Evaluation of Online Trauma- and Violence-Informed Physical Activity Training Modules

Exposure to traumatic events can lead to adverse health outcomes, including depression, anxiety, post-traumatic stress disorder, and chronic pain. Physical activity can help alleviate many negative health concerns associated with trauma; however, exercise instructors and social service providers often lack the necessary training to support and improve access to physical activity for individuals who have experienced trauma. This study aimed to test the feasibility, acceptability, and potential effectiveness of newly developed training modules, designed to improve knowledge and confidence to apply Trauma and Violence-Informed Care within physical activity settings.

Participants were invited to take part in 6 co-designed online trauma- and violence- informed physical activity (TVIPA) training modules. Baseline and postintervention data were analyzed using a chi-square test of independence, assessing changes in participants' confidence of TVIPA knowledge and application. Participants were also invited to take part in a qualitative interview, 6 months post completing the training to examine how they applied the training.

In total, 205 participants completed a baseline survey and 155 completed the postintervention assessment. A significant increase in participants' confidence in knowledge and application was observed. Data from 17 semistructured interviews indicated that the training delivery mode, content, and duration were feasible and well-accepted. Service providers reported making changes to their practice, including using more inclusive language, considering reasons for missed classes, and making changes to the physical space to improve safety.

The online training was feasible, acceptable, and associated with improved confidence in applying TVIPA.