Department of Psychology, Tulane University.
Department of Statistics and Grant Consulting, Cal Poly State University.
Psychol Trauma. 2021 Nov;13(8):891-898. doi: 10.1037/tra0001075. Epub 2021 Jun 28.
Adverse childhood experiences are linked with poorer physical, social, and psychological well-being, especially for individuals who live in poverty. As adverse childhood experiences accumulate, risk for poor outcomes increases. Therefore, it is imperative that preschools and elementary schools are equipped to prevent and intervene upon traumatic stress. Trauma Smart is an organizational change intervention designed to build trauma-informed knowledge, attitudes, skills, and resources within schools serving young children. The current study evaluates the effectiveness of Trauma Smart staff training in 42 preschools and elementary schools with 2,418 staff using a 1-year, longitudinal, prepost design. Trauma Smart implementation occurred during scale-up, under real world conditions. Satisfaction, posttraining knowledge about trauma-informed approaches, and pre-to-posttraining changes in attitudes favorable to trauma-informed care were evaluated. As hypothesized, staff were highly satisfied with the training (mean ratings indicate 92% satisfied), demonstrated knowledge of core concepts related to trauma-informed care (mean quiz scores were scored 90% correct), and developed more favorable attitudes toward trauma-informed care following training, with medium-large effect sizes. Trauma Smart staff training is feasible, acceptable, and has the potential to improve the knowledge and attitudes relevant to trauma-informed approaches within preschool and elementary school staff, including those who serve children who live in poverty. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
童年逆境与较差的身心健康相关，尤其是对生活在贫困中的个体而言。随着童年逆境的积累，不良结果的风险增加。因此，幼儿园和小学必须具备预防和干预创伤性压力的能力。Trauma Smart 是一种组织变革干预措施，旨在增强为幼儿服务的学校的创伤知情知识、态度、技能和资源。本研究采用为期 1 年的纵向前后设计，评估了 42 所幼儿园和小学的 2418 名工作人员接受 Trauma Smart 员工培训的效果。Trauma Smart 的实施是在真实环境下，在扩大规模的过程中进行的。评估了满意度、创伤知情方法培训后的知识以及对创伤知情护理有利的态度在培训前后的变化。正如假设的那样，工作人员对培训非常满意（平均评分表示 92%满意），表现出对创伤知情护理相关核心概念的了解（平均测验分数正确 90%），并在培训后对创伤知情护理产生了更有利的态度，具有中等至较大的效果大小。Trauma Smart 员工培训是可行的、可接受的，并且有可能提高幼儿园和小学工作人员对创伤知情方法的知识和态度，包括为生活在贫困中的儿童服务的人员。（PsycInfo 数据库记录（c）2021 APA，保留所有权利）。
