Community-based screening and triage connecting First Nations children and youth to local supports: a cross-sectional study
BACKGROUND: First Nations children in Canada experience health inequities. We aimed to determine whether a self-report health app identified children’s needs for support earlier in their illness than would typically occur. METHODS: Children (aged 8 to 18 yr) were recruited from a rural First Nation...
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Online Access: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10721333/ http://www.ncbi.nlm.nih.gov/pubmed/38086558 https://doi.org/10.9778/cmajo.20220119 |
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ftpubmed:oai:pubmedcentral.nih.gov:10721333 2024-01-14T10:06:52+01:00 Community-based screening and triage connecting First Nations children and youth to local supports: a cross-sectional study Young, Nancy L. Anderson, Marnie M. Wabano, Mary Jo Trudeau, Trisha Jacko, Diane Mallick, Ranjeeta Momoli, Franco Thavorn, Kednapa Szatmari, Peter Usuba, Koyo McGregor, Lorrilee Restoule, Brenda Roy-Charland, Annie Barbic, Skye Pamela Cudmore, Alison Peltier, Shanna Mian, Oxana Mushquash, Christopher Linklater, Renee Hawthorne, Lauren Boydell, Katherine Mishibinijima, Debbie Kaboni, Linda Denommee, Jessica Neganegijig, Natalie Djeletovic, Katarina Wassengeso, Cody Recollet, Sylvia Roy, Melissa 2023-12-12 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10721333/ http://www.ncbi.nlm.nih.gov/pubmed/38086558 https://doi.org/10.9778/cmajo.20220119 en eng CMA Impact Inc. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10721333/ http://www.ncbi.nlm.nih.gov/pubmed/38086558 http://dx.doi.org/10.9778/cmajo.20220119 © 2023 CMA Impact Inc. or its licensors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY-NC-ND 4.0) licence, which permits use, distribution and reproduction in any medium, provided that the original publication is properly cited, the use is noncommercial (i.e., research or educational use), and no modifications or adaptations are made. See: https://creativecommons.org/licenses/by-nc-nd/4.0/ CMAJ Open Research Text 2023 ftpubmed https://doi.org/10.9778/cmajo.20220119 2023-12-17T02:08:19Z BACKGROUND: First Nations children in Canada experience health inequities. We aimed to determine whether a self-report health app identified children’s needs for support earlier in their illness than would typically occur. METHODS: Children (aged 8 to 18 yr) were recruited from a rural First Nation community. Children completed the Aaniish Naa Gegii: the Children’s Health and Well-being Measure (ACHWM) and then met with a local mental health worker who determined their risk status. ACHWM Emotional Quadrant Scores (EQS) were compared between 3 groups of children: healthy peers (HP) who were not at risk, those with newly identified needs (NIN) who were at risk and not previously identified, and a typical treatment (TT) group who were at risk and already receiving support. RESULTS: We included 227 children (57.1% girls), and the mean age was 12.9 (standard deviation [SD] 2.9) years. The 134 children in the HP group had a mean EQS of 80.1 (SD 11.25), the 35 children in the NIN group had a mean EQS of 67.2 (SD 13.27) and the 58 children in the TT group had a mean EQS of 66.2 (SD 16.30). The HP group had significantly better EQS than the NIN and TT groups (p < 0.001). The EQS did not differ between the NIN and TT groups (p = 0.8). INTERPRETATION: The ACHWM screening process identified needs for support among 35 children, and the associated triage process connected them to local services; the similarity of EQS in the NIN and TT groups highlights the value of community screening to optimize access to services. Future research will examine the impact of this process over the subsequent year in these groups. Text First Nations PubMed Central (PMC) Canada CMAJ Open 11 6 E1148 E1154 |
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Research Young, Nancy L. Anderson, Marnie M. Wabano, Mary Jo Trudeau, Trisha Jacko, Diane Mallick, Ranjeeta Momoli, Franco Thavorn, Kednapa Szatmari, Peter Usuba, Koyo McGregor, Lorrilee Restoule, Brenda Roy-Charland, Annie Barbic, Skye Pamela Cudmore, Alison Peltier, Shanna Mian, Oxana Mushquash, Christopher Linklater, Renee Hawthorne, Lauren Boydell, Katherine Mishibinijima, Debbie Kaboni, Linda Denommee, Jessica Neganegijig, Natalie Djeletovic, Katarina Wassengeso, Cody Recollet, Sylvia Roy, Melissa Community-based screening and triage connecting First Nations children and youth to local supports: a cross-sectional study |
topic_facet |
Research |
description |
BACKGROUND: First Nations children in Canada experience health inequities. We aimed to determine whether a self-report health app identified children’s needs for support earlier in their illness than would typically occur. METHODS: Children (aged 8 to 18 yr) were recruited from a rural First Nation community. Children completed the Aaniish Naa Gegii: the Children’s Health and Well-being Measure (ACHWM) and then met with a local mental health worker who determined their risk status. ACHWM Emotional Quadrant Scores (EQS) were compared between 3 groups of children: healthy peers (HP) who were not at risk, those with newly identified needs (NIN) who were at risk and not previously identified, and a typical treatment (TT) group who were at risk and already receiving support. RESULTS: We included 227 children (57.1% girls), and the mean age was 12.9 (standard deviation [SD] 2.9) years. The 134 children in the HP group had a mean EQS of 80.1 (SD 11.25), the 35 children in the NIN group had a mean EQS of 67.2 (SD 13.27) and the 58 children in the TT group had a mean EQS of 66.2 (SD 16.30). The HP group had significantly better EQS than the NIN and TT groups (p < 0.001). The EQS did not differ between the NIN and TT groups (p = 0.8). INTERPRETATION: The ACHWM screening process identified needs for support among 35 children, and the associated triage process connected them to local services; the similarity of EQS in the NIN and TT groups highlights the value of community screening to optimize access to services. Future research will examine the impact of this process over the subsequent year in these groups. |
format |
Text |
author |
Young, Nancy L. Anderson, Marnie M. Wabano, Mary Jo Trudeau, Trisha Jacko, Diane Mallick, Ranjeeta Momoli, Franco Thavorn, Kednapa Szatmari, Peter Usuba, Koyo McGregor, Lorrilee Restoule, Brenda Roy-Charland, Annie Barbic, Skye Pamela Cudmore, Alison Peltier, Shanna Mian, Oxana Mushquash, Christopher Linklater, Renee Hawthorne, Lauren Boydell, Katherine Mishibinijima, Debbie Kaboni, Linda Denommee, Jessica Neganegijig, Natalie Djeletovic, Katarina Wassengeso, Cody Recollet, Sylvia Roy, Melissa |
author_facet |
Young, Nancy L. Anderson, Marnie M. Wabano, Mary Jo Trudeau, Trisha Jacko, Diane Mallick, Ranjeeta Momoli, Franco Thavorn, Kednapa Szatmari, Peter Usuba, Koyo McGregor, Lorrilee Restoule, Brenda Roy-Charland, Annie Barbic, Skye Pamela Cudmore, Alison Peltier, Shanna Mian, Oxana Mushquash, Christopher Linklater, Renee Hawthorne, Lauren Boydell, Katherine Mishibinijima, Debbie Kaboni, Linda Denommee, Jessica Neganegijig, Natalie Djeletovic, Katarina Wassengeso, Cody Recollet, Sylvia Roy, Melissa |
author_sort |
Young, Nancy L. |
title |
Community-based screening and triage connecting First Nations children and youth to local supports: a cross-sectional study |
title_short |
Community-based screening and triage connecting First Nations children and youth to local supports: a cross-sectional study |
title_full |
Community-based screening and triage connecting First Nations children and youth to local supports: a cross-sectional study |
title_fullStr |
Community-based screening and triage connecting First Nations children and youth to local supports: a cross-sectional study |
title_full_unstemmed |
Community-based screening and triage connecting First Nations children and youth to local supports: a cross-sectional study |
title_sort |
community-based screening and triage connecting first nations children and youth to local supports: a cross-sectional study |
publisher |
CMA Impact Inc. |
publishDate |
2023 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10721333/ http://www.ncbi.nlm.nih.gov/pubmed/38086558 https://doi.org/10.9778/cmajo.20220119 |
geographic |
Canada |
geographic_facet |
Canada |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
CMAJ Open |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10721333/ http://www.ncbi.nlm.nih.gov/pubmed/38086558 http://dx.doi.org/10.9778/cmajo.20220119 |
op_rights |
© 2023 CMA Impact Inc. or its licensors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY-NC-ND 4.0) licence, which permits use, distribution and reproduction in any medium, provided that the original publication is properly cited, the use is noncommercial (i.e., research or educational use), and no modifications or adaptations are made. See: https://creativecommons.org/licenses/by-nc-nd/4.0/ |
op_doi |
https://doi.org/10.9778/cmajo.20220119 |
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CMAJ Open |
container_volume |
11 |
container_issue |
6 |
container_start_page |
E1148 |
op_container_end_page |
E1154 |
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1788061292062310400 |