Counting what counts: a systematic scoping review of instruments used in primary healthcare services to measure the wellbeing of Indigenous children and youth

BMC Primary Care

Research

Candace Angelo¹  Geoff Spurling²  Deborah Askew²  Crystal Jongen³  Sena Tsey³  Vicki Saunders³  Janya McCalman³  Sandy Campbell⁴  Yvonne Cadet-James⁵ 

[1] Aboriginal and Torres Strait Islander Public Health, Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, Edward Ford Building, Fisher Road, 2006, Sydney, NSW, Australia;General Practice Clinical Unit and School of Public Health, Faculty of Medicine, University of Queensland, Level 2, Public Health Building, 288 Herston Road, 4006, Brisbane, QLD, Australia;Jawun Research Centre, Central Queensland University, Cnr Shields and Aplin St, 4870, Cairns, QLD, Australia;Molly Wardaguga Research Centre, Charles Darwin University, Level 11, 410 Ann St, 4000, Brisbane, QLD, Australia;Yvonne Cadet-James, Apunipima Cape York Health Council, 186 McCoombe St, 4870, Cairns, QLD, Australia;

关键词: Screening;    Assessment;    Measure;    Wellness;    Mental health;    Adolescence;   

DOI  :  10.1186/s12875-023-02001-z

 received in 2022-05-03, accepted in 2023-02-02,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundPrimary healthcare services have principal responsibility for providing child and youth wellbeing and mental health services, but have lacked appropriate measurement instruments to assess the wellbeing of Indigenous children and youth or to evaluate the effectiveness of programs and services designed to meet their needs. This review assesses the availability and characteristics of measurement instruments that have been applied in primary healthcare services in Canada, Australia, New Zealand and the United States (CANZUS countries) to assess the wellbeing of Indigenous children and youth.MethodsFifteen databases and 12 websites were searched in December 2017 and again in October 2021. Pre-defined search terms pertained to Indigenous children and youth, CANZUS country names, and wellbeing or mental health measures. PRISMA guidelines were followed, with eligibility criteria guiding screening of titles and abstracts, and selected full-text papers. Results are presented based on the characteristics of documented measurement instruments assessed according to five desirability criteria: development for Indigenous youth populations, adherence to relational strength-based constructs, administration by child and or youth self-report, reliability and validity, and usefulness for identifying wellbeing or risk levels.ResultsTwenty-one publications were found that described the development and or use by primary healthcare services of 14 measurement instruments, employed across 30 applications. Four of the 14 measurement instruments were developed specifically for Indigenous youth populations, four focused solely on strength-based wellbeing concepts but none included all Indigenous wellbeing domains.ConclusionThere is a diversity of measurement instruments available, but few fit our desirability criteria. Although it is possible that we missed relevant papers and reports, this review clearly supports the need for further research to develop, refine or adapt instruments cross-culturally to measure the wellbeing of Indigenous children and youth.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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