Table 1.

Data Collection Framework

Questions	Patientsa	Leadersb	Providersb
Impact of trauma on communityc
What are some of the strengths in your community? What are some of the challenges in your community? How do these strengths and challenges impact health?	X
What are the most common traumatic experiences in the community/the community you serve?	X	X	X
How do people in your community deal with traumatic experiences? How do you think traumatic experiences impact the health of your patients? Could you tell me about patients you see who have coped well with traumatic experiences?	X	X	X
How should the health clinics support people who’ve experienced trauma? What is your vision for how the clinics should support people who’ve experienced trauma?	X	X	X
Trauma screening questionc
How do you feel about people being asked about traumatic experiences when they visit the primary care clinics?	X	X	X
How might this information be meaningful in primary care? How might this information help make health care more effective? What should we keep in mind as we consider doing this in order to keep it helpful rather than harmful?	X	X	X
When you think about traumatic experiences, what other examples come to mind that we may potentially hear about when screening?	X	X
What resources currently exist to make screening and intervention for trauma work in primary care?		X	X
What additional resources would be needed to make screening and intervention for trauma work in primary care?		X	X
What changes in the health system would be needed to facilitate this process?		X	X
If an effective process can be developed, how high a priority would screening and intervention for trauma in primary care be?		X
Developing the screening pland
[After reviewing the Trauma History Screen instrument; the Primary Care PTSD Screen and the New York PTSD Risk Score with the participant] What is your first impression about this screening questionnaire? What do you like? What do you not like? How comfortable would you be answering these questions?	X	X	X
[After selecting a screening tool from the Developing a plan for screening section] Which screening questionnaire should be used? Why? Are there any cultural considerations that should be kept in mind? Are there other considerations that should be kept in mind? How often should the screening occur?	X	X	X
Developing a plan for screeningd
[After reviewing different screening procedure options where the screener is presented at appointment check in; where the nurse asks the screening questions in the exam room; where the provider asks the questions in the exam room; and at SCF where the behavioral health consultant asks the questions in the exam room ] Looking at this potential way of screening in the clinics, what are your thoughts on how this would work for the people served here? What do you like? What do you not like?	X	X	X
Now that you have looked at these different ways of screening in the clinics, which would you recommend? Why?	X	X	X
Are there any cultural considerations that should be kept in mind? Are there other considerations that should be kept in mind?	X	X	X
What are your thoughts about having this information in your medical record?	X
Brief feedback/brief intervention
[After reviewing a brief feedback trifold brochure example] What key elements should the primary care provider include in the brief feedback for people who have a negative screening result? How about for those who screen positive?		X	X
[After reviewing a brief feedback trifold brochure example] If you were given something like this handout, how might it be useful? Is there a better way of sharing this information?	X
What do you like about the brochure/handout? What do you not like? What is missing?	X	X	X
[After describing the content of a brief intervention] Let’s say we have b0 minutes to talk to someone about trauma and health, what would you want people to know? For people that might want or need more than a brief intervention, what would you like to see offered?		X	X
[After describing the content of a brief intervention] Let’s say someone on your healthcare team talks to you during your clinic visit about trauma and health. What would you want to know? Who on your health care team would you feel most comfortable with? If you needed more than a brief intervention, what would you like to see offered?	X
How does what we discussed today address the needs of individuals with a history of trauma? How does it not address their needs?	X	X	X
What concerns might you have if this is offered? What benefits might this have? Do you have any other thoughts that you would like to share with us?	X	X	X

^aData collected via focus group

^bData collected via individual interview

^cFirst round of data collection

^dSecond round of data collection