Young Nancy L, Wabano Mary Jo, Blight Shannon, Baker-Anderson Karen, Beaudin Roger, McGregor Leslie F, McGregor Lorrilee E, Burke Tricia A
935 Ramsey Lake Road, Sudbury, ON, Canada P3E 2C6.
16A Complex Drive, Wiikwemikoong, ON, Canada P0P 2J0.
Rural Remote Health. 2017 Apr-Jun;17(2):3941. doi: 10.22605/rrh3941. Epub 2017 Apr 4.
Aboriginal children in Canada experience significant disparities in health in comparison to their mainstream peers. As Aboriginal communities and agencies strive to improve health, it is important to measure the impact of new programs and services. Since many Aboriginal children live in rural and remote communities, it is important that communities have access to measurement tools that are relevant and feasible to implement in these contexts.The Aboriginal Children's Health and Well-being Measure (ACHWM) was developed to meet the need for a culturally relevant measure of health and wellbeing for Aboriginal children (ages 8-18 years) in Canada. It was developed within one First Nation community: the Wiikwemkoong Unceded Territory. The intention from inception was to ensure the feasibility and relevance of the ACHWM to other Aboriginal communities. The purpose of this article is to describe the relevance of the ACHWM beyond Wiikwemkoong.
This article presents the results of a community-based and collaborative research study that was jointly led by an academic researcher and a First Nations Health leader. The research began with the 58-question version of the ACHWM developed in Wiikwemkoong. The ACHWM was then submitted to a well-established process of community review in four new communities (in sequence): Weechi-it-te-win Family Services, M'Chigeeng First Nation, Whitefish River First Nation, and the Ottawa Inuit Children's Centre (OICC). The review process included an initial review by local experts, followed by a detailed review with children and caregivers through a detailed cognitive debriefing process. Each community/agency identified changes necessary to ensure appropriate fit in their community. The results from all communities were then aggregated and analysed to determine the similarities and differences.
This research was conducted in 2014 and 2015 at four sites. Interviews with 23 children and 21 caregivers were completed. Key lessons were learned in all communities that enabled the team to improve the ACHWM in subtle but important ways. A total of 12 questions were revised, and four new questions were added during the process. This produced a 62-question version of the ACHWM, which was endorsed by all communities.
The ACHWM has been improved through a detailed review process in four additional communities/agencies and resulted in a stable 62-question version of the survey. This process has demonstrated the relevance of the ACHWM to a variety of Aboriginal communities. This survey provides Aboriginal communities with a culturally appropriate tool to assess and track their children's health outcomes, enabling them to gather new evidence of child health needs and the effectiveness of programs in the future.
与加拿大主流同龄人相比，加拿大原住民儿童在健康方面存在显著差异。随着原住民社区和机构努力改善健康状况，衡量新计划和服务的影响非常重要。由于许多原住民儿童生活在农村和偏远社区，让社区能够使用在这些环境中相关且可行的衡量工具很重要。原住民儿童健康与福祉衡量工具（ACHWM）的开发是为了满足对加拿大原住民儿童（8至18岁）健康与福祉进行文化相关衡量的需求。它是在一个原住民社区内开发的：威克温孔未割让领土。从一开始的意图就是确保ACHWM对其他原住民社区的可行性和相关性。本文的目的是描述ACHWM在威克温孔之外的相关性。
本文介绍了一项基于社区的合作研究的结果，该研究由一位学术研究人员和一位原住民健康领袖共同牵头。研究始于在威克温孔开发的有58个问题的ACHWM版本。然后，ACHWM在四个新社区（依次为：韦奇 - 伊特 - 特 - 温家庭服务中心、米奇金第一民族、白鱼河第一民族和渥太华因纽特儿童中心（OICC））经历了一个完善的社区审查过程。审查过程包括由当地专家进行初步审查，随后通过详细的认知汇报过程与儿童及其照顾者进行详细审查。每个社区/机构都确定了为确保在其社区适用而必要的更改。然后汇总并分析所有社区的结果以确定异同。
这项研究于2014年和2015年在四个地点进行。完成了对23名儿童和21名照顾者的访谈。在所有社区都吸取了关键经验教训，使团队能够以微妙但重要的方式改进ACHWM。在此过程中总共修订了12个问题，并增加了4个新问题。这产生了一个有62个问题的ACHWM版本，得到了所有社区的认可。
通过在另外四个社区/机构进行详细审查过程，ACHWM得到了改进，产生了一个稳定的有62个问题的调查版本。这一过程证明了ACHWM与各种原住民社区的相关性。这项调查为原住民社区提供了一个文化上合适的工具，以评估和跟踪其儿童的健康结果，使他们能够在未来收集有关儿童健康需求和计划有效性的新证据。
