Healing the past by nurturing the future: trauma-aware, healing-informed care to improve support for Aboriginal and Torres Strait Islander families - implementation and evaluation study protocol.
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Date
2024-07-15
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Affiliation(s)
(Jones, Henderson, Bright, Mauerhofer, Lake, Julian, Cameron, Fergie, Stewart, Atkinson, Davis, Chamberlain) Indigenous Health Equity Unit, Onemda, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia
(Segal, Gnanamanickam) Health Economics and Social Policy Group, University of South Australia, Adelaide, SA, Australia
(Duncan, Raymond) Latrobe Regional Hospital, Traralgon, VIC, Australia
(Jones) Victoria Aboriginal Child and Community Agency, Melbourne, VIC, Australia
(Andrews) Poche Centre for Indigenous Health, The University of Melbourne, Melbourne, VIC, Australia
(Elliot) The Bouverie Centre, La Trobe University, Melbourne, VIC, Australia
(Crawford) Latrobe City Council, Morwell, VIC, Australia
(Mohammed) Lowitja Institute, Melbourne, VIC, Australia
(Bundle) Royal Women's Hospital, Melbourne, VIC, Australia
(Hirvonen) College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia
(Gnanamanickam) Adelaide EpiCentre, The University of Adelaide, Adelaide, SA, Australia
(Gee) Murdoch Childrens Research Institute, Melbourne, VIC, Australia
(Gee) School of Psychological Sciences, The University of Melbourne, Melbourne, VIC, Australia
(Herrman) Orygen Youth Health Research Centre, Centre for Youth Mental Health, Orygen Ltd, Melbourne, VIC, Australia
(Herrman) Centre for Youth Mental Health, The University of Melbourne, Melbourne, VIC, Australia
(Fisher) Global and Women's Health, Monash University, Melbourne, VIC, Australia
(Lovett) National Centre for Aboriginal and Torres Strait Islander Wellbeing Research, Australian National University, Canberra, ACT, Australia
(Campbell) Charles Darwin University, Darwin, NT, Australia
(Forster) Judith Lumley Centre, La Trobe University, Melbourne, VIC, Australia
(Forster) Maternity Services, Royal Women's Hospital, Melbourne, VIC, Australia
(Clark) South Australian Health and Medical Research Institute Limited, Adelaide, SA, Australia
(Atkinson) We Al-li Pty Ltd, Goolmangar, NSW, Australia
(Marriott) Ngangk Yira Institute for Change, Murdoch University, Perth, WA, Australia
(Segal, Gnanamanickam) Health Economics and Social Policy Group, University of South Australia, Adelaide, SA, Australia
(Duncan, Raymond) Latrobe Regional Hospital, Traralgon, VIC, Australia
(Jones) Victoria Aboriginal Child and Community Agency, Melbourne, VIC, Australia
(Andrews) Poche Centre for Indigenous Health, The University of Melbourne, Melbourne, VIC, Australia
(Elliot) The Bouverie Centre, La Trobe University, Melbourne, VIC, Australia
(Crawford) Latrobe City Council, Morwell, VIC, Australia
(Mohammed) Lowitja Institute, Melbourne, VIC, Australia
(Bundle) Royal Women's Hospital, Melbourne, VIC, Australia
(Hirvonen) College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia
(Gnanamanickam) Adelaide EpiCentre, The University of Adelaide, Adelaide, SA, Australia
(Gee) Murdoch Childrens Research Institute, Melbourne, VIC, Australia
(Gee) School of Psychological Sciences, The University of Melbourne, Melbourne, VIC, Australia
(Herrman) Orygen Youth Health Research Centre, Centre for Youth Mental Health, Orygen Ltd, Melbourne, VIC, Australia
(Herrman) Centre for Youth Mental Health, The University of Melbourne, Melbourne, VIC, Australia
(Fisher) Global and Women's Health, Monash University, Melbourne, VIC, Australia
(Lovett) National Centre for Aboriginal and Torres Strait Islander Wellbeing Research, Australian National University, Canberra, ACT, Australia
(Campbell) Charles Darwin University, Darwin, NT, Australia
(Forster) Judith Lumley Centre, La Trobe University, Melbourne, VIC, Australia
(Forster) Maternity Services, Royal Women's Hospital, Melbourne, VIC, Australia
(Clark) South Australian Health and Medical Research Institute Limited, Adelaide, SA, Australia
(Atkinson) We Al-li Pty Ltd, Goolmangar, NSW, Australia
(Marriott) Ngangk Yira Institute for Change, Murdoch University, Perth, WA, Australia
Year
2024
Citation
BMJ Open. Vol.14(7), 2024.
Journal
BMJ Open
Conference name
Conference location
Grant information
Abstract
Introduction Complex trauma can have serious impacts on the health and well-being of Aboriginal and Torres Strait Islander families. The perinatal period represents a critical window for recovery and transforming cycles of trauma into cycles of healing. The Healing the Past by Nurturing the Future (HPNF) project aims to implement and evaluate a programme of strategies to improve support for Aboriginal and Torres Strait islander families experiencing complex trauma. Method The HPNF programme was codesigned over 4 years to improve awareness, support, recognition and assessment of trauma. Components include (1) a trauma-aware, healing-informed training and resource package for service providers; (2) trauma-awareness resources for parents; (3) organisational readiness assessment; (4) a database for parents and service providers to identify accessible and appropriate additional support and (5) piloting safe recognition and assessment processes. The programme will be implemented in a large rural health service in Victoria, Australia, over 12 months. Evaluation using a mixed-methods approach will assess feasibility, acceptability, cost, effectiveness and sustainability. This will include service user and provider interviews; service usage and cost auditing; and an administrative linked data study of parent and infant outcomes. Analysis Qualitative data will be analysed using reflexive thematic analysis. Quantitative and service usage outcomes will be described as counts and proportions. Evaluation of health outcomes will use interrupted time series analyses. Triangulation of data will be conducted and mapped to the Consolidated Framework for Implementation Research and Reach, Effectiveness, Adoption, Implementation and Maintenance frameworks to understand factors influencing feasibility, acceptability, effectiveness, cost and sustainability. Ethics and dissemination Approval granted from St Vincent's Melbourne Ethics Committee (approval no. 239/22). Data will be disseminated according to the strategy outlined in the codesign study protocol, in-line with the National Health and Medical Research Council Aboriginal and Torres Strait Islander Research Excellence criteria.Copyright © Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ.
PubMed ID
38960467 [https://www.ncbi.nlm.nih.gov/pubmed/?term=38960467]
Type
Article
Study type
Qualitative study
Subjects
Mental health
Maternal health
Maternal health