De inhoudsvaliditeit en interne consistentie van de Trauma Informed Care-Youth(TIC-Y)
Summary
When children up to 18 years old experience adverse childhood experiences (ACEs), this can negatively affect children’s physical, mental, social and emotional development and can decrease proper functioning of the family. Trauma Informed Care, or TIC, is a framework that strives to improve the healthcare that these young clients receive, based on realizing of what trauma entails and what the implications of trauma can be; recognizing the symptoms of trauma; using the knowledge about trauma to explore different ways of integrating recovery from trauma and preventing re-traumatization. The TIC-Y is a 34-item self-report questionnaire that investigates how young clients between the age of 6 and 23 rate the pedagogical climate of their healthcare institution after TIC has been implemented. In this mixed methods pilot study the content validity and internal consistency of the Trauma Informed Care-Youth (TIC-Y) is explored. A total of 31 young clients between the age of 6 and 17, some with a mild intellectual disability, evaluated the pedagogical climate of the Dutch healthcare institution Koraal using the TIC-Y (N = 31). With a Principal Component Analysis the factor structure was examined and a reliability analysis examined the internal consistency of the emerging factors. Besides, individual cognitive interviews were held with three of the participants (n = 3) to get a deeper understanding of the reasons behind the scores they gave using the TIC-Y. The results of the quantitative analysis showed that a one factor solution was the most suitable. In addition, Cronbach’s alpha for this one-item solution was .945. The results of the qualitative analysis indicated that the respondents named four factors to be important for the pedagogical climate: ‘(feelings of) safety and ambience’, ‘competence and (self)regulation’, ‘connection and support’ and ‘autonomy versus repression’. The results are discussed and suggestions for future research are provided.