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Contact Information:

Dr Natalia Lewis
nat.lewis@bristol.ac.uk


Dr Natalia Lewis
nat.lewis@bristol.ac.uk


Study Location:

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Be Part of Research - Trial Details - TAP CARE GP study: trauma-informed transformation in general practice

TAP CARE GP study: trauma-informed transformation in general practice

Completed

Open to: Female / Male

Age: 18 Years - 80 Years

14.0 Mile Away

Medical Conditions


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


Individual, interpersonal, and collective trauma is a highly prevalent and costly public health and clinical problem. Cumulative trauma across the lifespan is associated with increased morbidity, mortality, and use of healthcare services. A high proportion of patients and healthcare professionals in general practice have histories of trauma that, left unaddressed, hamper access to healthcare and improvement in health outcomes. There is an opportunity to prevent or ameliorate some of the longer term impacts of trauma if it is better recognised and addressed in primary care.
Trauma-informed (TI) approaches are organisational change interventions that transform organisational policies, processes, and practices to prevent retraumatisation in services and improve experiences and outcomes for all patients and staff.
Our systematic review identified only six evaluations of TI organisational change interventions in primary care with limited theoretical development and some evidence for improvement in some patient outcomes. All studies identified limited organisational readiness as a major barrier to TI transformation. We drafted a logic model of a prototype TI organisational change intervention in primary care.
This study aims to: 1) explore to what extent current general practice provision adheres to principles of a TI approach; 2) identify organisation-specific needs, abilities, and preferences for a TI organisational change intervention; 3) co-develop programme theory for a TI organisational change intervention in general practice.
This qualitative study in four general practices in the southwest England includes analysis of: policies, facility observations, semi-structured interviews with healthcare professionals and patients. The findings will inform the programme theory and refined logic model and quantifiable outcome measures for a TI organisational change intervention in general practice. An advisory group of trauma survivors and professionals who plan, commission, and deliver primary care will inform the study conduct, analysis, and dissemination of findings.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

12 Jan 2023 30 Nov 2023

Observational

Observational type: Qualitative;



You can take part if:



You may not be able to take part if:


NA


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

Dr Natalia Lewis
nat.lewis@bristol.ac.uk


Dr Natalia Lewis
nat.lewis@bristol.ac.uk



The study is sponsored by University of Bristol and funded by NIHR School for Primary Care Research .




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for Trial ID: CPMS 54105

Last updated 25 April 2025

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