Development of the organizational trauma resilience–patient reported experience measure for people with HIV in the Southern United States.

People with HIV are disproportionately affected by psychological trauma, compared to people without HIV. Trauma-informed care has the potential to improve health outcomes, but limited evaluation tools have been validated for people with HIV. We developed the Organizational Trauma Resilience-Patient Reported Experience Measure through community engagement, cognitive interviews, readability testing, and classical test theory. The Organizational Trauma Resilience-Patient Reported Experience Measure is a 40-item index comprising two subscales, each containing three dimensions. All subscales were unidimensional and had excellent reliability (Organizational Credibility = .979 and Culturally Responsive Trauma Resilience = .975) and overall scale item consistency (validity; Organizational Credibility = .839; Culturally Responsive Trauma Resilience = .795). Convergent and discriminant validity were established, demonstrating how the instrument relates to other constructs. Initial development of the Organizational Trauma Resilience-Patient Reported Experience Measure marks several novel contributions to the trauma-informed care knowledge base and is a first step toward measuring the extent to which people with HIV perceive their care environments to be safe, stable, and nurturing. (PsycInfo Database Record (c) 2025 APA, all rights reserved).