Evidence map›Paper›PMID 39614025›Full record

ArticleDigestive diseases and sciences2025

Implementation of a Trauma-Informed Care Approach in a Gastroenterology Setting.

Lauren E Szkodny, Shoshana H Bardach, Katrina Hacker, Lauren K Tormey, Katherine Gohres, Corey A Siegel, Jessica K Salwen-Deremer

Abstract read
In one paragraph

Article in Digestive diseases and sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Lauren E SzkodnyDepartment of Psychiatry, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH, USA. lauren.e.szkodny@hitchcock.org.
Shoshana H BardachThe Dartmouth Institute for Health Policy and Clinical Practice, Hanover, NH, USA.
Katrina HackerDepartment of Psychiatry, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH, USA.
Lauren K TormeyCenter for Digestive Health, Section of Gastroenterology & Hepatology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Katherine GohresGeisel School of Medicine at Dartmouth, Hanover, NH, USA.
Corey A SiegelCenter for Digestive Health, Section of Gastroenterology & Hepatology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Jessica K Salwen-DeremerDepartment of Psychiatry, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH, USA.

Funding

A Fully Remote Pilot Randomized Controlled Trial to Investigate the Impact of Insomnia Treatment on Crohn’s diseaseK23DK134814 · NIDDK · DARTMOUTH-HITCHCOCK CLINIC · PI Jessica K Salwen-Deremer · 2023 to 2026
$753k
NIDDK NIH HHS K23 DK134814NIDDK NIH HHS K23DK134814
6 · The paper itself

Abstract

backgroundMost individuals who come under the care of large healthcare systems will have experienced at least one traumatic incident in their lifetime that may continue to influence their mental and physical health, disease management, and engagement with treatment and medical professionals. Histories of trauma are especially common in patients with gastrointestinal (GI) illness. Trauma reactions can arise in GI settings, but healthcare providers may not recognize these reactions or know how to respond effectively.

aimsWe aimed to increase awareness and understanding of the relationship between trauma and GI symptoms, trauma reactions in a healthcare setting, strategies for responding to patients in emotional distress, and opportunities to reduce risk of retraumatization in a GI setting.

methodsWithin a larger initiative to enhance behavioral healthcare access and engagement in a GI setting, patient and stakeholder interviews were conducted, and a needs assessment survey was administered. Interview and survey findings informed development of innovative solutions to the identified need for improved trauma services and resources using an iterative, team-based approach.

resultsPrograms and resources were developed and implemented to increase recognition of the impact of trauma, improve responses to trauma reactions during encounters with patients (e.g., clinical and procedure visits, telephone calls), and provide support to patients receiving GI care.

conclusionsTrauma-focused programming specific to the needs of patients with GI conditions is desired by patients, providers, and staff. Education, intervention, and support initiatives have potential to increase awareness of the effects of trauma and enhance experience of healthcare.

Indexed as

GastroenterologyGastrointestinal DiseasesHumansNeeds AssessmentBehavioral healthPatient-centered carePsychogastroenterologyRural healthcareTrauma-informed care

Identifiers

PMID39614025
PMCPMC11762216

What OpenQuestion holds

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LicenceCC BY-NC
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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.