Healing Circles: An Intervention for Canadian Indigenous Mothers & Children Affected by IPV

Study Overview
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Brief Summary
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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
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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.

Official Title
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Healing Circles: An Evaluation of an Intervention for Canadian Indigenous Mothers and Children Affected by Intimate Partner Violence

Conditions
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Violence, Domestic

Intervention / Treatment
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* Behavioral: Indigenous Mother's Empowerment Program & Indigenous Kid's Club Program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: mothers self-reported experience of past intimate partner violence, English-speaking, with at least one school-aged child Exclusion Criteria: -

Ages Eligible for Study
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Minimum Age: 6 Years
Maximum Age: 13 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Wait List Control<br>Participants receive intervention after 12 week delay | Behavioral: Indigenous Mother's Empowerment Program & Indigenous Kid's Club Program<br>* Weekly groups administered to mothers and children simultaneously but separately for 10 weeks<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Maternal Depression | Centers for Epidemiological Studies-Depression (CES-D) | Measured immediately post-intervention | 
| Maternal Depression | Centers for Epidemiological Studies-Depression (CES-D) | Measured 6-8 months post-intervention | 
| Child Depression | Child Depression Inventory (CDI) | Measured Immediately post-intervention | 
| Child Depression | Child Depression Inventory (CDI) | Measured 6-8 months post-intervention | 
| Maternal Anxiety | Beck Anxiety Scale | Measured Immediately post-intervention | 
| Maternal Anxiety | Beck Anxiety Scale | Measured 6-8 months post-intervention | 
| Child Anxiety | Revised Children's Manifest Anxiety Scale - 2nd Edition Short Form (RCMAS-2) | Measured immediately post-intervention | 
| Child Anxiety | Revised Children's Manifest Anxiety Scale - 2nd Edition Short Form (RCMAS-2) | Measured 6-8 months post-intervention | 
| Maternal trauma symptoms | PTSD Checklist (PCL-5) | Measured immediately post-intervention | 
| Maternal trauma symptoms | PTSD Checklist (PCL-5) | Measured 6-8 months post-intervention | 
| Child trauma symptoms | University of California - Los Angeles (UCLA) Reaction Index | Measured immediately post-intervention | 
| Child trauma symptoms | University of California - Los Angeles (UCLA) Reaction Index | Measured 6-8 months post-intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Maternal resilience | Adult Resilience Measure - revised (ARM-R) | Measured immediately post-intervention | 
| Maternal resilience | Adult Resilience Measure - revised (ARM-R) | Measured 6-8 months post-intervention | 
| Child resilience | Child & Youth Resilience Measure - revised (CYRM-R) | Measured immediately post-intervention | 
| Child resilience | Child & Youth Resilience Measure - revised (CYRM-R) | Measured 6-8 months post-intervention | 
| Maternal social support | Inventory of Socially Supportive Behaviors | Measured immediately post-intervention | 
| Maternal social support | Inventory of Socially Supportive Behaviors | Measured 6-8 months post-intervention | 
| Maternal self esteem | Rosenberg Self Esteem Scale | Measured immediately post-intervention | 
| Maternal self esteem | Rosenberg Self Esteem Scale | Measured 6-8 months post-intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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domestic violence, exposure to violence