背景:有关创伤知情护理实践(TIC)的文献表明,该框架对年轻人有益,看护者,和工作人员。然而,文献和实践中的一个显著差距是缺乏心理测量的声音量表来衡量护理人员对TIC原则的坚持。新出现的证据表明,TIC的做法改变了护理人员的态度和信念,这对照顾者和年轻人来说都是积极的结果。
目的:使用Rasch方法开发一种理论上全面且心理上合理的护理者TIC信念测量。
方法:积极的照顾者(N=719,M=43岁,SD=10.7年)来自澳大利亚的在线支持小组,加拿大,美利坚合众国,联合王国,爱尔兰共和国在线填写了问卷。
方法:基于先前的研究(例如,创伤知情信念量表的局限性-简介[TIBS-B];Beehag,烘干机,etal.,2023a)和TIC文献的范围审查(Beehag,2023),创建了61个候选项目,涵盖了与照顾者相关的TIC理论的三个主要特征(即,对TIC治疗创伤症状策略的信念,对不良童年经历影响的信念(ACE),以及对自我护理/反思重要性的信念)。对所得数据进行Rasch分析。
结果:在分析和小修改之后,问卷的35项版本得到确认,拟合了Rasch模型并证明了一维性,合理的目标,和良好的内部一致性可靠性(人员分离指数=0.81)。
结论:TIBS-C是对儿童福利照料者TIC信念的一种心理测量。需要未来的研究来提供其有效性的进一步证据(例如,预测效度),可靠性(例如,测试-重测可靠性)和临床实用性。
BACKGROUND: The literature on trauma-informed care practices (TIC) indicates that this framework is beneficial for young people, carers, and staff. However, a significant gap in the literature and practice is the absence of psychometrically sound scales to measure carer adherence to TIC principles. Emerging evidence suggests that TIC practices shift carer attitudes and beliefs, which mediate positive outcomes for both carers and young people.
OBJECTIVE: To develop a theoretically comprehensive and psychometrically sound measure of carer TIC beliefs using Rasch methodology.
METHODS: Active carers (N = 719, M = 43 years, SD = 10.7 years) from online support groups in Australia, Canada, the United States of America, the United Kingdom, and the Republic of Ireland completed the questionnaire online.
METHODS: Based on previous research (e.g., limitations of the Trauma-Informed Belief Scale-Brief [TIBS-B]; Beehag, Dryer, et al., 2023a) and a scoping review of the TIC literature (Beehag, 2023), 61 candidate items were created that covered the three main characteristics of carer-related TIC theory (i.e., beliefs on TIC strategies to manage trauma symptoms, beliefs on the impact of adverse childhood experiences (ACE), and beliefs on the importance of self-care/reflection). The resulting data was subjected to Rasch analyses.
RESULTS: Following analyses and minor modifications, a 35-item version of the questionnaire was confirmed, which fitted the Rasch model and demonstrated unidimensionality, reasonable targeting, and sound internal consistency reliability (Person Separation Index = 0.81).
CONCLUSIONS: The TIBS-C is a psychometrically sound measure of child welfare carer TIC beliefs. Future studies are needed to provide further evidence of its validity (e.g., predictive validity), reliability (e.g., test-retest reliability) and clinical utility.