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Using Human Centered Design to Evaluate the Implementation of a National Trauma Informed Care Curriculum Pilot at an
Jonathan Freise1, Maxwell Presser2, Adrienne Greer1
1The Better Lab, University of California San Francisco, San Francisco, California; Department of Surgery, University of California San Francisco, San Francisco, California.
Background:
Trauma-informed care (TIC) is a strengths-based framework aimed at preventing retraumatization in healthcare, particularly within trauma centers. However, barriers to effective TIC training hinder its adoption.
Study Design:
An exploratory prospective study was performed between November 2023 and March 2024 using Human-Centered Design (HCD) methodology to evaluate a previously implemented trauma-informed care curriculum (TICC) pilot. This study focused on the "Inspiration Phase" of HCD which included semi-structured interviews with course participants and instructors to identify limitations of TIC curricular content and implementation barriers. Data was inductively analyzed to identify themes, insight statements and design opportunities.
Results:
Semi-structured interviews were conducted with 18 individuals (11 course instructors and 7 participants). Twenty themes were identified that led to the generation of 8 insight statements and corresponding design opportunities that were sorted into curricular content or implementation strategies. Curricular content insights highlighted the need for clearer definitions and protocols for TIC, practical and actionable guidance for learners, content that is both relevant and adaptable, and greater utilization of lived experience experts. Implementation insights identified that success requires institutional support, recognizing clinician empathy as a strength that is susceptible to vicarious trauma, and prioritizing flexible delivery while creating psychologically safe learning environments.
Conclusions:
Using a HCD approach, this study represents the "Inspiration Phase" of this work and identifies the need to address educational didactics and implementation strategy. These insight statements and design opportunities set the stage for the "Ideation Phase" to support prototyping and piloting a revised curriculum with the goal of creating a user-informed TIC training implementation guide that can be disseminated for national use.
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