ABSTRACT There is increasing recognition of the value of consumer participation in advocacy and community activism. Among trauma survivors, finding a sense of purpose and a way to make meaning from the trauma experience has been termed “survivor mission,” and may include a call to social action, involvement in social justice activities, or public speaking. The current study describes the development of a trauma-informed trauma-survivor speakers’ bureau (CHATT) and presents quantitative and qualitative outcome findings. The CHATT program encompasses (1) a speaker training component, (2) public speaking activities, and (3) speaking support groups. Trauma survivors (N = 27) who received trauma mental health (MH) services and were in the later stages of recovery completed the two-part seven-hour speaker training and subsequently presented talks at 13 venues to 192 audience members during a three-year study period. Speakers completed baseline measures prior to the training, and follow-up measures at six months and one year to assess posttraumatic growth (PTG) and self-efficacy. Audience members completed an assessment of change in beliefs about key speaker advocacy goals, as well as emotional reactions and satisfaction with talks. Results revealed PTG and speaking self-efficacy increased for speakers after one-year post-training. Audience ratings of talks averaged in the high range except for one domain. Ratings differed by audience type and number of speakers, and increased as the program matured. Key speaker advocacy successes including state policy changes, limitations, and implications for future research and development are discussed.

中文翻译：

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社区治愈和转变创伤 (CHATT)：暴力幸存者的创伤知情演讲者局

摘要 人们越来越认识到消费者参与倡导和社区行动的价值。在创伤幸存者中，找到目标感和从创伤经历中获得意义的方法被称为“幸存者使命”，可能包括呼吁社会行动、参与社会正义活动或公开演讲。目前的研究描述了创伤知情创伤幸存者演讲者局 (CHATT) 的发展，并提出了定量和定性结果。CHATT 计划包括 (1) 演讲者培训部分、(2) 公开演讲活动和 (3) 演讲支持小组。接受创伤心理健康 (MH) 服务并处于康复后期的创伤幸存者（N = 27）完成了两部分七小时的演讲者培训，随后在三年的时间里在 13 个场地向 192 名观众进行了演讲学习时段。演讲者在培训前完成基线测量，并在六个月和一年时完成后续测量，以评估创伤后成长 (PTG) 和自我效能。听众成员完成了对主要演讲者倡导目标的信念变化的评估，以及对谈话的情绪反应和满意度。结果显示，经过一年的培训后，演讲者的 PTG 和演讲自我效能感增加。除了一个领域外，演讲的观众收视率平均在高范围内。评级因观众类型和演讲者人数而异，并随着程序的成熟而增加。讨论了主要发言人倡导的成功，包括国家政策变化、局限性以及对未来研究和开发的影响。