Training Needs and Evidence-Based Practices in Trauma-Informed Reproductive Health Care [ID 844]

INTRODUCTION: Trauma, adverse childhood experiences, and violence are associated with sexually transmitted infections, perinatal complications, procedure-related pain, and a need for emergency contraception, abortion, and more complex family planning services. METHODS: We assessed needs for training in trauma-informed care (TIC) among a national sample of complex family planning fellows. We developed and evaluated an evidence-based, interactive training workshop, comparing pre- and post-training survey responses using Wilcoxon signed-rank tests. RESULTS: Most (79%, n=22) eligible fellows completed the needs assessment, with 91% reporting needs for additional TIC training. Of the 18 who attended a subsequent training workshop, all reported caring for high-risk populations, but 11% had no prior TIC training and 28% reported 2 hours or less of training. Forty-four percent had not received trauma-informed pelvic examination training. Workshop attendance significantly increased provider comfort with trauma inquiry (83% post versus 56% pre, P =.02), responding to trauma (95% versus 67%, P =.004), performing a pelvic examination (95% versus 83%, P =.02), and discussing pain management options (100% versus 83%, P =.06) with patients with a trauma history. Many (83%) reported secondary trauma related to patient care, and 89% reported that workshop participation helped alleviate this distress. All participants felt that their training needs were met and that they would use the material discussed in their future clinical practice. CONCLUSIONS/IMPLICATIONS: An interactive workshop providing practical evidence-based approaches to providing trauma-informed family planning care significantly improved clinician comfort in TIC. Trauma-informed care training and clinician peer support are important to clinician resilience and improving patient experiences.