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 Na...
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Online Access: | http://hdl.handle.net/1959.4/unsworks_85165 https://unsworks.unsw.edu.au/bitstreams/a223e8d8-8ab2-4469-ba94-71d2e83cc5e4/download https://doi.org/10.9778/cmajo.20220119 |
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ftunswworks:oai:unsworks.library.unsw.edu.au:1959.4/unsworks_85165 2024-05-19T07:40:23+00:00 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 2023-11 application/pdf http://hdl.handle.net/1959.4/unsworks_85165 https://unsworks.unsw.edu.au/bitstreams/a223e8d8-8ab2-4469-ba94-71d2e83cc5e4/download https://doi.org/10.9778/cmajo.20220119 unknown Joule http://hdl.handle.net/1959.4/unsworks_85165 https://unsworks.unsw.edu.au/bitstreams/a223e8d8-8ab2-4469-ba94-71d2e83cc5e4/download https://doi.org/10.9778/cmajo.20220119 open access https://purl.org/coar/access_right/c_abf2 CC BY-NC-ND https://creativecommons.org/licenses/by-nc-nd/4.0/ free_to_read urn:ISSN:2291-0026 CMAJ Open, 11, 6, e1148-e1154 Pediatric Clinical Research Health Services Prevention Mental health 3 Good Health and Well Being journal article http://purl.org/coar/resource_type/c_6501 2023 ftunswworks https://doi.org/10.9778/cmajo.20220119 2024-04-24T00:24:00Z 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. Article in Journal/Newspaper First Nations UNSW Sydney (The University of New South Wales): UNSWorks CMAJ Open 11 6 E1148 E1154 |
institution |
Open Polar |
collection |
UNSW Sydney (The University of New South Wales): UNSWorks |
op_collection_id |
ftunswworks |
language |
unknown |
topic |
Pediatric Clinical Research Health Services Prevention Mental health 3 Good Health and Well Being |
spellingShingle |
Pediatric Clinical Research Health Services Prevention Mental health 3 Good Health and Well Being 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 |
Pediatric Clinical Research Health Services Prevention Mental health 3 Good Health and Well Being |
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 |
Article in Journal/Newspaper |
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 |
Joule |
publishDate |
2023 |
url |
http://hdl.handle.net/1959.4/unsworks_85165 https://unsworks.unsw.edu.au/bitstreams/a223e8d8-8ab2-4469-ba94-71d2e83cc5e4/download https://doi.org/10.9778/cmajo.20220119 |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
urn:ISSN:2291-0026 CMAJ Open, 11, 6, e1148-e1154 |
op_relation |
http://hdl.handle.net/1959.4/unsworks_85165 https://unsworks.unsw.edu.au/bitstreams/a223e8d8-8ab2-4469-ba94-71d2e83cc5e4/download https://doi.org/10.9778/cmajo.20220119 |
op_rights |
open access https://purl.org/coar/access_right/c_abf2 CC BY-NC-ND https://creativecommons.org/licenses/by-nc-nd/4.0/ free_to_read |
op_doi |
https://doi.org/10.9778/cmajo.20220119 |
container_title |
CMAJ Open |
container_volume |
11 |
container_issue |
6 |
container_start_page |
E1148 |
op_container_end_page |
E1154 |
_version_ |
1799479961070862336 |