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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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dc.contributor.authorJones K.A.
dc.contributor.authorHenderson H.
dc.contributor.authorBright T.
dc.contributor.authorSegal L.
dc.contributor.authorMauerhofer O.
dc.contributor.authorLake K.J.
dc.contributor.authorJulian R.
dc.contributor.authorDuncan J.
dc.contributor.authorRaymond A.
dc.contributor.authorJones A.
dc.contributor.authorCameron D.
dc.contributor.authorFergie D.
dc.contributor.authorAndrews S.
dc.contributor.authorStewart S.
dc.contributor.authorAtkinson C.
dc.contributor.authorElliot A.
dc.contributor.authorCrawford B.
dc.contributor.authorMohammed J.
dc.contributor.authorBundle G.
dc.contributor.authorHirvonen T.
dc.contributor.authorGnanamanickam E.
dc.contributor.authorDavis E.
dc.contributor.authorGee G.
dc.contributor.authorHerrman H.
dc.contributor.authorFisher J.
dc.contributor.authorLovett R.
dc.contributor.authorCampbell S.
dc.contributor.authorForster D.A.
dc.contributor.authorClark Y.
dc.contributor.authorAtkinson J.
dc.contributor.authorMarriott R.
dc.contributor.authorChamberlain C.
dc.date.accessioned2024-11-19T05:30:03Z
dc.date.available2024-11-19T05:30:03Z
dc.date.copyright2024
dc.date.issued2024-07-15en
dc.description.abstractIntroduction 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.
dc.identifier.citationBMJ Open. Vol.14(7), 2024.
dc.identifier.doihttps://dx.doi.org/10.1136/bmjopen-2024-085555
dc.identifier.institution(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
dc.identifier.institution(Segal, Gnanamanickam) Health Economics and Social Policy Group, University of South Australia, Adelaide, SA, Australia
dc.identifier.institution(Duncan, Raymond) Latrobe Regional Hospital, Traralgon, VIC, Australia
dc.identifier.institution(Jones) Victoria Aboriginal Child and Community Agency, Melbourne, VIC, Australia
dc.identifier.institution(Andrews) Poche Centre for Indigenous Health, The University of Melbourne, Melbourne, VIC, Australia
dc.identifier.institution(Elliot) The Bouverie Centre, La Trobe University, Melbourne, VIC, Australia
dc.identifier.institution(Crawford) Latrobe City Council, Morwell, VIC, Australia
dc.identifier.institution(Mohammed) Lowitja Institute, Melbourne, VIC, Australia
dc.identifier.institution(Bundle) Royal Women's Hospital, Melbourne, VIC, Australia
dc.identifier.institution(Hirvonen) College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia
dc.identifier.institution(Gnanamanickam) Adelaide EpiCentre, The University of Adelaide, Adelaide, SA, Australia
dc.identifier.institution(Gee) Murdoch Childrens Research Institute, Melbourne, VIC, Australia
dc.identifier.institution(Gee) School of Psychological Sciences, The University of Melbourne, Melbourne, VIC, Australia
dc.identifier.institution(Herrman) Orygen Youth Health Research Centre, Centre for Youth Mental Health, Orygen Ltd, Melbourne, VIC, Australia
dc.identifier.institution(Herrman) Centre for Youth Mental Health, The University of Melbourne, Melbourne, VIC, Australia
dc.identifier.institution(Fisher) Global and Women's Health, Monash University, Melbourne, VIC, Australia
dc.identifier.institution(Lovett) National Centre for Aboriginal and Torres Strait Islander Wellbeing Research, Australian National University, Canberra, ACT, Australia
dc.identifier.institution(Campbell) Charles Darwin University, Darwin, NT, Australia
dc.identifier.institution(Forster) Judith Lumley Centre, La Trobe University, Melbourne, VIC, Australia
dc.identifier.institution(Forster) Maternity Services, Royal Women's Hospital, Melbourne, VIC, Australia
dc.identifier.institution(Clark) South Australian Health and Medical Research Institute Limited, Adelaide, SA, Australia
dc.identifier.institution(Atkinson) We Al-li Pty Ltd, Goolmangar, NSW, Australia
dc.identifier.institution(Marriott) Ngangk Yira Institute for Change, Murdoch University, Perth, WA, Australia
dc.identifier.pubmedid38960467 [https://www.ncbi.nlm.nih.gov/pubmed/?term=38960467]
dc.identifier.urihttps://lowitja.intersearch.com.au/handle/1/621
dc.relation.ispartofBMJ Open
dc.subject.keywordsMental health
dc.subject.keywordsMaternal health
dc.titleHealing 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.
dc.typeArticle
dc.type.studyortrialQualitative study

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