Supplementary information files for "Understanding trauma-informed physical activity in practice: A qualitative exploration"

Supplementary files for article "Understanding trauma-informed physical activity in practice: A qualitative exploration"

A growing appreciation of trauma and its implications on the health of those affected has led to the adoption of
trauma-informed principles across different sectors where service providers interact with those who have experienced trauma. Those in the physical activity sector have begun to incorporate trauma-informed principles into programme design and delivery. However, there remains no consensus on how trauma-informed principles are operationalised and implemented within a physical activity context. The present study aims to explore what it means to be trauma-informed in physical activity, identifying the principles essential for physical activity programmes. Semi-structured interviews were conducted with 17 participants (10 female, 7 male) from organisations facilitating and delivering trauma-informed physical activity programmes. A critical realist-informed approach to thematic analysis was used to analyse the data. Four themes were developed: (i) approaching with considerate curiosity, (ii) boundaries and scope of practice, (iii) the importance of shared lived experience, and (iv) meeting people where they are. These themes highlight principles that must be present in trauma-informed physical activity, such as physical activity providers understanding their limits of practice and referring to other services when these limits are met. They also outline the importance of understanding and empathy in trauma-informed physical activity. For trauma-informed physical activity programmes to be effective, these principles must be consistent across the programmes’ design and delivery. This study progresses understanding of trauma-informed principles and offers professionals in the physical activity sector insights of how they can ensure their programmes are appropriate for those who have experienced trauma.

论文《实践中的创伤知情（trauma-informed）身体活动：一项质性探索》的补充材料。
随着学术界对创伤及其对受灾人群健康影响的认知不断深化，创伤知情原则已在服务提供者与创伤经历者互动的诸多领域得到推广应用。身体活动领域的从业者亦开始将创伤知情原则融入项目设计与实施环节。然而，目前学术界尚未就创伤知情原则在身体活动场景下的具象化操作与落地实施路径达成共识。
本研究旨在探究身体活动场景下创伤知情的内涵，并明确身体活动项目所需的核心原则。研究招募了来自开展并实施创伤知情身体活动项目的机构的17名参与者（其中女性10名，男性7名），并对其开展半结构化访谈（semi-structured interviews）。本研究采用基于批判实在论（critical realist）的主题分析法（thematic analysis）对访谈数据进行分析，最终提炼出四大主题：（一）秉持审慎好奇的沟通姿态；（二）执业边界与服务范围；（三）共享亲历经验的重要意义；（四）立足服务对象的真实处境。
上述主题明确了创伤知情身体活动必须具备的核心原则，例如身体活动从业者需明晰自身的执业边界，当超出自身服务能力范围时，应及时转介至其他专业服务机构。同时，这些主题也凸显了创伤知情身体活动中理解与共情的重要性。若要使创伤知情身体活动项目发挥实效，上述原则需贯穿于项目设计与实施的全流程。本研究深化了学术界对创伤知情原则的认知，并为身体活动领域的从业者提供了实操参考，助力其打造适配创伤经历者的身体活动项目。