To acquire new insight into optimizing communication to support patients with experiences of trauma by examining the perspectives of both patients and clinicians.
Approach:
Participant Selection and Setting: Patients and their primary care clinicians were interviewed at two safety-net systems in California. Purposive sampling was used to obtain dyads who had discussed traumatic experiences during clinic visits.
Data Collection: Semi-structured interviews were conducted by trained interviewers, focusing on patient-clinician discussions about trauma. Interviews were audio-recorded, transcribed, and analyzed for thematic saturation.
Data Analysis and Framework: Thematic analysis was conducted using a dyadic approach, comparing patient and clinician perspectives. A codebook was developed iteratively, and investigator triangulation was employed to ensure accuracy.
Key Findings:
Patient-clinician communication about trauma can improve patient outcomes.
Existing research primarily focuses on intimate partner violence, neglecting other traumatic experiences.
A multi-perspective analysis reveals insights into the dynamics of trauma-related discussions.
Interpretation:
The study examines the communication strategies regarding trauma in clinical settings, highlighting the importance of understanding both patient and clinician perspectives.
Limitations:
The study was conducted in specific safety-net systems, which may limit generalizability.
Participants were required to be proficient in English or Spanish, potentially excluding non-English speakers.
Conclusion:
The dyadic analysis provides a deeper understanding of trauma-related communication.
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