{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T11:15:47Z","timestamp":1791976547854,"version":"4.4.0"},"reference-count":74,"publisher":"BMJ","issue":"6","funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Lowitja Institute CRC"},{"name":"Philanthropist Roberta Holmes"},{"name":"Research at MCRI is supported by the Victorian Government\u2019s Operational Infrastructure Support Program"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2019,5,9]]},"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>\n                      Child maltreatment and other traumatic events can have serious long-term physical, social and emotional effects, including a cluster of distress symptoms recognised as \u2018complex trauma\u2019. Aboriginal and Torres Strait Islander (Aboriginal) people are also affected by legacies of historical trauma and loss. Trauma responses may be triggered during the transition to parenting in the perinatal period. Conversely, becoming a parent offers a unique life-course opportunity for healing and prevention of intergenerational transmission of trauma. This paper outlines a conceptual framework and protocol for an Aboriginal-led, community-based participatory action research (action research) project which aims to co-design safe, acceptable and feasible perinatal\n                      <jats:italic>awareness, recognition, assessment<\/jats:italic>\n                      and\n                      <jats:italic>support<\/jats:italic>\n                      strategies for Aboriginal parents experiencing complex trauma.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>This formative research project is being conducted in three Australian jurisdictions (Northern Territory, South Australia and Victoria) with key stakeholders from all national jurisdictions. Four action research cycles incorporate mixed methods research activities including evidence reviews, parent and service provider discussion groups, development and psychometric evaluation of a recognition and assessment process and drafting proposals for pilot, implementation and evaluation. Reflection and planning stages of four action research cycles will be undertaken in four key stakeholder workshops aligned with the first four Intervention Mapping steps to prepare programme plans.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>Ethics and dissemination protocols are consistent with the National Health and Medical Research Council Indigenous Research Excellence criteria of engagement, benefit, transferability and capacity-building. A conceptual framework has been developed to promote the application of core values of safety, trustworthiness, empowerment, collaboration, culture, holism, compassion and reciprocity. These include related principles and accompanying reflective questions to guide research decisions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2018-028397","type":"journal-article","created":{"date-parts":[[2019,6,12]],"date-time":"2019-06-12T04:45:23Z","timestamp":1560314723000},"page":"e028397","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":58,"title":["Healing the Past by Nurturing the Future\u2014co-designing perinatal strategies for Aboriginal and Torres Strait Islander parents experiencing complex trauma: framework and protocol for a community-based participatory action research study"],"prefix":"10.1136","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3446-0227","authenticated-orcid":false,"given":"Catherine","family":"Chamberlain","sequence":"first","affiliation":[{"name":"Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Melbourne, Victoria, Australia"},{"name":"Intergenerational Health Group, Murdoch Children\u2019s Research Institute, Parkville, Victoria, Australia"},{"name":"School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graham","family":"Gee","sequence":"additional","affiliation":[{"name":"Intergenerational Health Group, Murdoch Children\u2019s Research Institute, Parkville, Victoria, Australia"},{"name":"Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9812-0067","authenticated-orcid":false,"given":"Stephanie Janne","family":"Brown","sequence":"additional","affiliation":[{"name":"Intergenerational Health Group, Murdoch Children\u2019s Research Institute, Parkville, Victoria, Australia"},{"name":"Women and Kids Theme, South Australian Health and Medical 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