Assessing children’s interpretations of the Aboriginal Children’s Health and Well-Being Measure (ACHWM)

Young, Nancy L.; Wabano, Mary Jo; Ritchie, Stephen D.; Burke, Tricia A.; Pangowish, Brenda; Corbiere, Rita G.

doi:10.1186/s12955-015-0296-3

Cited by 14 publications

(32 citation statements)

References 20 publications

(24 reference statements)

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“…The measure has four quadrant scores, representing the four directions of the medicine wheel. The validity and reliability of the ACHWM have previously been established, [13][14][15] as has its relevance to other Aboriginal communities in Ontario. [16][17][18] The objective of this paper is to describe the ACHWM screening process and evaluate its effectiveness.…”

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confidence: 99%

A screening mechanism to recognize and support at-risk Aboriginal children

Young

Jacko²,

Wabano³

et al. 2016

Can J Public Health

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OBJECTIVES:The Aboriginal Children's Health and Well-Being Measure© (ACHWM) was developed to assess health from the perspectives of Aboriginal children. The purpose of this paper is to document the screening process, embedded within the ACHWM, and assess its effectiveness. METHODS:The ACHWM was implemented in 2014/2015 with children 8 to 18 years of age living on the Wiikwemkoong Unceded Territory. Survey responses were screened to identify potential risk, using an automated algorithm run on computer tablets. Local mental health workers conducted brief mental health assessments to identify and support children at-risk. Data were analyzed to estimate effectiveness of this screening process.RESULTS: A total of 293 children completed the ACHWM. The screening tool identified 35% with potential risk. Mental health workers confirmed 18% of all participants as being at-risk, and all were referred for support. The sensitivity of the tool was 75% while specificity was 79%. Improvements to the screening algorithm resulted in a specificity of 97% and negative predictive value of 95%, with no loss of sensitivity.CONCLUSION: Responsible population health surveys require a process to recognize and respond to answers indicative of health risks. This paper provides an example of a screening and triage process that enabled our survey team to screen responses in real time, respond to potential risk immediately, and connect participants to local support services. This process proved essential to conducting an ethical survey. The high specificity and negative predictive value make it an effective triage tool that is particularly valuable in Aboriginal communities and with higher-risk populations.KEY WORDS: Mental health; early medical intervention; child; adolescent; Indigenous population; surveys and questionnaires La traduction du résumé se trouve à la fin de l'article.

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confidence: 99%

A screening mechanism to recognize and support at-risk Aboriginal children

Young

Jacko²,

Wabano³

et al. 2016

Can J Public Health

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“…It is widely agreed that developmental screening instruments designed in Western countries are not necessarily valid for children throughout the world . The use of these tools in Indigenous contexts is not culturally appropriate and is likely to lead to inaccurate results that are unhelpful and may be harmful . Respondents in our study shared these concerns; they reported that ad hoc modifications were often made, such as omitting items from the ASQ‐3 due to parents' difficulty understanding, leading respondents to question the ASQ‐3 accuracy.…”

Section: Discussionmentioning

confidence: 88%

Practitioners' perceptions of the ASQ‐TRAK developmental screening tool for use in Aboriginal children: A preliminary survey

D’Aprano

Johnston

Jarman

et al. 2019

J Paediatrics Child Health

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Aim:To determine health practitioners' experience of using the culturally adapted Ages and Stages Questionnaire -Talking about Raising Aboriginal Kids (ASQ-TRAK) and the Ages and Stages Questionnaire-3 (ASQ-3) with Australian Aboriginal families and their perception about parents' acceptability and understanding of the instruments. Methods: We surveyed a convenience sample of practitioners who had used both the ASQ-TRAK and the ASQ-3 developmental screening tools with Aboriginal children in the Northern Territory and South Australia. We compared their experience and perception about parents' acceptability and understanding of both instruments. Results: All 38 respondents used the ASQ-3 and 35 the ASQ-TRAK; 100% rated the ASQ-TRAK as more acceptable and easier to understand for parents compared with 68% (P < 0.001) and 52.6% (P < 0.001), respectively, for the ASQ-3. A greater proportion of respondents were satisfied using the ASQ-TRAK (100%) than the ASQ-3 (65.7%) (P = 0.003). A higher proportion indicated that the ASQ-TRAK was respectful (85.3% compared with ASQ-3 27.8%, P < 0.001), culturally relevant (70.6% compared to 16.2%, P < 0.001) and engaging (76.5% compared to 16.2%, P < 0.001). Qualitative exploration of respondents' comments supported the quantitative findings. The ASQ-TRAK was considered more culturally appropriate, engaging and useful. Conclusions: Our findings demonstrate that the culturally adapted ASQ-TRAK is preferred to the ASQ-3 by health practitioners in the Australian Aboriginal context. Failing to address cultural and linguistic factors and applying measurement tools developed for one population to another, is problematic in any setting. While further research is required to explore parents' experience directly, these data provide support for the ASQ-TRAK to be used in this context.

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“…Scores range from 0 to 100 and higher scores indicate better health. In addition to being culturally appropriate (Young et al, 2013;Young, Wabano, Ritchie, et al, 2015), it is also valid (Young, Wabano, Ritchie, et al, 2015;Young, Wabano, Usuba, et al, 2015) and reliable . In the hands of First Nations health leaders, the ACHWM process enables solutions to come from within each community (Saylor & Blackstock, 2005) and fosters empowerment (Chandler & Lalonde, 2009).…”

Section: The Aboriginal Children's Health and Well-being Measure (Achmentioning

confidence: 99%

“…The screening tool embedded within the Aboriginal Children's Health and Well-being Measure (ACHWM) 6 is a strategy for earlier identification. The ACHWM was developed by Aboriginal children and health providers, in collaboration with academic researchers (Young et al, 2013;Young, Wabano, Ritchie, et al, 2015;Young, Wabano, Usuba, et al, 2015). It is completed independently by children (8 to 18 years), using Android tablets.…”

Section: Introductionmentioning

confidence: 99%