The effect of a trauma-informed care video training program for midwives: A randomized controlled trial

Trauma-informed care (TIC) by midwives has the potential to prevent re-traumatization among perinatal women and support midwives' mental health. The development and evaluation of accessible TIC training programs could facilitate the integration of TIC into midwifery care.

To develop a TIC video-based training program for midwives and to examine its effects in improving midwives' outcomes.

A parallel group design was conducted to investigate the effect of a developed TIC video training program. Midwives in an advanced medical care hospital for high-risk perinatal women were recruited over a one-month period. They were then randomly assigned to an intervention or control group in a 1:1 ratio. Participants in the intervention group accessed the program individually over two months, while the waitlist control group was offered the same program after the study period. The primary outcome measure was the midwives' attitudes toward TIC (ARTIC-10). The secondary outcome measures were psychological safety (Psychological Safety Scale) and burnout (Professional Fulfillment Index). To examine the intervention effect, we compared changes over time between groups.

Forty-two midwives (21per group) participated in the study. At three months post-intervention, the intervention group showed a significant improvement in their attitudes toward TIC（p = 0.02 [95 % CI, 0.07, 0.86]）, workplace psychological safety (p = 0.01 [95 % CI, 0.11, 0.89]) and decreased burnout interpersonal disengagement (p = 0.008 [95 % CI, -0.74,- 0.12]）.

The individual video-based TIC training improved midwives' TIC attitudes, psychological safety, and burnout. Future studies are needed to examine implementation at the organisational level.