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

Area of Science:

• Perinatal Health
• Midwifery Education
• Mental Health in Healthcare Professionals

Background:

• Trauma-informed care (TIC) is crucial for preventing re-traumatization in perinatal women and supporting midwife mental health.
• Accessible training programs are needed to integrate TIC into midwifery practice.
• Midwives caring for high-risk perinatal populations require specialized trauma-informed skills.

Purpose of the Study:

• To develop and evaluate a video-based trauma-informed care (TIC) training program for midwives.
• To assess the impact of the TIC training on midwives' attitudes, psychological safety, and burnout.
• To provide an accessible and effective training modality for healthcare professionals in high-risk perinatal settings.

Main Methods:

• A parallel group design study involving 42 midwives in a high-risk perinatal hospital.
• Random assignment to either an intervention group accessing a video-based TIC program or a waitlist control group.
• Primary outcome: midwives' attitudes toward TIC (ARTIC-10); Secondary outcomes: psychological safety and burnout.

Main Results:

• The intervention group demonstrated significant improvements in attitudes toward TIC (p=0.02).
• Significant enhancements in workplace psychological safety were observed in the intervention group (p=0.01).
• A significant decrease in burnout, specifically interpersonal disengagement, was noted (p=0.008).

Conclusions:

• Individualized, video-based TIC training effectively enhances midwives' attitudes, psychological safety, and reduces burnout.
• The findings support the use of accessible digital training for improving healthcare provider well-being and patient care.
• Further research is recommended to explore organizational-level implementation of TIC training programs.