Center for Interprofessional Education and Research, Saint Louis University, Saint Louis, MO, USA.
Program of Occupational Therapy, Maryville University, Town and Country, MO, USA.
Phys Occup Ther Pediatr. 2024;44(6):765-782. doi: 10.1080/01942638.2024.2360457. Epub 2024 Jun 7.
Trauma-informed care (TIC) is a strengths-based organizational approach which recognizes the prevalence and impact of trauma on an individual's neurological, sensorimotor, and emotional responses and development. There is limited research on pediatric occupational therapy providers' (OTPs) and physical therapy providers' (PTPs) perceptions on incorporating TIC into their practice. This pilot study aims to describe the confidence, attitudes, barriers, and education of pediatric OTPs and PTPs regarding TIC.
OTPs and PTPs ( = 87) working in pediatric settings in the U.S. completed an electronic survey regarding their perceptions of TIC.
OTPs reported higher confidence in TIC compared to PTPs. Most participants reported favorable attitudes toward TIC, yet no statistical significance was identified between the two professions' overall attitudes toward TIC. Collectively, participants reported lack of time and training as barriers. There was a statistically significant difference between how the two professions rated competency, training, and concern over clients' retraumatization. There was significant association between years of professional experience and TIC education.
Preliminary findings indicate an overall agreement of OTPs and PTPs with principles of TIC and common barriers to TIC practice. There are implications to further integrate opportunities for TIC training into foundational education and professional practice.
创伤知情照护（TIC）是一种基于优势的组织方法，它认识到创伤对个体的神经、感觉运动和情绪反应及发展的普遍性和影响。关于将 TIC 纳入儿科职业治疗师（OTP）和物理治疗师（PTP）实践的研究有限。本初步研究旨在描述儿科 OTP 和 PTP 对 TIC 的信心、态度、障碍和教育情况。
在美国儿科环境中工作的 OTP 和 PTP（n=87）完成了一份关于他们对 TIC 的看法的电子调查。
OTP 报告的 TIC 信心高于 PTP。大多数参与者对 TIC 持有利态度，但两种专业对 TIC 的总体态度没有统计学意义。总的来说，参与者报告缺乏时间和培训是障碍。两种专业在 TIC 能力、培训和对客户再创伤化的关注方面的评分存在统计学差异。专业经验年限与 TIC 教育之间存在显著关联。
初步结果表明，OTP 和 PTP 总体上同意 TIC 的原则和 TIC 实践的常见障碍。进一步将 TIC 培训纳入基础教育和专业实践中有一定的意义。
