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https://hdl.handle.net/2440/136431
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Type: | Journal article |
Title: | Using participatory action research to co-design perinatal support strategies for Aboriginal and Torres Strait Islander parents experiencing complex trauma |
Author: | Reid, C. Gee, G. Bennetts, S.K. Clark, Y. Atkinson, C. Dyall, D. Nicholson, J.M. Chamberlain, C. |
Citation: | Women and Birth, 2022; 35(5):e494-e501 |
Publisher: | Elsevier |
Issue Date: | 2022 |
ISSN: | 1871-5192 1878-1799 |
Statement of Responsibility: | Carol Reid, Graham Gee, Shannon K. Bennetts, Yvonne Clark, Caroline Atkinson, Danielle Dyall, Jan M. Nicholson, Catherine Chamberlain |
Abstract: | Problem & background: Support is important for all parents but critical for those experiencing complex trauma. The The Healing the Past by Nurturing the Future project uses participatory action research to co-design effective perinatal support for Aboriginal and Torres Strait Islander parents. Aim: This research aims to identify and refine culturally appropriate support strategies for Aboriginal and Torres Strait Islander parents experiencing complex trauma. Design: We presented our synthesised eight parent support goals and 60 strategies, collated from Elder and parent focus groups, previous participatory workshops, and evidence reviews, for discussion at a stakeholder workshop. Stakeholder perspectives were captured using a three-point agreement activity and, self- and scribe-recorded comments. Aboriginal and non-Aboriginal researchers analysised the qualitative data, to identify core factors which might facilitate or help enact the parenting related goals. Findings: Overall, stakeholders (n = 37) strongly endorsed all eight goals. Workshop attendees (57% Aboriginal) represented multiple stakeholder roles including Elder, parent and service provider. Four core factors were identified as crucial for supporting parents to heal from complex trauma: Culture (cultural traditions, practices and strengths), Relationality (family, individual, community and services), Safety (frameworks, choice and control) and Timing (the right time socio-emotionally and stage of parenting). Discussion: Context-specific support tailored to the Culture, Relationality, Safety, and Timing needs of parents is essential. These four factors are important elements to help enact or facilitate parenting support strategies. Conclusion: Further work is now required to develop practical resources for parents, and to implement and evaluate these strategies in perinatal care to address cumulative and compounding cycles of intergenerational trauma. |
Keywords: | Aboriginal Australians; Parents; Historical trauma; Support; Perinatal care |
Rights: | © 2021 The Authors. Published by Elsevier Ltd on behalf of Australian College of Midwives. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
DOI: | 10.1016/j.wombi.2021.12.005 |
Grant ID: | http://purl.org/au-research/grants/nhmrc/1141593 http://purl.org/au-research/grants/nhmrc/1088813 http://purl.org/au-research/grants/nhmrc/1161841 http://purl.org/au-research/grants/nhmrc/1178590 |
Published version: | http://dx.doi.org/10.1016/j.wombi.2021.12.005 |
Appears in Collections: | Psychology publications |
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hdl_136431.pdf | Published version | 2.67 MB | Adobe PDF | View/Open |
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