Table 3.

Category 1. Screening Acceptability and Perceived Utility

ThemeRound 1Round 2
Theme 1. Clinicians, frontline staff, and psychosocial support staff generally felt comfortable administering and discussing the ACE screener.
Theme 2. Clinicians were concerned about conducting screenings when there were insufficient resources to help patients.
Theme 3. At certain clinics serving patients with a high prevalence of adversity, some clinicians, frontline staff, and psychosocial support staff did not see strong added value of ACE screening.
Theme 4. Clinicians and frontline staff shared concern about “triggering” patients, though they weren’t aware of any specific instances of this occurring.
Theme 5. Clinicians felt patients and caregivers have been receptive and open to the ACE screening, with a few exceptions.
Theme 6. Medical professionals perceived that many patients and caregivers appeared to find value in ACE screening—including a sense of relief and validation.
Theme 7. Many patients and caregivers did not complete the open-ended question on strengths, but clinicians perceived this question as important.
Theme 8. Both clinicians and frontline staff offered more specific observations on patient/caregiver challenges, confusion, hesitancy, and discomfort related to ACE screening.
  • ACE = adverse childhood experience.