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Improving Knowledge and Attitudes About Child Trauma Among Parents and Staff in Head Start Programs
Background Early childhood represents a sensitive developmental period when trauma-informed care may mitigate the effects of trauma on developmental and health outcomes. However, few interventions use a low-literacy scalable approach to improve child trauma knowledge and attitudes among parents and...
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Published in: | Maternal and child health journal 2022-11, Vol.26 (11), p.2237-2246 |
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description | Background
Early childhood represents a sensitive developmental period when trauma-informed care may mitigate the effects of trauma on developmental and health outcomes. However, few interventions use a low-literacy scalable approach to improve child trauma knowledge and attitudes among parents and early childcare and education caregivers.
Methods
Representatives from 24 early head start (EHS) and head start (HS) agencies attended a 2 day online train-the trainer session and then delivered a child trauma and resilience training to staff at their sites, with the option to deliver a similar training to parents. Baseline and 3 month post-training surveys assessed participant knowledge and attitudes regarding childhood trauma and resilience. Paired T-tests and chi2 analyses assessed changes in responses over time.
Results
Thousand five hundred sixty seven staff from 24 agencies and 443 parents from 7 agencies completed baseline and follow up surveys. Over 55% of parents reported their child had experienced at least one adverse childhood experience. Staff and parents had high knowledge regarding causes of trauma at baseline. Both staff and parents, demonstrated significant improvements in identifying symptoms of child trauma. Staff also improved knowledge of resiliency and toxic stress. Parents reported more positive attitudes towards trauma-informed parenting practices.
Conclusion
This is the first training on childhood trauma among EHS/HS providers and parents using a low literacy train-the-trainer approach. Results suggest a potentially promising methodology with broad dissemination potential to prepare and train the one million plus teachers and caregivers in center-based settings and the parents and families who access them to recognize and respond to child trauma. |
doi_str_mv | 10.1007/s10995-022-03473-8 |
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Early childhood represents a sensitive developmental period when trauma-informed care may mitigate the effects of trauma on developmental and health outcomes. However, few interventions use a low-literacy scalable approach to improve child trauma knowledge and attitudes among parents and early childcare and education caregivers.
Methods
Representatives from 24 early head start (EHS) and head start (HS) agencies attended a 2 day online train-the trainer session and then delivered a child trauma and resilience training to staff at their sites, with the option to deliver a similar training to parents. Baseline and 3 month post-training surveys assessed participant knowledge and attitudes regarding childhood trauma and resilience. Paired T-tests and chi2 analyses assessed changes in responses over time.
Results
Thousand five hundred sixty seven staff from 24 agencies and 443 parents from 7 agencies completed baseline and follow up surveys. Over 55% of parents reported their child had experienced at least one adverse childhood experience. Staff and parents had high knowledge regarding causes of trauma at baseline. Both staff and parents, demonstrated significant improvements in identifying symptoms of child trauma. Staff also improved knowledge of resiliency and toxic stress. Parents reported more positive attitudes towards trauma-informed parenting practices.
Conclusion
This is the first training on childhood trauma among EHS/HS providers and parents using a low literacy train-the-trainer approach. Results suggest a potentially promising methodology with broad dissemination potential to prepare and train the one million plus teachers and caregivers in center-based settings and the parents and families who access them to recognize and respond to child trauma.</description><identifier>ISSN: 1092-7875</identifier><identifier>EISSN: 1573-6628</identifier><identifier>DOI: 10.1007/s10995-022-03473-8</identifier><identifier>PMID: 36002698</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adverse childhood experiences ; Attitudes ; Beliefs, opinions and attitudes ; Caregivers ; Child care workers ; Children & youth ; Childrens health ; Families & family life ; Gynecology ; Head Start project ; Health education ; Health literacy ; Health promotion ; Knowledge ; Maternal & child health ; Maternal and Child Health ; Medicine ; Medicine & Public Health ; Mental health ; Oral hygiene ; Parents ; Parents & parenting ; Pediatrics ; Population Economics ; Psychic trauma in children ; Public Health ; Public opinion ; Sociology ; Training</subject><ispartof>Maternal and child health journal, 2022-11, Vol.26 (11), p.2237-2246</ispartof><rights>The Author(s) 2022</rights><rights>COPYRIGHT 2022 Springer</rights><rights>The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c587t-ef9a1483132e9b24475298c94e67ca417ba5f3ba891af804a3ca93c34757bee63</citedby><cites>FETCH-LOGICAL-c587t-ef9a1483132e9b24475298c94e67ca417ba5f3ba891af804a3ca93c34757bee63</cites><orcidid>0000-0001-9457-0562</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids></links><search><creatorcontrib>Guerrero, A.</creatorcontrib><creatorcontrib>Herman, A.</creatorcontrib><creatorcontrib>Teutsch, C.</creatorcontrib><creatorcontrib>Dudovitz, R.</creatorcontrib><title>Improving Knowledge and Attitudes About Child Trauma Among Parents and Staff in Head Start Programs</title><title>Maternal and child health journal</title><addtitle>Matern Child Health J</addtitle><description>Background
Early childhood represents a sensitive developmental period when trauma-informed care may mitigate the effects of trauma on developmental and health outcomes. However, few interventions use a low-literacy scalable approach to improve child trauma knowledge and attitudes among parents and early childcare and education caregivers.
Methods
Representatives from 24 early head start (EHS) and head start (HS) agencies attended a 2 day online train-the trainer session and then delivered a child trauma and resilience training to staff at their sites, with the option to deliver a similar training to parents. Baseline and 3 month post-training surveys assessed participant knowledge and attitudes regarding childhood trauma and resilience. Paired T-tests and chi2 analyses assessed changes in responses over time.
Results
Thousand five hundred sixty seven staff from 24 agencies and 443 parents from 7 agencies completed baseline and follow up surveys. Over 55% of parents reported their child had experienced at least one adverse childhood experience. Staff and parents had high knowledge regarding causes of trauma at baseline. Both staff and parents, demonstrated significant improvements in identifying symptoms of child trauma. Staff also improved knowledge of resiliency and toxic stress. Parents reported more positive attitudes towards trauma-informed parenting practices.
Conclusion
This is the first training on childhood trauma among EHS/HS providers and parents using a low literacy train-the-trainer approach. Results suggest a potentially promising methodology with broad dissemination potential to prepare and train the one million plus teachers and caregivers in center-based settings and the parents and families who access them to recognize and respond to child trauma.</description><subject>Adverse childhood experiences</subject><subject>Attitudes</subject><subject>Beliefs, opinions and attitudes</subject><subject>Caregivers</subject><subject>Child care workers</subject><subject>Children & youth</subject><subject>Childrens health</subject><subject>Families & family life</subject><subject>Gynecology</subject><subject>Head Start project</subject><subject>Health education</subject><subject>Health literacy</subject><subject>Health promotion</subject><subject>Knowledge</subject><subject>Maternal & child health</subject><subject>Maternal and Child Health</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental health</subject><subject>Oral hygiene</subject><subject>Parents</subject><subject>Parents & parenting</subject><subject>Pediatrics</subject><subject>Population Economics</subject><subject>Psychic trauma in children</subject><subject>Public Health</subject><subject>Public opinion</subject><subject>Sociology</subject><subject>Training</subject><issn>1092-7875</issn><issn>1573-6628</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kl2L1DAUhoMo7jr6B7wqCOJN13y0TXIjlEHdxQUXXK9Dmp52srTJmKQr_nszM4vryGBykZPked_kHA5Crwm-IBjz95FgKesSU1piVnFWiifonNQ5aBoqnuYYS1pywesz9CLGO4yzDFfP0RlrMKaNFOfIXM3b4O-tG4svzv-coB-h0K4v2pRsWnqIRdv5JRXrjZ364jboZdZFO_ssuNEBXIp7_FvSw1BYV1yC3u9CKm6CH4Oe40v0bNBThFcP6wp9__Txdn1ZXn_9fLVur0tTC55KGKQmlWCEUZAdrSpeUymMrKDhRleEd7oeWKeFJHoQuNLMaMlMzrzmHUDDVujDwXe7dDP0Jn8u6Eltg511-KW8tur4xtmNGv29khUmRFbZ4N2DQfA_FohJzTYamCbtwC9RUY4bThqWxwq9-Qe980twOb1MZU4SJupHatQTKOsGn981O1PVcso4Zju7FSpPUCM4yJ_0Dgabj4_4ixN8nj3M1pwUvP1LsAE9pU3005Ksd_EYpAfQBB9jgOFP8QhWu55Th55TuefUvueUyCJ2EMUMuxHCYyn-o_oN3O_VIQ</recordid><startdate>20221101</startdate><enddate>20221101</enddate><creator>Guerrero, A.</creator><creator>Herman, A.</creator><creator>Teutsch, C.</creator><creator>Dudovitz, R.</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-9457-0562</orcidid></search><sort><creationdate>20221101</creationdate><title>Improving Knowledge and Attitudes About Child Trauma Among Parents and Staff in Head Start Programs</title><author>Guerrero, A. ; Herman, A. ; Teutsch, C. ; Dudovitz, R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c587t-ef9a1483132e9b24475298c94e67ca417ba5f3ba891af804a3ca93c34757bee63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adverse childhood experiences</topic><topic>Attitudes</topic><topic>Beliefs, opinions and attitudes</topic><topic>Caregivers</topic><topic>Child care workers</topic><topic>Children & youth</topic><topic>Childrens health</topic><topic>Families & family life</topic><topic>Gynecology</topic><topic>Head Start project</topic><topic>Health education</topic><topic>Health literacy</topic><topic>Health promotion</topic><topic>Knowledge</topic><topic>Maternal & child health</topic><topic>Maternal and Child Health</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental health</topic><topic>Oral hygiene</topic><topic>Parents</topic><topic>Parents & parenting</topic><topic>Pediatrics</topic><topic>Population Economics</topic><topic>Psychic trauma in children</topic><topic>Public Health</topic><topic>Public opinion</topic><topic>Sociology</topic><topic>Training</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Guerrero, A.</creatorcontrib><creatorcontrib>Herman, A.</creatorcontrib><creatorcontrib>Teutsch, C.</creatorcontrib><creatorcontrib>Dudovitz, R.</creatorcontrib><collection>SpringerOpen</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Maternal and child health journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Guerrero, A.</au><au>Herman, A.</au><au>Teutsch, C.</au><au>Dudovitz, R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Improving Knowledge and Attitudes About Child Trauma Among Parents and Staff in Head Start Programs</atitle><jtitle>Maternal and child health journal</jtitle><stitle>Matern Child Health J</stitle><date>2022-11-01</date><risdate>2022</risdate><volume>26</volume><issue>11</issue><spage>2237</spage><epage>2246</epage><pages>2237-2246</pages><issn>1092-7875</issn><eissn>1573-6628</eissn><abstract>Background
Early childhood represents a sensitive developmental period when trauma-informed care may mitigate the effects of trauma on developmental and health outcomes. However, few interventions use a low-literacy scalable approach to improve child trauma knowledge and attitudes among parents and early childcare and education caregivers.
Methods
Representatives from 24 early head start (EHS) and head start (HS) agencies attended a 2 day online train-the trainer session and then delivered a child trauma and resilience training to staff at their sites, with the option to deliver a similar training to parents. Baseline and 3 month post-training surveys assessed participant knowledge and attitudes regarding childhood trauma and resilience. Paired T-tests and chi2 analyses assessed changes in responses over time.
Results
Thousand five hundred sixty seven staff from 24 agencies and 443 parents from 7 agencies completed baseline and follow up surveys. Over 55% of parents reported their child had experienced at least one adverse childhood experience. Staff and parents had high knowledge regarding causes of trauma at baseline. Both staff and parents, demonstrated significant improvements in identifying symptoms of child trauma. Staff also improved knowledge of resiliency and toxic stress. Parents reported more positive attitudes towards trauma-informed parenting practices.
Conclusion
This is the first training on childhood trauma among EHS/HS providers and parents using a low literacy train-the-trainer approach. Results suggest a potentially promising methodology with broad dissemination potential to prepare and train the one million plus teachers and caregivers in center-based settings and the parents and families who access them to recognize and respond to child trauma.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>36002698</pmid><doi>10.1007/s10995-022-03473-8</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-9457-0562</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adverse childhood experiences Attitudes Beliefs, opinions and attitudes Caregivers Child care workers Children & youth Childrens health Families & family life Gynecology Head Start project Health education Health literacy Health promotion Knowledge Maternal & child health Maternal and Child Health Medicine Medicine & Public Health Mental health Oral hygiene Parents Parents & parenting Pediatrics Population Economics Psychic trauma in children Public Health Public opinion Sociology Training |
title | Improving Knowledge and Attitudes About Child Trauma Among Parents and Staff in Head Start Programs |
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