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

Kimberley Ann Jones; Helen Henderson; Tess Bright; Leonie Segal; Olivia Mauerhofer; Katherine Jane Lake; Rebakah Julian; Jhodie Duncan; Anita Raymond; Amanda Jones; Danielle Cameron; Doseena Fergie; Shawana Andrews; Skye Stewart; Caroline Atkinson; Alison Elliot; Belinda Crawford; Janine Mohammed; Gina Bundle; Tanja Hirvonen; Emmanuel Gnanamanickam; Elise Davis; Graham Gee; Helen Herrman; Jane Fisher; Raymond Lovett; Sandy Campbell; Della Anne Forster; Yvonne Clark; Judith Atkinson; Rhonda Marriott; Catherine Chamberlain

doi:10.1136/bmjopen-2024-085555

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

Kimberley Ann Jones, Helen Henderson, Tess Bright, Leonie Segal, Olivia Mauerhofer, Katherine Jane Lake, Rebakah Julian, Jhodie Duncan, Anita Raymond, Amanda Jones, Danielle Cameron, Doseena Fergie, Shawana Andrews, Skye Stewart, Caroline Atkinson, Alison Elliot, Belinda Crawford, Janine Mohammed, Gina Bundle, Tanja HirvonenEmmanuel Gnanamanickam, Elise Davis, Graham Gee, Helen Herrman, Jane Fisher, Raymond Lovett, Sandy Campbell, Della Anne Forster, Yvonne Clark, Judith Atkinson, Rhonda Marriott, Catherine Chamberlain

Nursing

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

53 Downloads (Pure)

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.

Original language	English
Article number	e085555
Pages (from-to)	1-10
Number of pages	10
Journal	BMJ Open
Volume	14
Issue number	7
DOIs	https://doi.org/10.1136/bmjopen-2024-085555
Publication status	Published - 2 Jul 2024

Bibliographical note

Publisher Copyright:
© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being
SDG 10 Reduced Inequalities

Access to Document

10.1136/bmjopen-2024-085555

article 2Final published version, 4.68 MBLicence: CC BY

Cite this

Jones, K. A., Henderson, H., Bright, T., Segal, L., Mauerhofer, O., Lake, K. J., Julian, R., Duncan, J., Raymond, A., Jones, A., Cameron, D., Fergie, D., Andrews, S., Stewart, S., Atkinson, C., Elliot, A., Crawford, B., Mohammed, J., Bundle, G., ... Chamberlain, C. (2024). 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, 14(7), 1-10. Article e085555. https://doi.org/10.1136/bmjopen-2024-085555

@article{3d0359943c2645a495d7c12a74a41a94,

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",

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. MethodThe 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. AnalysisQualitative 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.",

keywords = "health, health equity, implementation science",

author = "Jones, \{Kimberley Ann\} and Helen Henderson and Tess Bright and Leonie Segal and Olivia Mauerhofer and Lake, \{Katherine Jane\} and Rebakah Julian and Jhodie Duncan and Anita Raymond and Amanda Jones and Danielle Cameron and Doseena Fergie and Shawana Andrews and Skye Stewart and Caroline Atkinson and Alison Elliot and Belinda Crawford and Janine Mohammed and Gina Bundle and Tanja Hirvonen and Emmanuel Gnanamanickam and Elise Davis and Graham Gee and Helen Herrman and Jane Fisher and Raymond Lovett and Sandy Campbell and Forster, \{Della Anne\} and Yvonne Clark and Judith Atkinson and Rhonda Marriott and Catherine Chamberlain",

note = "Publisher Copyright: {\textcopyright} Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ.",

year = "2024",

month = jul,

day = "2",

doi = "10.1136/bmjopen-2024-085555",

language = "English",

volume = "14",

pages = "1--10",

journal = "BMJ Open",

issn = "2044-6055",

publisher = "British Medical Journal Publishing Group (BMJ Publishing)",

number = "7",

}

Jones, KA, Henderson, H, Bright, T, Segal, L, Mauerhofer, O, Lake, KJ, Julian, R, Duncan, J, Raymond, A, Jones, A, Cameron, D, Fergie, D, Andrews, S, Stewart, S, Atkinson, C, Elliot, A, Crawford, B, Mohammed, J, Bundle, G, Hirvonen, T, Gnanamanickam, E, Davis, E, Gee, G, Herrman, H, Fisher, J, Lovett, R, Campbell, S, Forster, DA, Clark, Y, Atkinson, J, Marriott, R & Chamberlain, C 2024, '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, no. 7, e085555, pp. 1-10. https://doi.org/10.1136/bmjopen-2024-085555

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. / Jones, Kimberley Ann; Henderson, Helen; Bright, Tess et al.
In: BMJ Open, Vol. 14, No. 7, e085555, 02.07.2024, p. 1-10.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Healing the Past by Nurturing the Future

T2 - Trauma-aware, healing-informed care to improve support for Aboriginal and Torres Strait Islander families - Implementation and evaluation study protocol

AU - Jones, Kimberley Ann

AU - Henderson, Helen

AU - Bright, Tess

AU - Segal, Leonie

AU - Mauerhofer, Olivia

AU - Lake, Katherine Jane

AU - Julian, Rebakah

AU - Duncan, Jhodie

AU - Raymond, Anita

AU - Jones, Amanda

AU - Cameron, Danielle

AU - Fergie, Doseena

AU - Andrews, Shawana

AU - Stewart, Skye

AU - Atkinson, Caroline

AU - Elliot, Alison

AU - Crawford, Belinda

AU - Mohammed, Janine

AU - Bundle, Gina

AU - Hirvonen, Tanja

AU - Gnanamanickam, Emmanuel

AU - Davis, Elise

AU - Gee, Graham

AU - Herrman, Helen

AU - Fisher, Jane

AU - Lovett, Raymond

AU - Campbell, Sandy

AU - Forster, Della Anne

AU - Clark, Yvonne

AU - Atkinson, Judith

AU - Marriott, Rhonda

AU - Chamberlain, Catherine

PY - 2024/7/2

Y1 - 2024/7/2

N2 - 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. MethodThe 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. AnalysisQualitative 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.

AB - 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. MethodThe 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. AnalysisQualitative 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.

KW - health

KW - health equity

KW - implementation science

UR - https://www.scopus.com/pages/publications/85197678051

U2 - 10.1136/bmjopen-2024-085555

DO - 10.1136/bmjopen-2024-085555

M3 - Article

C2 - 38960467

AN - SCOPUS:85197678051

SN - 2044-6055

VL - 14

SP - 1

EP - 10

JO - BMJ Open

JF - BMJ Open

IS - 7

M1 - e085555

ER -

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

Abstract

Bibliographical note

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this