Janca Aleksandar, Lyons Zaza, Balaratnasingam Sivasankaran, Parfitt Dora, Davison Sophie, Laugharne Jonathan
Winthrop Professor, School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, WA, Australia
Assistant Professor, School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, WA, Australia.
Australas Psychiatry. 2015 Jun;23(3):287-92. doi: 10.1177/1039856215584514. Epub 2015 May 4.
Assessment of Aboriginal social and emotional wellbeing (SEWB) is a complex and challenging task, in part due to a lack of suitable assessment tools. This paper reports the development and evaluation of a culturally appropriate screening tool called the Here and Now Aboriginal Assessment (HANAA).
The initial phase included development of a glossary of Aboriginal terms and concepts relating to SEWB. The glossary was used to identify 10 key HANAA domains, which included physical health, sleep, mood, suicide risk and self harm, substance use, memory, unusual experiences, functioning, life stressors and resilience. Evaluation of the HANAA included exploration of its cultural applicability, feasibility, reliability and validity.
The HANAA was well accepted by study participants and easily implemented by assessors. Reliability was good, with inter-rater agreements between Aboriginal and non-Aboriginal assessors measured by Kappa statistics ranging from 0.5 to 1.0. There was also a good agreement between assessors and treating clinicians in identifying the main presenting problem and recommended course of action.
The HANAA is a culturally appropriate and useful tool for the screening of SEWB among Aboriginal adults. It can also be used for teaching and training purposes of mental health and other professionals working with Aboriginal people.
评估原住民的社会和情感幸福（SEWB）是一项复杂且具有挑战性的任务，部分原因是缺乏合适的评估工具。本文报告了一种名为“此时此地原住民评估”（HANAA）的文化适宜性筛查工具的开发与评估情况。
初始阶段包括编写一份与SEWB相关的原住民术语和概念词汇表。该词汇表用于确定HANAA的10个关键领域，包括身体健康、睡眠、情绪、自杀风险与自我伤害、物质使用、记忆、异常经历、功能、生活压力源和恢复力。对HANAA的评估包括探索其文化适用性、可行性、可靠性和有效性。
HANAA受到研究参与者的广泛认可，评估人员也易于实施。可靠性良好，原住民和非原住民评估人员之间的评分者间一致性通过Kappa统计量衡量，范围在0.5至1.0之间。在确定主要呈现问题和推荐的行动方案方面，评估人员与治疗临床医生之间也有良好的一致性。
HANAA是一种用于筛查原住民成年人SEWB的文化适宜且有用的工具。它还可用于心理健康及其他与原住民合作的专业人员的教学和培训目的。
