. Accessible opportunities to educate physicians and physician-trainees are limited. Methods Four computer-based e-modules were created focusing on addressing childhood adversity and implementing trauma-informed care in the pediatric primary care setting. These childhood adversity and trauma-informed care (CA-TIC) e-modules were designed as an individualized, self-directed experience to allow for distance learning with flexibility to be embedded into existing coursework. To foster an engaging learning environment, we narrated the modules, prioritized images, and included the opportunity for participant interaction via multiple-choice and short-answer questions. Twenty-eight pediatric residents, two medical students, four attending physicians, and one fellow at Children's National Hospital completed the e-modules. Results Overall, participants rated the CA-TIC e-modules 4.6 (SD = 0.5) out of 5 for design and quality. Using paired t tests and Wilcoxon signed rank tests, we found statistically significant score increases from presession to postsession for participants' knowledge, attitudes, practice, and confidence related to CA-TIC. The most commonly cited learning points and practice changes included asking about trauma in practice and the seven C's of resilience. Discussion A trauma-informed, strengths-based approach to care can assist health care providers in mitigating the link between adversity and related poor health outcomes. The CA-TIC e-modules provide an opportunity to train health professionals using an innovative, self-directed, and low-resource mechanism.
format	article
author	Binny Chokshi Kuan-Lung Daniel Chen Lee Beers
author_facet	Binny Chokshi Kuan-Lung Daniel Chen Lee Beers
author_sort	Binny Chokshi
title	Interactive Case-Based Childhood Adversity and Trauma-Informed Care Electronic Modules for Pediatric Primary Care
title_short	Interactive Case-Based Childhood Adversity and Trauma-Informed Care Electronic Modules for Pediatric Primary Care
title_full	Interactive Case-Based Childhood Adversity and Trauma-Informed Care Electronic Modules for Pediatric Primary Care
title_fullStr	Interactive Case-Based Childhood Adversity and Trauma-Informed Care Electronic Modules for Pediatric Primary Care
title_full_unstemmed	Interactive Case-Based Childhood Adversity and Trauma-Informed Care Electronic Modules for Pediatric Primary Care
title_sort	interactive case-based childhood adversity and trauma-informed care electronic modules for pediatric primary care
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/82fe2de5efe0433c9bdd55e250ef9d43
work_keys_str_mv	AT binnychokshi interactivecasebasedchildhoodadversityandtraumainformedcareelectronicmodulesforpediatricprimarycare AT kuanlungdanielchen interactivecasebasedchildhoodadversityandtraumainformedcareelectronicmodulesforpediatricprimarycare AT leebeers interactivecasebasedchildhoodadversityandtraumainformedcareelectronicmodulesforpediatricprimarycare
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Interactive Case-Based Childhood Adversity and Trauma-Informed Care Electronic Modules for Pediatric Primary Care

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