PDF(Pubmed)
Abstract：
BACKGROUND: 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.
METHODS: 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.
METHODS: 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.
BACKGROUND: 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.
METHODS: 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.
METHODS: 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.
BACKGROUND: 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.
摘要：
背景：复杂创伤会对原住民和托雷斯海峡岛民家庭的健康和福祉产生严重影响。围产期代表了恢复和将创伤周期转化为愈合周期的“关键窗口”。通过培育未来来治愈过去（HPNF）项目旨在实施和评估一项战略计划，以改善对遭受复杂创伤的原住民和托雷斯海峡岛民家庭的支持。
方法：HPNF计划经过4年的共同设计，以提高意识，支持,创伤的识别和评估。组件包括(1)创伤感知，为服务提供者提供康复培训和资源包；(2)为父母提供创伤意识资源；(3)组织准备评估；(4)为父母和服务提供者建立一个数据库，以确定可获得的和适当的额外支持；(5)试行安全识别和评估流程。该计划将在维多利亚州的大型农村卫生服务中实施，澳大利亚,超过12个月。使用混合方法的评估将评估可行性，可接受性,成本,有效性和可持续性。这将包括服务用户和提供者访谈;服务使用和成本审计;以及父母和婴儿结局的行政关联数据研究。
方法：定性数据将使用反身性主题分析进行分析。定量和服务使用结果将被描述为计数和比例。对健康结果的评估将使用中断的时间序列分析。将对数据进行三角测量，并将其映射到实施研究和实现的综合框架，有效性,收养,实施和维护框架，以了解影响可行性的因素，可接受性,有效性,成本和可持续性。
背景：圣文森特墨尔本道德委员会批准（批准号239/22）。数据将根据协同设计研究方案中概述的策略进行传播，符合国家健康和医学研究委员会原住民和托雷斯海峡岛民研究卓越标准。
方法：HPNF计划经过4年的共同设计，以提高意识，支持,创伤的识别和评估。组件包括(1)创伤感知，为服务提供者提供康复培训和资源包；(2)为父母提供创伤意识资源；(3)组织准备评估；(4)为父母和服务提供者建立一个数据库，以确定可获得的和适当的额外支持；(5)试行安全识别和评估流程。该计划将在维多利亚州的大型农村卫生服务中实施，澳大利亚,超过12个月。使用混合方法的评估将评估可行性，可接受性,成本,有效性和可持续性。这将包括服务用户和提供者访谈;服务使用和成本审计;以及父母和婴儿结局的行政关联数据研究。
方法：定性数据将使用反身性主题分析进行分析。定量和服务使用结果将被描述为计数和比例。对健康结果的评估将使用中断的时间序列分析。将对数据进行三角测量，并将其映射到实施研究和实现的综合框架，有效性,收养,实施和维护框架，以了解影响可行性的因素，可接受性,有效性,成本和可持续性。
背景：圣文森特墨尔本道德委员会批准（批准号239/22）。数据将根据协同设计研究方案中概述的策略进行传播，符合国家健康和医学研究委员会原住民和托雷斯海峡岛民研究卓越标准。
