Ignite Creation Date:
2024-07-17 @ 11:54 AM
Last Modification Date:
2024-10-26 @ 3:32 PM
Study NCT ID:
NCT06466694
Status:
ACTIVE_NOT_RECRUITING
Last Update Posted:
2024-06-20
First Post:
2024-05-22
Brief Title:
Pathways to Care-Understanding the Impact of an Indigenous Elder Co-lead in Perinatal Dialectical Behaviour Therapy
Sponsor:
University of Manitoba
Organization:
University of Manitoba
Study Overview
Official Title:
Pathways to Care-Understanding the Impact of an Indigenous Elder Co-lead in Perinatal Dialectical Behaviour Therapy DBT Skills Sessions in Pregnant Persons With Complex Care Needs
Status:
ACTIVE_NOT_RECRUITING
Status Verified Date:
2024-05
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
To integrate traditional Indigenous Knowledge with gold-standard therapy to enrich the patient experience from an anti-oppressive culturally safe perspective for marginalized individuals with psychosocially complex pregnancies The Knowledge Carrier does not have a prescribed way of integrating Indigenous knowledge but will respond to each patient on an individual basis depending on the needs in the current session supporting the patients with story-telling and validation of Indigenous beliefs regarding well-being in pregnancy
Specific Aim 1 To evaluate through a patient lens content of the Dialectical Behavior Therapy DBT through the lens of an Indigenous Knowledge Carrier Elder to make content more rich and accessible to marginalized persons
Specific Aim 2 To provide a culturally safe space and anti-oppressive care environment for both Indigenous and non-Indigenous patients in keeping with the Truth and Reconciliation Call to Action 22
Specific Aim 1 To evaluate through a patient lens content of the Dialectical Behavior Therapy DBT through the lens of an Indigenous Knowledge Carrier Elder to make content more rich and accessible to marginalized persons
Specific Aim 2 To provide a culturally safe space and anti-oppressive care environment for both Indigenous and non-Indigenous patients in keeping with the Truth and Reconciliation Call to Action 22
Detailed Description:
Dialectical Behavior Therapy DBT is considered gold-standard therapy for individuals with borderline personality and increasingly first line for addictions coping deficits and social instability Participants will be asked to evaluate the integration of an Indigenous Knowledge Carrier Elder into a DBT program at an inner-city prenatal clinic Patients will be pregnant or newly postpartum and qualify for DBT for routine mental health or substance associated indications Therapy offerings will be customized to include traditional practices ie smudging meditation and teachings ie medicine wheel 7 Sacred Teachings along with standard evidence-based content The therapy will be co-delivered by the Elder a perinatal psychiatrist and social worker trained in DBT Evaluation of this modified program will be voluntary The pre-interview guide is guided by an Appreciative Inquiry lens The post-interview guide will be developed after analysis of the content from the pre-interview guide Appreciative Inquiry is a qualitative research method which focuses on a strengths-based approach The investigators will thematically analyze the data from the prepost interviews into the predefined five stages of Appreciative Inquiry
The investigators will utilize the Methods for Patient and Public Engagement Guide to map our research stage level and method of engagement These stages include preparing for execution data collection data analysis dissemination implementation and evaluation Within each of these stages there are various engagement levels consult collaborate and partner representative and then various methods of engagement appreciative inquiry discussion groups consultations etc With this stepwise approach the investigators will identify outcomes-measures that are meaningful to the population served via patient feedback
The investigators will utilize the Methods for Patient and Public Engagement Guide to map our research stage level and method of engagement These stages include preparing for execution data collection data analysis dissemination implementation and evaluation Within each of these stages there are various engagement levels consult collaborate and partner representative and then various methods of engagement appreciative inquiry discussion groups consultations etc With this stepwise approach the investigators will identify outcomes-measures that are meaningful to the population served via patient feedback
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None