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创伤知情照护态度量表(ARTIC)的验证。

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

机构信息

Department of Psychology, Tulane University.

Traumatic Stress Institute, Klingberg Family Centers.

出版信息

Psychol Trauma. 2021 Jul;13(5):505-513. doi: 10.1037/tra0000989. Epub 2020 Dec 10.

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. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

摘要

目的

本研究旨在验证创伤知情护理态度量表(ARTIC;Baker 等人,2016)的有效性,该量表用于衡量人类服务/医疗保健提供者和教育工作者的创伤知情护理(TIC)态度。

方法

本研究共纳入来自 17 个机构的 1395 名人类服务/医疗保健提供者和教育工作者,考察了 ARTIC 的因子结构、信度和构念效度。

结果

ARTIC-45 的 7 因子结构和 ARTIC-35 的 5 因子结构在绝对拟合指数方面得到了复制,但在增量拟合指数方面未能达到标准,这可能是由于该测量方法较为复杂。该工具的各个形式、子量表和版本的内部一致性均在可接受至优秀范围内。ARTIC 得分与对 TIC 和创伤敏感学校元素的熟悉程度和知识、同情心满足、倦怠和继发性创伤压力的预测性相关,效应大小通常处于中等范围,这为构念效度提供了支持。然而,ARTIC 得分与 TIC 培训和创伤敏感学校元素培训之间的预测关系并不明显。

结论

ARTIC 是一种直接、高效、具有成本效益的 TIC 相关态度测量工具。本研究进一步证明了 ARTIC 的可靠性,并为其有效性提供了一些支持。评估员工对 TIC 的态度是否有利,对于确保 TIC 在系统中的准备情况、有效性和可持续性起着关键作用。(PsycInfo 数据库记录(c)2021 APA,保留所有权利)。

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