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Closing Gaps in Care: Effects of CARE Training on Early Childhood Provider Trauma-Informed Attitudes and Collaboration.
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- Author(s): Loomis, Alysse M.1; Musson Rose, Devon1 ; Mitchell, Jennifer2
- Source:
Journal of Child & Family Studies. Mar2024, Vol. 33 Issue 3, p924-938. 15p.- Subject Terms:
*SCALE analysis (Psychology); *STATISTICAL models; *EARLY medical intervention; *INTERPROFESSIONAL relations; *MENTAL health; *SELF-efficacy; *CRONBACH'S alpha; *T-test (Statistics); *RESEARCH funding; *EDUCATIONAL outcomes; *QUESTIONNAIRES; *PARENT-child relationships; *CLINICAL trials; *DESCRIPTIVE statistics; *PEDIATRICS; *PROFESSIONS; *PRE-tests & post-tests; *LONGITUDINAL method; *ATTITUDES of medical personnel; *STATISTICS; *INTERPERSONAL relations; *DATA analysis software; *ADVERSE childhood experiences; *HEALTH care teams; *MEDICAL referrals - Source:
- Additional Information
- Subject Terms:
- Abstract: Addressing the constellation of risks associated with early childhood adversity requires a range of professionals, including from health, early intervention, and education. Yet there exist gaps in knowledge or responses to early childhood trauma among professionals. The current study examines the influence of a trauma-informed training, Child Adult Relationship Enhancement (CARE) among a diverse sample of early childhood providers. Participants (n = 106) represented early education (34%), childcare (31%), early intervention (18%), mental health (9%), medical (2%), and other roles (8%). Trauma-informed attitudes and collaboration (giving advice, receiving advice, making referrals, and getting referrals) were surveyed at baseline, post-training, and a 2-month post-training. Linear and piecewise growth curve modeling was used to estimate changes in outcomes across time. Trauma-informed attitudes increased from baseline to post-training (Coefficient = 0.25, p < 0.001) and maintained from post-training to follow-up (Coefficient = −0.02, p = 0.243). A similar pattern emerged for four out of the five trauma-informed attitude subscales. Linear growth curve models showed significant increases in Giving Advice from baseline to 2-month follow-up (Coefficient = 0.13, p = 0.001) and no increases in the other three collaboration variables. The majority of random effects were statistically significant, indicating individual differences in baseline levels and rates of change across outcomes, which were tested. A brief (half-day) training can have lasting effects on aspects of early childhood providers' trauma-informed attitudes, however shifting collaboration across early childhood providers may require more time-intensive efforts. Highlights: The current study examines the influence of a trauma-informed training, Child Adult Relationship Enhancement (CARE) among a diverse sample of early childhood providers. Collaboration did not shift as a result of the trauma-informed training. A brief (half-day) training can have lasting effects on aspects of early childhood providers' trauma-informed attitudes. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Journal of Child & Family Studies is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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