Early childhood development practices in a remote Aboriginal Community Controlled Health Services setting.
Objective: Supporting Early Childhood Development (ECD) is an Australian national priority. Aboriginal children in Western Australia's Kimberley region have much higher rates of developmental concerns at school entry than non‐Aboriginal children. We aimed to describe ECD practices in the participati...
| Publicado en: | Australian Journal of Rural Health Vol. 30; no. 6; pp. 860 - 870 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=160884175&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 160884175 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10385282 FQO jtl: Australian Journal of Rural Health issn: 10385282 maglogo: Y pubinfo: dt: Dec2022 vid: 30 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 160884175 157858891 160884175 160884175 10.1111/ajr.12900 160884175 ppf: 860 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Early childhood development practices in a remote Aboriginal Community Controlled Health Services setting. aug: au: Bromley, Jane Sherrard, Stephanie Atkinson, David Marley, Julia V. Henderson‐Yates, Lynette Griffiths, Emma affil: Rural Clinical School of Western Australia, The University of Western Australia, Broome WA,, Australia sug: subj: Child Development Aboriginal Australians Rural Areas Community Health Services Multimethod Studies Audit Interviews Primary Health Care Outcome Assessment Age Factors Child Health Staff Development Communication Human Male Female Child Child, Preschool Infant Child Development Disorders, Pervasive Interview Guides Child: 6-12 years Child, Preschool: 2-5 years Infant: 1-23 months Male Female ab: Objective: Supporting Early Childhood Development (ECD) is an Australian national priority. Aboriginal children in Western Australia's Kimberley region have much higher rates of developmental concerns at school entry than non‐Aboriginal children. We aimed to describe ECD practices in the participating service; document follow‐up of identified developmental concerns; and identify barriers and enablers to incorporating ECD practices into clinic activity. Design: Mixed‐method design incorporating clinical audit and staff interviews. Setting: An Aboriginal Community Controlled Health Service (ACCHS) in the Kimberley region. Participants: A total of 176 children receiving primary health care through the participating ACCHS; interviews with five ACCHS staff members. Main outcome measures: Frequency of developmental enquiry by age and domain; follow‐up of identified developmental concerns; and barriers and enablers to ECD practices. Results: Developmental enquiry was documented for 114 of 176 eligible children (65%), including in 80% of ACCHS child health assessments. Standardised ECD assessments were less common. Staff were aware of the importance of developmental enquiry, however, barriers to increasing ECD practices included a lack of resources and structured staff education, time pressures and a lack of role clarity between the ACCHS and government community health clinic. Conclusions: This study provides insight into ECD practices in an ACCHS setting, highlighting the potential of primary health care to have an enhanced role in ECD if appropriate systems, training and tools are provided. A lack of role clarity across services, combined with poor communication between services, creates a potential risk for missed opportunities to support ECD. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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