Adverse childhood experiences (ACEs) are pervasive and well-recognized as having lasting deleterious effects on the physical and mental health of those who experience them, particularly with accumulated exposure. This study seeks to identify the perspectives of interprofessional health providers on their personal and professional experiences with ACEs, ACEs screening, how to work with people with ACEs, and make recommendations for the field. Sixty-two health professionals and PhD students who completed at least one module of an online course and at least one of the accompanying discussion board sub-prompts. Responses to five course discussion board assignments, each with multiple sub-prompts, were coded to determine and refine major themes and merged with demographic and other background data. From the 561 responses, six themes were identified and used to analyze response patterns. Twenty-nine percent of responses reflected a macro perspective on ACEs; 29 % of responses reflected workplace experiences; 28 % of responses reflected ACEs complexity, 8 % of responses reflected a personal relationship to ACEs, 3 % reflected perspectives on resilience; and 3 % were related to the course. Participants communicated complex understandings of ACEs, demonstrating the relevance and importance of the topic for public health training. Integrating ACEs training into the practice setting provides opportunities to improve the health and lives of those suffering from ACEs, especially when incorporating provider voice and perspectives.

中文翻译：

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对 ACE 的跨专业视角：全州跨专业培训计划的结果


不良童年经历（ACE）普遍存在，并且众所周知，它会对经历过这些经历的人的身心健康产生持久的有害影响，特别是在长期接触这些经历的情况下。本研究旨在确定跨专业医疗服务提供者对他们在 ACE 方面的个人和专业经验、ACE 筛查、如何与 ACE 患者合作的看法，并为该领域提出建议。六十二名卫生专业人员和博士生完成了在线课程的至少一个模块以及至少一个随附的讨论板子提示。对五个课程讨论板作业的答复（每个作业都有多个子提示）经过编码以确定和完善主要主题，并与人口统计和其他背景数据合并。从 561 份回复中，确定了六个主题并用于分析回复模式。 29% 的回复反映了对 ACE 的宏观视角； 29% 的回复反映了工作场所经历； 28% 的回复反映了 ACE 的复杂性，8% 的回复反映了与 ACE 的个人关系，3% 反映了对复原力的看法； 3% 与课程相关。参与者交流了对 ACE 的复杂理解，展示了该主题对于公共卫生培训的相关性和重要性。将 ACE 培训融入实践环境可为改善 ACE 患者的健康和生活提供机会，特别是在纳入提供者的声音和观点时。