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Nurturing Environments for Shaping Trauma-responsive care and recovery (NEST): a realist co-production development study

Nurturing Environments for Shaping Trauma-responsive care and recovery (co-developing and piloting a trauma-informed toolkit for children aged 10-17 years in residential homes: enhancing care and recovery)

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN17921858
Enrollment
40
Registered
2025-06-13
Start date
2025-02-01
Completion date
Unknown
Last updated
2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Children's residential care Other

Interventions

Current interventions as of 15/07/2026: The intervention involves the piloting and co-development of a trauma-responsive framework and toolkit designed to improve care for children aged 10-17 years li

Sponsors

Greater Manchester Mental Health NHS Foundation Trust
Lead Sponsor

Eligibility

Sex/Gender
All
Age
10 Years to 99 Years

Inclusion criteria

Inclusion criteria: Every person eligible to take part will be offered the same opportunities, regardless of any protected characteristics. Due to our aim to recruit children, young people and their parents/carers, our age range for the study is 10-99 years. Any young person aged eleven years old and over who has been placed in the care of one of the six participating homes for cared for children will be eligible to take part. Frontline staff, home managers, associated social workers, and other care staff involved in the day to day running of the homes and delivery of care will have the opportunity to take part. Due to the systemic nature of this study, if a young person at any of the homes does not want to take part in the study as a participant, they do not need to opt-in to take part in data collection directly. However, as the homes have agreed to take part in this study to improve the standard of care, there may be an indirect impact on that young person’s care. For example, the people who care for that young person are likely to be engaging in additional training, supervision, and record keeping activities, so routine outcome measure data routinely collected for that child may anonymously feed into monitoring data contributed to the study.

Exclusion criteria

Exclusion criteria: Young people with no connection to the six homes where the study is based will not be invited to participate as participants in this study, directly or indirectly. We do not anticipate young people under the age of 16 years old will be involved as stakeholder advisors.

Design outcomes

Primary

MeasureTime frame
Current primary outcomes as of 15/07/2026: 1. Children's health-related quality of life is measured using the KIDSCREEN-52 measure at baseline, mid-point and end of the pilot, or when the child leaves the home if before the end of the pilot 2. Anxiety and depression are measured using the Revised Children’s Anxiety and Depression Scale (RCADS) at baseline and end of the pilot, or when the child leaves the home if before the end of the pilot 3. Resilience is measured using the Bounce Forwards Scale at baseline and end of the pilot, or when the child leaves the home if before the end of the pilot 4. Emotional support is measured using the Emotional Support Scale at baseline and end of the pilot, or when the child leaves the home if before the end of the pilot 5. Experience of the care environment is measured using the Care Environment Scale at baseline and end of the pilot, or when the child leaves the home if before the end of the pilot 6. Experiences of the intervention are measured using spoken narrative data from the children’s key workers, designated social workers, and home managers every eight weeks 7. Thoughts and views on the experience of the TIC intervention are measured using semi-structured interviews and/or reflective group discussions at the start, middle, and end of the pilot 8. Feedback on the intervention is measured using an anonymous Qualtrics platform for written feedback during the pilot Previous primary outcomes: 1. Strengths and difficulties are measured using the Strengths and Difficulties Questionnaire (SDQ) at baseline and end of the pilot, or when the child leaves the home if before the end of the pilot 2. Anxiety and depression are measured using the Revised Children’s Anxiety and Depression Scale (RCADS) at baseline and end of the pilot, or when the child leaves the home if before the end of the pilot 3. Resilience is measured using the Bounce Forwards Scale at baseline and end of the pilot, or when the child leaves the home if before th

Secondary

MeasureTime frame
1. Key workers and home managers will keep a fortnightly pen portrait documenting intervention integration, integrity, and implementation, which will be accompanied by supportive Microsoft Teams and in-person supervision with a member of the research team. 2. At the start, middle and end of the pilot, all staff members will be asked to complete the Professional Quality of Life Scale (Geoffrion et al, 2019), and a brief TIC self-assessment reflective exercise, which will be created by the research team during WP1. This process will help us identify any changes and tentatively explore relationships between the implementation of the TIC intervention and compassion satisfaction, burnout, and secondary traumatic stress.

Countries

England, United Kingdom

Contacts

Public ContactSarah;Sadie Parry;Rodell

;

sarah.parry@manchester.ac.uk;sadie.rodell@nhs.net+44 (0)161 716 3000;+44 (0)161 716 3000

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Aug 10, 2026