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Journal article
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
BMJ open, Vol.14(7), e085555
2024
PMID: 38960467
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.
Details
- Title
- 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
- Authors/Creators
- Kimberley Ann Jones - The University of MelbourneHelen Henderson - The University of MelbourneTess Bright - The University of MelbourneLeonie Segal - University of South AustraliaOlivia Mauerhofer - The University of MelbourneKatherine Jane Lake - The University of MelbourneRebakah Julian - The University of MelbourneJhodie Duncan - Latrobe Regional HospitalAnita Raymond - Latrobe Regional HospitalAmanda Jones - Victorian Aboriginal Health ServiceDanielle Cameron - The University of MelbourneDoseena Fergie - The University of MelbourneShawana Andrews - The University of MelbourneSkye Stewart - The University of MelbourneCaroline Atkinson - The University of MelbourneAlison Elliot - La Trobe UniversityBelinda Crawford - Latrobe City Council, Morwell, Victoria, AustraliaJanine Mohammed - Lowitja InstituteGina Bundle - Royal Women's HospitalTanja Hirvonen - Flinders UniversityEmmanuel Gnanamanickam - The University of AdelaideElise Davis - The University of MelbourneGraham Gee - Murdoch Children's Research InstituteHelen Herrman - Orygen Youth HealthJane Fisher - Monash UniversityRaymond Lovett - Australian National UniversitySandy Campbell - Charles Darwin UniversityDella Anne Forster - Royal Women's HospitalYvonne Clark - South Australian Health and Medical Research InstituteJudith Atkinson - We Al-li Pty Ltd, Goolmangar, New South Wales, AustraliaRhonda Marriott - Murdoch UniversityCatherine Chamberlain - The University of Melbourne
- Publication Details
- BMJ open, Vol.14(7), e085555
- Publisher
- BMJ Publishing Group Ltd.
- Grant note
- 31110735 / Ian Potter Foundation (http://dx.doi.org/10.13039/501100001047) 2009348 / National Health and Medical Research Council (http://dx.doi.org/10.13039/501100000925)
- Identifiers
- 991005682568107891
- Copyright
- © Author(s) (or their employer(s)) 2024.
- Murdoch Affiliation
- Ngangk Yira Institute for Change
- Language
- English
- Resource Type
- Journal article
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