First Nations Health and Wellbeing - The Lowitja Journal最新文献

{"title":"‘We care about culture, connection, and making girls feel amazing': A program evaluation using the RE-AIM framework","authors":"Jenne Roberts ,&nbsp;Hayley Longbottom ,&nbsp;Cleone Wellington ,&nbsp;Sue Kildea ,&nbsp;Yu Gao ,&nbsp;Lynne Dooley ,&nbsp;Betty Smith ,&nbsp;Yvette Roe","doi":"10.1016/j.fnhli.2025.100099","DOIUrl":"10.1016/j.fnhli.2025.100099","url":null,"abstract":"<div><div>This study evaluated a health and wellbeing program for First Nations girls and young women implemented by an Aboriginal community-controlled health organisation. The evaluation used the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework.</div><div>In-depth, semi-structured interviews were conducted with 39 key informants, including program participants and implementers. The program reached 59% of the target group. The design and implementation were grounded in Indigenous philosophies of collective and relational flourishing. Through participation, individuals strengthened connections and established trusting relationships. Storytelling and yarning enabled participants to locate themselves in an ongoing narrative that mapped their family and community history. Schools with aspirations aligned with the program goals adopted it, although implementation was hampered by COVID-19 restrictions. The program applied a sophisticated understanding of strengths-based practice, relationality, and the role of resistance and resilience to meet the participants’ needs.</div><div>The evaluation provides evidence supporting the effectiveness of the program and highlights the factors contributing to its success. The findings highlight that effective programs for young women in urban settings embed connection to culture and identity at their core. It illustrates the value of Aboriginal community-controlled service delivery. When implementing or funding similar programs, two main insights should guide decisions. Firstly, the focus must be on cultural continuity and empowerment. Secondly, success depends on removing practical barriers and engaging participants through interactions that are affirming, fun and inspiring.</div><div>The leadership and knowledge of Aboriginal collaborators throughout the research and writing process were key to producing a rigorous and relevant evaluation.</div></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"4 ","pages":"Article 100099"},"PeriodicalIF":0.0,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146090556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating care through connection: How patient navigators strengthen the care experiences of Aboriginal and Torres Strait Islander peoples living with kidney failure","authors":"Matilda D’Antoine (Paakantyi) ,&nbsp;Isabelle Haklar ,&nbsp;Madison Cachagee (Mushkegowuk) ,&nbsp;Katie Cundale ,&nbsp;Samantha Bateman ,&nbsp;Stephen McDonald ,&nbsp;Janet Kelly ,&nbsp;Kim O’Donnell (Malyangapa, Barkindji) ,&nbsp;Shilpanjali Jesudason ,&nbsp;Isaac Brown (Yuin) ,&nbsp;Kynesha Temple (Ngarrindjeri, Narungga) ,&nbsp;Jampitjinpa Ross (Walpiri) ,&nbsp;David Croker (Anmatjere, Walpiri, Jingili) ,&nbsp;Neil Wilkshire (Warrumangu, Luritja) ,&nbsp;Peter Henwood (Muk Muk Maranrunggu) ,&nbsp;Cedrina Algy (Gurrindji) ,&nbsp;Rhanee Lester (Adnyamathanha) ,&nbsp;Kate Tyrell ,&nbsp;Heather Hall ,&nbsp;Michelle Misener ,&nbsp;Kelli Owen (Kaurna, Narungga and Ngarrindjeri)","doi":"10.1016/j.fnhli.2025.100101","DOIUrl":"10.1016/j.fnhli.2025.100101","url":null,"abstract":"<div><h3>Purpose</h3><div>Evidence suggests that patient navigators (PNs) can improve patient engagement, emotional wellbeing and clinical outcomes. This study explored how PNs influence the care experiences of Aboriginal and Torres Strait Islander peoples living with kidney failure, from the perspectives of patients and health service staff.</div></div><div><h3>Methods</h3><div>Qualitative data were collected through kidney journey mapping and yarning interviews across four kidney health services employing PNs in the Northern Territory and South Australia. Data were thematically analysed to understand patient care experiences with and without PN support.</div></div><div><h3>Main findings</h3><div>Patients reported challenges around inadequate communication, difficulty accessing appropriate services and support, poor cultural safety, and the emotional toll of treatment. Support included family and patient networks, positive relationships with health staff, and holistic models of care. PNs played a supportive role by sharing their kidney journey experiences, providing cultural connection, peer support and bridging systemic gaps.</div></div><div><h3>Principle conclusions</h3><div>PNs strengthened patient care experiences by addressing service gaps, improving cultural support and sharing from lived experience. Embedding PNs into standard kidney care is a critical step toward achieving culturally safe, equitable and responsive health systems.</div></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"4 ","pages":"Article 100101"},"PeriodicalIF":0.0,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145842241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aboriginal community researchers: A short report on the research training program and research experience with the Virtual Rural Generalist Service evaluation","authors":"Anna Thompson ,&nbsp;Andrew Carroll (Gamilaraay) ,&nbsp;Deborah Kenna OAM (Gamilaraay) ,&nbsp;Elizabeth Kennedy-Williams (Gamilaroi) ,&nbsp;Shirley-Ann Merritt (Wiradjuri) ,&nbsp;John Skinner ,&nbsp;Carmen Parter (Murri) ,&nbsp;Cara Cross (Worimi and Biripai) ,&nbsp;Georgina M. Luscombe ,&nbsp;Emily Saurman","doi":"10.1016/j.fnhli.2025.100102","DOIUrl":"10.1016/j.fnhli.2025.100102","url":null,"abstract":"","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"4 ","pages":"Article 100102"},"PeriodicalIF":0.0,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145799829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racism and cultural safety for Indigenous general practice trainees: An exploratory study of how to support training, careers and professional wellbeing","authors":"Talila Milroy (Yindjibarndi and Palyku),&nbsp;Jacqueline Frayne","doi":"10.1016/j.fnhli.2024.100038","DOIUrl":"10.1016/j.fnhli.2024.100038","url":null,"abstract":"<div><h3>Purpose</h3><div>Racism as a social determinant of health has known impacts on the physical and mental health of Indigenous peoples, which extends to Indigenous doctors in training and is a barrier to the growth of the Indigenous health workforce in Australia. This study aimed to explore racism and cultural safety within the professional experiences of Australian Indigenous general practice (GP) trainees, to elucidate barriers and facilitators to their training, careers and professional wellbeing.</div></div><div><h3>Methods</h3><div>A sequential exploratory mixed methods study was conducted in 2020 and 2021 through an initial quantitative online administered questionnaire followed by qualitative semi-structured interviews with Indigenous GP registrars, from either metropolitan or rural areas, undertaking GP training in Australia. The main outcome measures included online responses to the Measure of Indigenous Racism Experiences (MIRE) questionnaire, which measures several dimensions of racism, and data from thematic analysis of semi-structured interviews undertaken following the online questionnaire.</div></div><div><h3>Main findings</h3><div>The MIRE questionnaire responses revealed experiences of racism across multiple levels. These findings were integrated and expanded with the central themes drawn from the interviews. Themes focused on GP training and training environments and operated across interactions with peers, supervisors and patients. The identified themes were i) cultural identity, with the subthemes of professional wellbeing and professional goals and identity; ii) training challenges, including racism and career development; and iii) training facilitators, including specific support and mentorship.</div></div><div><h3>Principal conclusions</h3><div>Australian Indigenous GP trainees value their cultural identity in relation to their professional goals and wellbeing. However, challenges for trainees centre around the lack of cultural safety and presence of racism, which is pervasive across their professional life. Strategies to address this could include further provision of specific support, specific culturally safe training placements, networking and mentorship.</div></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"3 ","pages":"Article 100038"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measuring resilience using Strong Souls in the Longitudinal Study of Indigenous Children: Evaluating psychometric properties using a Rasch measurement approach","authors":"Ella Gorman ,&nbsp;Roz Walker ,&nbsp;Helen Davis ,&nbsp;Carrington C.J. Shepherd ,&nbsp;Rhonda Marriott (Nyikina)","doi":"10.1016/j.fnhli.2024.100037","DOIUrl":"10.1016/j.fnhli.2024.100037","url":null,"abstract":"<div><h3>Purpose</h3><div>Rigorously evaluated psychometric instruments are necessary to measure constructs relevant to wellbeing, such as resilience. The availability of high-quality instruments for use with Aboriginal young people in Australia is growing but remains limited. This study used data from the Longitudinal Study of Indigenous Children (LSIC) to psychometrically evaluate the Resilience subscale from the social and emotional wellbeing (SEWB) instrument, Strong Souls, for a nationwide sample of Aboriginal adolescents, using alternative psychometric methods to previous research.</div></div><div><h3>Methods</h3><div>Using a Rasch measurement approach, cross-sectional data from Wave 9 of LSIC were used to ascertain the psychometric properties of the Resilience subscale from Strong Souls. Using the responses from 516 Aboriginal young people (age 11.5 to 13 years) to the 12-item scale, Rasch techniques were applied to determine item independence, response category adequacy, differential item functioning (DIF), person and item reliability, item fit and unidimensionality. Two versions of the instrument were evaluated: the full 12-item version, as completed by participants, and an 8-item version, as recommended for use by previous research based on different psychometric methods.</div></div><div><h3>Main findings</h3><div>Both versions of the instrument met several Rasch model requirements for reliable measurement, including demonstrations of unidimensionality (first off factor construct &lt; 2), item independence (all items Q_3∗ &lt; 0.30), and item fit statistics within an acceptable range (0.60 &lt; X &lt; 1.40). However, both instrument versions displayed less adequate person separation (PSI) and reliability (PRI) statistics (12-item scale: PSI = 1.18, PRI = 0.58; 8-item scale: PSI = 0.71, PRI = 0.33).</div></div><div><h3>Principal conclusions</h3><div>Using a Rasch measurement approach to psychometrically evaluate the Strong Souls Resilience subscale in a sample of Aboriginal young people from LSIC, this study provided novel evidence of the functioning of this popular instrument from an alternative psychometric perspective. With mixed results regarding meeting Rasch recommendations, these findings provide a strong evidence base for psychometric strengths as well as opportunities to improve the robustness of this instrument, and ultimately offer a tool that can more accurately inform services, policy and practice to effectively support resilience and wellbeing in Aboriginal young people.</div></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"3 ","pages":"Article 100037"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143487465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What about the soles: We need the primary data in Aboriginal and Torres Strait Islander foot health to ‘Close the Gap’","authors":"James A. Charles (Kaurna) ,&nbsp;Elizabeth Tiernan ,&nbsp;Sara Jones","doi":"10.1016/j.fnhli.2024.100041","DOIUrl":"10.1016/j.fnhli.2024.100041","url":null,"abstract":"","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"3 ","pages":"Article 100041"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143437998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"These mob here have integrity; they genuinely care about the people: Service users’ and care providers’ perspectives on enablers of good chronic disease care for Aboriginal and Torres Strait Islander peoples","authors":"Sarah Catherine Bourke (Gamilaroi, Jaru, Gidja) ,&nbsp;Deborah Wong ,&nbsp;Uday Narayan Yadav ,&nbsp;Andrea Timothy ,&nbsp;Chelsea Liu ,&nbsp;Abby-Rose Cox (Kija, Nimanburru) ,&nbsp;Rosemary Wyber","doi":"10.1016/j.fnhli.2025.100063","DOIUrl":"10.1016/j.fnhli.2025.100063","url":null,"abstract":"<div><div>Research about Aboriginal and Torres Strait Islander chronic disease management in primary healthcare services rarely considers the perspectives of service users in identifying what works. This research aimed to elevate the voices of clients and providers from high performing primary healthcare services (termed Lighthouse Services) around Australia about the successes and opportunities for improvement in chronic disease management for Aboriginal and Torres Strait Islander peoples. Seventy-five individuals, representing clients (<em>n</em> = 29), their carers (<em>n</em> = 7) and health providers (<em>n</em> = 39), from four Lighthouse Services participated in in-depth focus groups and interviews conducted by the researchers and local partners. The transcripts of these discussions were reviewed in NVivo 14 (<span><span>https://lumivero.com/products/nvivo/</span><svg><path></path></svg></span>) using reflexive thematic analysis to identify key themes representing their lived experiences.</div><div>Access, Communication, Systems, Hub and spokes, Relationships and Workforce were the six themes chosen to represent the range of personal experiences about what works for managing chronic disease at the primary healthcare level. Services that effectively employed a holistic patient-centred model of care, provided culturally safe spaces and were connected to and involved in the community were viewed as providing good care for their clients. The findings of this study support existing literature and make an important new contribution by focusing on the insights of clients, carers and service providers about what and why different aspects of chronic disease care work. It is suggested that this research approach would be beneficial across a range of other settings (e.g. non-Aboriginal community-controlled health organisations and urban services) and conditions (e.g. acute care, social and emotional wellbeing) to enhance Aboriginal and Torres Strait Islander health outcomes.</div></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"3 ","pages":"Article 100063"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144130943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"First Nations parents’ experiences of COVID-19 and associations with symptoms of complex post-traumatic stress disorder","authors":"Christina L. Heris ,&nbsp;Taylor Glover (Dharawal) ,&nbsp;Tess Bright ,&nbsp;Simon Graham (Narungga) ,&nbsp;Shannon K. Bennetts ,&nbsp;Kimberley A. Jones ,&nbsp;Michelle Kennedy (Wiradjuri) ,&nbsp;Caroline Atkinson (Bundjalung) ,&nbsp;Catherine Chamberlain (Trawlwoolway)","doi":"10.1016/j.fnhli.2025.100086","DOIUrl":"10.1016/j.fnhli.2025.100086","url":null,"abstract":"<div><h3>Purpose</h3><div>To examine associations between First Nations parents’ experiences during the COVID-19 pandemic and symptoms of complex post-traumatic stress disorder (C-PTSD).</div></div><div><h3>Methods</h3><div>First Nations parents (<em>n</em> = 110) completed a 90-minute telephone interview between October 2021 and July 2022. Parents self-reported their PTSD or C-PTSD symptoms using the International Trauma Questionnaire (categorised as no/low vs. high levels), COVID-19 events (e.g. testing, diagnosis, isolation) and perceived socioemotional changes in life situation (e.g. quality of relationships) compared with before the pandemic. Logistic regression analysed associations between C/PTSD symptoms (outcome) and demographic factors, COVID-19 events, perceived socioemotional changes since COVID-19 (exposures).</div></div><div><h3>Main findings</h3><div>More than a quarter (27%) of parents reported high levels of C-PTSD/PTSD symptoms. Most (90%) reported at least one COVID-19 event. Parents who had experienced worsening racism and inequality since the pandemic (OR 0.29, 95% CI 0.11–0.79) or held a Health Care Card (OR 0.27, 95% CI 0.10–0.74) were significantly less likely to report no/low levels of C-PTSD/PTSD symptoms.</div></div><div><h3>Principal conclusions</h3><div>Financial stress, racism and inequality were associated with increased trauma symptoms, highlighting the importance of implementing trauma-informed public health emergency responses during a pandemic. Those who had fewer disruptions to cultural practices were more likely to be resilient to the stressors of the pandemic, reinforcing the need for a culturally-responsive, trauma-informed public health emergency framework for First Nations communities. Emergency responses that address these factors while optimising safe opportunities to maintain cultural obligations and social connection are essential.</div></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"3 ","pages":"Article 100086"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145519261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community acceptability of lowering the eligibility age of government funded bowel screening for Aboriginal South Australians to 40 years","authors":"Karla J. Canuto (Naghir Tribe of the Kulkalgul Clan) ,&nbsp;Eugene Warrior (Wirangu, Bungala, Kokatha and Antakerinya) ,&nbsp;Sharon Clarke (Wergaia, Wemba Wemba, Djadwajali and Gunditjmara) ,&nbsp;Nathan Rigney (Ngarrindjeri) ,&nbsp;Jie-Bin Lew ,&nbsp;Eleonora Feletto ,&nbsp;Katina D’Onise","doi":"10.1016/j.fnhli.2025.100045","DOIUrl":"10.1016/j.fnhli.2025.100045","url":null,"abstract":"<div><h3>Purpose</h3><div>Building on a study that found that lowering the age of bowel screening for Aboriginal and Torres Strait Islander peoples to 40 years would be cost-effective, this research examined the acceptability of lowering the bowel screening age for Aboriginal and Torres Strait Islander peoples in South Australia.</div></div><div><h3>Methods</h3><div>Aboriginal community members aged &lt; 50 years were recruited to form Aboriginal men’s (16 men) and women’s (nine women) bowel cancer screening councils. The councils were presented with detailed information relating to the topic and deliberated over two days.</div></div><div><h3>Main findings</h3><div>The men’s and women’s councils were unanimous in their support for reducing the age of bowel screening for Aboriginal and Torres Strait Islander peoples. The councils identified barriers to reducing the age at participation, and participation in screening in general. Both councils were highly engaged in the process of the two-day deliberation.</div></div><div><h3>Principal conclusions</h3><div>Lowering the age range for Aboriginal and Torres Strait Islander peoples participating in the bowel screening program to 40 years was acceptable to both Aboriginal bowel cancer screening councils.</div></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"3 ","pages":"Article 100045"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143684277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping Aboriginal children’s social and emotional wellbeing: Development and validation of a new tool in an Aboriginal cohort study","authors":"Arwen Nikolof ,&nbsp;Deirdre Gartland ,&nbsp;Karen Glover ,&nbsp;Cathy Leane ,&nbsp;Rohan Carmody ,&nbsp;Heather Carter ,&nbsp;Stephanie J. Brown ,&nbsp;Yvonne Clark","doi":"10.1016/j.fnhli.2025.100062","DOIUrl":"10.1016/j.fnhli.2025.100062","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to develop the first Aboriginal-led co-designed tool to map Australian Aboriginal children’s social and emotional wellbeing (SEWB) based on holistic definitions of wellbeing that have been discussed, supported and refined by Aboriginal and Torres Strait Islander peoples over the last 30 years.</div></div><div><h3>Methods</h3><div>Development of the Aboriginal Children’s SEWB Tool was embedded in wave 2 follow-up of an existing cohort of families: the Aboriginal Families Study (AFS). Items from a questionnaire completed by mothers/caregivers of the study children (aged 5–8 years) were selected to map the seven domains of the SEWB framework. The process was Aboriginal-led by the first author, the AFS research team and Aboriginal Governance Group. Psychometric testing and revision included assessment of the structure, testing of the internal consistency of domains, and criterion validity against the Strengths and Difficulties Questionnaire (SDQ).</div></div><div><h3>Main findings</h3><div>The Aboriginal Children’s SEWB Tool (parent/caregiver report) comprises 80 items grouped into 29 indicators across six domains: Body; Mind and emotion; Family and kinship; Community; Culture; and Country, spirit and spirituality. Criterion validity was supported: children with high scores on the SEWB Tool had seven times higher odds of positive emotional wellbeing and four times the odds of high mental health competence, as measured with the SDQ, compared with children with low scores (Adj. OR 7.7, 95% CI 2.5 – 23.9 and Adj. OR 3.9, 95% CI 1.4 – 10.2, respectively). Fewer items were available on connection to Country, spirit, spirituality and ancestors; further refinement in these areas will be of benefit.</div></div><div><h3>Principal conclusion</h3><div>The Aboriginal Children’s SEWB Tool was developed in response to a lack of measures recognising Aboriginal and Torres Strait Islander peoples’ conceptualisations of child social and emotional wellbeing. The new tool provides a holistic picture of SEWB experienced by Aboriginal children, with the capacity to map strengths, gaps and areas for healing across body, mind and emotion, family and kinship, community, culture and Country, spirit and spirituality. Use of the tool would support health and social practitioners working with individual children and families, within schools as well as in research settings. Work is needed to further enhance the tool.</div></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"3 ","pages":"Article 100062"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143941951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}