Evidence map›Paper›PMID 25646872›Full record

Trial reportFamily medicine2015

Trauma-informed medical care: CME communication training for primary care providers.

Bonnie L Green, Pamela A Saunders, Elizabeth Power, Priscilla Dass-Brailsford, Kavitha Bhat Schelbert, Esther Giller, Larry Wissow, Alejandra Hurtado-de-Mendoza, Mihriye Mete

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Family medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. A Trauma-informed Care Curriculum for Perinatal Providers, Staff, and Learners.MedEdPORTAL : the journal of teaching and learning resources · 2025
    Article
  6. Review
  7. Improving attitudes toward trauma-informed care in the neonatal intensive care unit through comprehensive multi-disciplinary education.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Teaching Trauma-Informed Care: A Symposium for Medical Students.MedEdPORTAL : the journal of teaching and learning resources · 2020
    Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Bonnie L GreenGeorgetown University Medical School.
Pamela A Saunders
Elizabeth Power
Priscilla Dass-Brailsford
Kavitha Bhat Schelbert
Esther Giller
Larry Wissow
Alejandra Hurtado-de-Mendoza
Mihriye Mete

Funding

Maternal Morbidity and Mortality: Risk Factors, Early Detection and Personalized InterventionUL1TR001409 · NCATS · GEORGETOWN UNIVERSITY · PI GONDRE-LEWIS, MARJORIE C, MELLMAN, THOMAS A · 2015 to 2024
$37.8M
Georgetown-Howard Universities Center for Clinical and Translational Science (GHUUL1TR000101 · NCATS · GEORGETOWN UNIVERSITY · PI MELLMAN, THOMAS A, VERBALIS, JOSEPH G · 2012 to 2015
$19.3M
Improving Communication Between Primary Care Providers and Their Trauma PatientsR34MH079970 · NIMH · GEORGETOWN UNIVERSITY · PI GREEN, BONNIE L · 2008 to 2010
$910k
NCATS NIH HHS UL1 TR000101NCATS NIH HHS UL1 TR001409NIMH NIH HHS R34 MH079970
6 · The paper itself

Abstract

BACKGROUND AND

objectivesTrauma exposure predicts mental disorders, medical morbidity, and health care costs. Yet trauma-related impacts have not received sufficient attention in primary care provider (PCP) training programs. This study adapted a theory-based approach to working with trauma survivors, Risking Connection, into a 6-hour CME course, Trauma-Informed Medical Care (TI-Med), and evaluated its efficacy.

methodsWe randomized PCPs to training or wait-list (delay) conditions; wait-list groups were trained after reassessment. The primary outcome assessing newly acquired skills was a patient-centeredness score derived from Roter Interactional Analysis System ratings of 90 taped visits between PCPs and standardized patients (SPs). PCPs were family medicine residents (n=17) and community physicians (n=13, 83% family medicine specialty), from four sites in the Washington, DC metropolitan area.

resultsImmediately trained PCPs trended toward a larger increase in patient centeredness than did the delayed PCPs, with a moderate effect size (.66). The combined trained PCP groups showed a significant increase in patient centeredness from before to after training.

conclusionsThis is a promising approach to supporting relationship-based trauma-informed care among PCPs to help promote better patient health and higher compliance with medical treatment plans.

Indexed as

Attitude of Health PersonnelPhysician-Patient RelationsEducation, Medical, ContinuingFemaleHumansMalePatient-Centered CarePhysicians, FamilyPrimary Health CareWaiting ListsWounds and Injuries

Identifiers

PMID25646872
PMCPMC4316735

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.