Reliability of the Aboriginal Children’s Health and Well-Being Measure (ACHWM)

Young, Nancy L.; Wabano, Mary Jo; Usuba, Koyo; Mishibinijima, Debbie; Jacko, Diane; Burke, Tricia A.

doi:10.1186/s40064-016-3776-y

Cited by 10 publications

(29 citation statements)

References 17 publications

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“…The ACHWM was created for and with Aboriginal children and youth, † between the ages of 8 and 18 years, to assess health from their perspectives. 12 The initial development work was conducted in collaboration with First Nations children in Wiikwemkoong Unceded Territory. The measure has four quadrant scores, representing the four directions of the medicine wheel.…”

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confidence: 99%

“…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%

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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%

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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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“…17 This measure has been thoroughly tested with First Nations children in Wiikwemkoong, as well as with Métis and Inuit children in urban contexts. 15 The results have demonstrated the validity of the self-reported ACHWM for children 8 to 18 years of age in comparison with the Pediatric Quality of Life Inventory (PedsQL; r = 0.52) 18 and its reliability (test-retest intraclass correlation coefficient = 0.94). 19 The aim of this paper is to establish typical ACHWM health profiles for First Nations children living on-reserve, to assist in the interpretation of ACHWM scores.…”

Section: Researchmentioning

confidence: 86%

“…Items for the ACHWM were generated using focus groups and photovoice methods with children from Wiikwemkoong Unceded Territory and later validated across other First Nations, Inuit and Métis populations. 15 A key goal during the development process was to ensure that the ACHWM was reliable, feasible and sustainable and furthermore that the tool would be relevant to inform local health planning in Wiikwemkoong and other Aboriginal communities in Canada.…”

Section: Researchmentioning

confidence: 99%

Health profiles of First Nations children living on-reserve in Northern Ontario: a pooled analysis of survey data

Wabano¹,

McGregor²,

Beaudin³

et al. 2019

cmajo

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vidence-based health care is considered a gold standard for clinical practice, policy and planning, 1,2 but it is not yet an option for many Aboriginal communities in Canada. (Note that the term Aboriginal is used in this paper, rather than Indigenous, on the basis of guidance from the community-based Aboriginal Children's Health and Well-being Measure Advisory Committee. Aboriginal peoples include First Nations, Inuit and Métis.) First Nations health directors require local health data that extend beyond the biomedical. From their perspectives, the most meaningful data reflect First Nations models of health and are relevant to Aboriginal cultures and contexts. Decision-makers who are responsible for Aboriginal children's health are challenged when searching for relevant health statistics, because most available statistics are based on illness (e.g., rates of diabetes 3,4) rather than wellness. When health data are presented, the results are typically aggregated at the provincial or national level. 5 As a result, there is a critical absence of health data that are relevant at the local level. 6-8 While national and provincial data are helpful in identifying problems, this information is far less helpful in identifying solutions. Given that each Aboriginal population is distinct (culturally, politically and geographically), the assumption that decisions can be made on the basis of provincial or national estimates is inherently flawed. There have been several calls for solution-focused action to promote health among Aboriginal children in Canada. 9-12

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“…It is culturally appropriate for First Nations children and has been successfully adapted for independent completion by children (ages 8-18 years) using Android tablets. This approach to measuring Aboriginal child health is valid 12,13 , reliable 14 , and has the support of the Chiefs of Ontario (All Ontario Chiefs Conference Resolution #13/15).…”

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confidence: 99%