Our Research Projects

Background: The Aboriginal Children’s Health and Well-Being Measure (ACHWM) was developed to enable Aboriginal health leaders to gather information on the health of children at a local community level. This paper aims to describe the typical health profiles of First Nation children living on traditional territory as a reference to assist in the interpretation of ACHWM scores. Methods: Three First Nations in Ontario, Canada, gathered health data from children using the ACHWM administered on Android tablets between 2013 and 2015. The survey data were previously analyzed to inform local health planning. These survey data were pooled to describe the distribution of ACHWM summary and quadrant scores from a larger sample and inform interpretation of ACHWM scores. Results: ACHWM data from 196 participants (aged 7.6 to 21.7 yr) across 3 communities were included in the pooled sample. ACHWM summary scores ranged from 39.8 to 98.7 with a mean of 74.1 (95% confidence interval [CI] 72.5–75.7) and a maximum of 100. Strengths were reported in the spiritual (mean 78.7, 95% CI 76.7–80.8), physical (mean 77.1, 95% CI 75.1–79.0) and emotional (mean 74.4, 95% CI 72.5–76.3) quadrants. The greatest opportunity for improvement was in the mental (cognition) quadrant (mean 61.6, 95% CI 56.9–63.4). Interpretation: This paper presents initial estimates for child health scores based on self-report from a large sample of First Nations children living on reserve. These results establish benchmarks to aid interpretation of the ACHWM scores in these and other communities and contexts in the future.

The Outdoor Adventure Leadership Experience (OALE) is an outdoor health promotion initiative primarily designed for youth. This program was developed through community-based participatory research in a First Nations Community in northern Ontario: Wiikwemkoong Unceded Territory. It is a 9- or 10-day intensive program involving a wilderness canoe expedition homeward through the traditional territory of Wiikwemkoong. The purpose of this study was to evaluate the impact of the OALE on youth well-being, using a culturally appropriate measure of health: The Aboriginal Children’s Health and Well-being Measure (ACHWM©). A pre- and post-intervention study design was used to assess the impact of the OALE on health and well-being. Twenty-eight participants completed both the ACHWM and the Global Health Rating (GHR) instruments before and after the OALE intervention. In total, 68% of participants reported higher ACHWM scores after the OALE (Δ = 3.9, p = 0.014). There were improvements in the Medicine Wheel quadrants score of the ACHWM (spiritual, emotional, physical, and mental). Although 25% of participants had higher scores on the GHR, this did not reach statistical significance (p = 0.55). However, this study highlights the value of evaluating local programming in a culturally-relevant way. Using the ACHWM, it was demonstrated that there was a significant change in the well-being of the OALE youth participants; this was something that the GHR was unable to capture. Thus, the ACHWM appears to be sensitive to short-term changes in health. More research is needed to confirm the specificity and sensitivity of the ACHWM in different populations and contexts.