Development of the Aboriginal Communication Assessment After Brain Injury (ACAABI): A screening tool for identifying acquired communication disorders in Aboriginal Australians

Armstrong, Elizabeth; Ciccone, Natalie; Hersh, Deborah; Katzenellebogen, Judith; Coffin, Juli; Thompson, Sandra C.; Flicker, Leon; Hayward, Colleen; Woods, Deborah; McAllister, Meaghan

doi:10.1080/17549507.2017.1290136

Cited by 14 publications

(9 citation statements)

References 64 publications

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“…Consistent with tool development within the wider population, briefness remains highly valued in the development of Aboriginal specific screening tools [33,34,51]. The screening tools have also generally maintained a closed system approach to screening [29,30,[52][53][54][55].…”

Section: Discussionmentioning

confidence: 99%

“…This includes studies that are examining the validity of 'mainstream' screening tools with Aboriginal populations [26,27]; adaptation studies which validate an 'Aboriginal version' of an existing tool [25,28,29]; and the development and validation of new Aboriginal specific screening tools [30][31][32]. These and other emerging endeavours [33] inform our understanding of what acceptable clinical screening practises look like for Aboriginal Australians.…”

Section: Introductionmentioning

confidence: 99%

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Why validation is not enough: Setting the scene for the implementation of the Kimberley Mum’s Mood Scale

et al. 2020

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Background The two part Kimberley Mum's Mood Scale (KMMS) has been developed and validated as a culturally appropriate perinatal depression and anxiety screening tool for Aboriginal women living in the sparsely populated Kimberley region of North West Australia. As part of implementation aspects of user acceptability were explored to improve clinical utilisation of the KMMS. Methods Eighteen health professionals involved in perinatal care participated in an online survey or a qualitative semi-structured interview. Ten Aboriginal women (who held administrative, professional or executive roles) were subsequently interviewed in depth to further explore aspects of KMMS user acceptability. Results Many of the health professionals were not using the second part of the KMMS (the psychosocial discussion tool). Time constraints and a perception that the KMMS is only appropriate for women with literacy issues were identified by health professionals as significant barriers to KMMS uptake. In contrast the Aboriginal women interviewed considered the KMMS to be important for literate Aboriginal women and placed high value on having the time and space to 'yarn' with health professionals about issues that are important to them. Conclusion Implementing the KMMS across the Kimberley region requires health professionals to be trained. It also requires strategic engagement with health services to ensure health professionals and mangers understand the rationale and significance of the KMMS and are engaged in its successful implementation.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Why validation is not enough: Setting the scene for the implementation of the Kimberley Mum’s Mood Scale

et al. 2020

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“…Consistent with tool development within the wider population, briefness remains highly valued in the development of Aboriginal specific screening tools (25,26,43). The screening tools have also generally maintained a closed system approach to screening (21,22,(44)(45)(46)(47).…”

Section: Discussionmentioning

confidence: 99%

“…This includes studies that are examining the validity of 'mainstream' screening tools with Aboriginal populations (18,19); adaptation studies which validate an 'Aboriginal version' of an existing tool (17,20,21); and the development and validation of new Aboriginal specific screening tools (22)(23)(24). These and other emerging endeavours Several studies detailing the development and validation of Aboriginal specific screening tools have been published (17,19,(21)(22)(23)(24)(25), few studies however, report on the process and outcomes of clinical implementation (26,27). Without this lens of enquiry it is impossible to understand if the overall objective for developing Aboriginal specific screening tools, namely health equity, is achieved.…”

Section: Introductionmentioning

confidence: 99%

Why validation is not enough: setting the scene for the implementation of the Kimberley Mum´s Mood Scale

Carlin

Spry

Atkinson

et al. 2019

Preprint

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Background The two part Kimberley Mums’ Mood Scale (KMMS) has been developed and validated as a culturally appropriate perinatal depression and anxiety screening tool for Aboriginal women living in the sparsely populated Kimberley region of North West Australia. As part of implementation, aspects of user acceptability were explored to improve clinical utilisation of the KMMS. Methods Eighteen health professionals involved in perinatal care participated in an online survey or a qualitative semi-structured interview. Ten Aboriginal women (who held administrative, professional or executive roles) were subsequently interviewed in depth to further explore aspects of KMMS user acceptability. Results Many of the health professionals were not using the second part of the KMMS (a psychosocial yarning tool). Time constraints and a perception that the KMMS is only appropriate for women with literacy issues were identified as significant barriers to KMMS uptake. The Aboriginal women interviewed considered the KMMS to also be important for literate Aboriginal women and placed high value on having the time and space to yarn to health professionals about issues that are important to them. Implementing the KMMS across the Kimberley region requires robust training of health professionals and strategic engagement with health services to ensure those clinical environments are able to understand the rationale and significance of the KMMS and be engaged in its successful implementation. Conclusion Routine perinatal mental health screening that is efficacious and acceptable to Aboriginal women is an important public health priority. Identifying and addressing barriers to implementation contributes to our understanding of the complexity of improving routine clinical practise.

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“…In screening for impairment after brain injury, identification of acquired communication disorders is an important first step in designing appropriate services and supports because of the centrality of linguistic and cultural differences in communication (Armstrong et al , 2018). The work that has been done in Australia with First Nations people to reflect cross-cultural differences in screening and assessment instruments provides an example of ways to blend Aboriginal and Western speech pathology epistemologies and develop culturally valid content and administrative procedures (Armstrong et al , 2017; Armstrong et al , 2018). Research to better understand cognitive impairment in older First Nations people in Australia has attempted to provide normative data for this population group from commonly used cognitive assessments, and it has made valuable contributions to research and clinical applications (Lavrencic et al , 2019; Dingwall et al , 2014; Radford et al , 2015a; Radford et al , 2015b; Dingwall et al , 2017; Shepherd et al , 2017).…”

Section: Introductionmentioning

confidence: 99%

Screening prisoners for cognitive impairment – literature review

Catalano

Mason

Brolan

et al. 2020

JIDOB

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Purpose The authors reviewed studies of validated tools to screen for cognitive impairment among prisoners. The purpose of this paper is to assist organisations in identifying cognitive impairment in correctional facilities. Design/methodology/approach A targeted literature review identified peer-reviewed articles on screening of adults in jails, prisons, police watch-houses, custody suites, rehabilitation facilities and forensic settings or community settings for offenders. Validation of screening tools in secure settings, psychometric properties and cultural discrimination is included in this review. Findings Eight screening tools are considered suitable for use in correctional settings. Two screening tools are recommended for cognitive impairment, one is recommended for adaptive functioning assessment and one is recommended for screening of brain injury. Two screening tools are noted to be subject to piloting and further development for use with First Nations people, and two screening tools for cognitive impairment are noted for positive consideration. Research limitations/implications Recommendations for screening tools are based on review only and evaluation was infeasible. Practical implications Short, reliable measures of cognitive ability for use in correctional facilities are needed. Such tools must be appropriate with respect to their purpose, feasible within the clinical capability of staff and sufficiently cheap to administer to allow widespread use. Originality/value Screening of prisoners for cognitive impairment allows early detection to facilitate rehabilitation and therapy. This research is at the systems level. Therefore, the authors do not purport to provide guidance for individual clinicians.

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Development of the Aboriginal Communication Assessment After Brain Injury (ACAABI): A screening tool for identifying acquired communication disorders in Aboriginal Australians

Abstract: There is a need for a screening tool for ACD to be developed but any tool must be informed by knowledge of Aboriginal language, culture and community input in order to be acceptable and valid.

Cited by 14 publications

References 64 publications

Why validation is not enough: Setting the scene for the implementation of the Kimberley Mum’s Mood Scale

Why validation is not enough: Setting the scene for the implementation of the Kimberley Mum’s Mood Scale

Why validation is not enough: setting the scene for the implementation of the Kimberley Mum´s Mood Scale

Screening prisoners for cognitive impairment – literature review

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