Healing Circles: An Evaluation of an Intervention for Canadian Indigenous Mothers and Children Affected by Intimate Partner Violence
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- University of Manitoba
- Enrollment
- 160
- Locations
- 1
- Primary Endpoint
- Maternal trauma symptoms
Study Overview
Brief Summary
Evaluation of Mother's Empowerment Program and Kid's Club Program adapted specifically for Indigenous mothers and children affected by intimate partner violence in Canada
Detailed Description
Research Goals & Objectives. Our overall goal is to conduct a feasibility study of two successful evidence-based interventions (Mother's Empowerment Program and Kid's Club Program) designed specifically to meet the needs of Indigenous mothers and their children who have experienced intimate partner violence (IPV).
Specifically, our objectives are:
- To successfully adapt two existing effective evidence-based interventions for mothers and children who have experienced IPV for Indigenous mothers and children who have experienced IPV. Our adaptation process reflects our overall integrated knowledge translation (iKT) approach, undertaken in close partnership with our Community Advisory Council (CAC) and in consultation with Elders at both sites. As outlined by the Canadian Institutes of Health Research (CIHR), it follows a two-eyed seeing approach, incorporating Western and Indigenous knowledge, ways of knowing and being.
- To pilot and evaluate our adapted interventions with mothers and children recruited from our community partners (Wahbung Abinoonjiiag, an Indigenous non-profit organization in Winnipeg and Discovery House, a crisis shelter and second stage housing facility for women in Calgary). We plan to evaluate our adapted programs using a two-eyed seeing approach that combines Western (quantitative) and Indigenous (qualitative) methodologies. As part of our iKT approach, our mixed methods evaluation will rely upon ongoing engagement and feedback from our CAC. Quantitative methods (e.g., standardized questionnaires) will be used to assess changes in the mental and physical health and well-being of mothers and their children over time. Qualitative methods (e.g., semi-structured interviews, narratives) will be used to evaluate the intervention experience and perceived changes in self perceptions (e.g., resilience).
Hypotheses. We will determine if there is an increase, both immediately post-intervention and sustained over 6-8 months, in mothers' and children's mental (e.g., resilience) and physical well-being (e.g., perceived health status), and if there is a reduction in mothers' and children's mental health (e.g., depression, anxiety and traumatic stress symptoms) and physical difficulties (e.g., somatic symptoms such as headaches). For children, analyses will take age, gender and sex into account.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 6 Years to 13 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •mothers self-reported experience of past intimate partner violence, English-speaking, with at least one school-aged child
Exclusion Criteria
- Not provided
Arms & Interventions
Wait List Control
Participants receive intervention after 12 week delay
Intervention: Indigenous Mother's Empowerment Program & Indigenous Kid's Club Program (Behavioral)
Outcomes
Primary Outcomes
Maternal trauma symptoms
Time Frame: Measured 6-8 months post-intervention
PTSD Checklist (PCL-5)
Child Depression
Time Frame: Measured 6-8 months post-intervention
Child Depression Inventory (CDI)
Maternal Anxiety
Time Frame: Measured 6-8 months post-intervention
Beck Anxiety Scale
Maternal Depression
Time Frame: Measured 6-8 months post-intervention
Centers for Epidemiological Studies-Depression (CES-D)
Child trauma symptoms
Time Frame: Measured 6-8 months post-intervention
University of California - Los Angeles (UCLA) Reaction Index
Child Anxiety
Time Frame: Measured 6-8 months post-intervention
Revised Children's Manifest Anxiety Scale - 2nd Edition Short Form (RCMAS-2)
Maternal Depression
Time Frame: Measured immediately post-intervention
Centers for Epidemiological Studies-Depression (CES-D)
Child Depression
Time Frame: Measured Immediately post-intervention
Child Depression Inventory (CDI)
Maternal Anxiety
Time Frame: Measured Immediately post-intervention
Beck Anxiety Scale
Child Anxiety
Time Frame: Measured immediately post-intervention
Revised Children's Manifest Anxiety Scale - 2nd Edition Short Form (RCMAS-2)
Maternal trauma symptoms
Time Frame: Measured immediately post-intervention
PTSD Checklist (PCL-5)
Child trauma symptoms
Time Frame: Measured immediately post-intervention
University of California - Los Angeles (UCLA) Reaction Index
Secondary Outcomes
- Maternal self esteem(Measured 6-8 months post-intervention)
- Maternal social support(Measured 6-8 months post-intervention)
- Maternal resilience(Measured 6-8 months post-intervention)
- Child resilience(Measured 6-8 months post-intervention)
- Maternal resilience(Measured immediately post-intervention)
- Child resilience(Measured immediately post-intervention)
- Maternal social support(Measured immediately post-intervention)
- Maternal self esteem(Measured immediately post-intervention)
Investigators
Caroline Piotrowski
Associate Professor
University of Manitoba
