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.

Autor:	Jones KA; Indigenous Health Equity Unit, Onemda, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia., Henderson H; Indigenous Health Equity Unit, Onemda, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia., Bright T; Indigenous Health Equity Unit, Onemda, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia., Segal L; Health Economics and Social Policy Group, University of South Australia, Adelaide, South Australia, Australia., Mauerhofer O; Indigenous Health Equity Unit, Onemda, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia., Lake KJ; Indigenous Health Equity Unit, Onemda, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia., Julian R; Indigenous Health Equity Unit, Onemda, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia., Duncan J; Latrobe Regional Hospital, Traralgon, Victoria, Australia., Raymond A; Latrobe Regional Hospital, Traralgon, Victoria, Australia., Jones A; Victoria Aboriginal Child and Community Agency, Melbourne, Victoria, Australia., Cameron D; Indigenous Health Equity Unit, Onemda, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia., Fergie D; Indigenous Health Equity Unit, Onemda, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia., Andrews S; Poche Centre for Indigenous Health, The University of Melbourne, Melbourne, Victoria, Australia., Stewart S; Indigenous Health Equity Unit, Onemda, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia., Atkinson C; Indigenous Health Equity Unit, Onemda, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia., Elliot A; The Bouverie Centre, La Trobe University, Melbourne, Victoria, Australia., Crawford B; Latrobe City Council, Morwell, Victoria, Australia., Mohammed J; Lowitja Institute, Melbourne, Victoria, Australia., Bundle G; Royal Women's Hospital, Melbourne, Victoria, Australia., Hirvonen T; College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia., Gnanamanickam E; Health Economics and Social Policy Group, University of South Australia, Adelaide, South Australia, Australia.; Adelaide EpiCentre, The University of Adelaide, Adelaide, South Australia, Australia., Davis E; Indigenous Health Equity Unit, Onemda, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia., Gee G; Murdoch Childrens Research Institute, Melbourne, Victoria, Australia.; School of Psychological Sciences, The University of Melbourne, Melbourne, Victoria, Australia., Herrman H; Orygen Youth Health Research Centre and Centre for Youth Mental Health, Orygen Ltd, Melbourne, Victoria, Australia.; Centre for Youth Mental Health, The University of Melbourne, Melbourne, Victoria, Australia., Fisher J; Global and Women's Health, Monash University, Melbourne, Victoria, Australia., Lovett R; National Centre for Aboriginal and Torres Strait Islander Wellbeing Research, Australian National University, Canberra, Australian Capital Territory, Australia., Campbell S; Charles Darwin University, Darwin, Northern Territory, Australia., Forster DA; Judith Lumley Centre, La Trobe University, Melbourne, Victoria, Australia.; Maternity Services, Royal Women's Hospital, Melbourne, Victoria, Australia., Clark Y; South Australian Health and Medical Research Institute Limited, Adelaide, South Australia, Australia., Atkinson J; We Al-li Pty Ltd, Goolmangar, New South Wales, Australia., Marriott R; Ngangk Yira Institute for Change, Murdoch University, Perth, Western Australia, Australia., Chamberlain C; Indigenous Health Equity Unit, Onemda, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia cacham@unimelb.edu.au.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2024 Jul 02; Vol. 14 (7), pp. e085555. Date of Electronic Publication: 2024 Jul 02.
DOI:	10.1136/bmjopen-2024-085555
Abstrakt:	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. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ.)
Databáze:	MEDLINE
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