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Table 3 Assessment of included papers (MMAT)

From: Factors that impact access to ongoing health care for First Nation children with a chronic condition

# Author Date Country Aims Methods Participants and setting Analysis Key findings MMAT Scores
1 Michelle DiGiacomo 2013 Australia To identify factors involved in accessing services and support for Aboriginal children with a disability Community fora Group 1: Parents and carers of Aboriginal children with a disability (5) Group 2: Health and social Service providers (17) Setting: ACCHS in metropolitan Sydney; Framework analysis – consensus with co-authors and community members. Both groups:
Lack of awareness of services;
Inadequate availability of services
Carers:
Racism;
Insufficient or non-existent services;
Providers:
Logistical barriers;
Cultural and historical issues impacting on effectiveness of services
Suggested solutions:
Need for an enhanced role of ACCHS and AHWs dedicated to support children with disability; school-based support; routinely updated information;
Inter-sectoral partnerships
****
2 Rob Watson 2012
Unama’ki (Cape Breton), Nova Scotia, Canada
To Identify gaps in Asthma Education, Health promotion and Social Support for Community based Participatory research Group 1: Mi’kmaq parents and carers of youth with asthma
Setting 1: Mi’Kmag communities
Group 2: Mi’Kmag youth aged 8–12 yrs. diagnosed with asthma
Setting 2: A 2-day camp.
All data collected from study was analysed by thematic framework Both groups:
There is a lack of support in the areas of social, educational and culturally appropriate resources.
Barriers in accessing availability of services
Suggested solutions: The need for involvement and collaboration with First Nation people for culturally appropriate support and educational resources for asthma education and intervention.
****
3 Shanthi Ameratunga 2010 New Zealand To identify key issues and barriers to ongoing health care following hospitalisation for children who were admitted to hospital following unintentional injury: A qualitative research design using Interviews and focus group Group:
In-depth individual interviews and 3 focus groups with 21 service providers’ and families of children hospitalised with an injury.
Setting: Health service departments.
Interviews were transcribed and data was analysed using a thematic framework Key issues agreed on by both service providers and participating families included the inabilities to meet the needs of the children’s emotional needs, lack of family support, lack of culturally appropriate resourses, poor coordination of hospital and community health services and lack of aftercare follow ups.
Suggested solutions:
Ensuring culturally appropriate services are available and the need for cultural competency for service providers. Interventions to improve services at provider and patient levels, improvement in the development of clear concise discharge plans and the need to support families
***
4 S.L. Thomas 2015
New South Wales, Australia
Investigating how to improve partnerships with services and First nation families to maximize better health outcomes for First Nation children. Semi-structured interviews and Focus Groups Group 1: Focus Groups with community-based service providers.
Group 2: Semi-structured interviews with service managers
Views of participants were documented and a thematic analysis was then used. There is a need to improve paediatric outreach services for urban First Nation children through leadership, partnerships and culturally appropriate child health care based on a holistic model of care.
Suggested solutions:
Collaboration between health services and community members will improve access to services for First Nation children.
**
5 R.Cresp 2016
Western Australia
To determine whether a culturally appropriate program could improve attendance to out of hospital appointments Quantitative evaluation First Nation children aged 0–19 yrs. who resided in Kimberley, Pibara or Perth regions Pre-post de-identified data on hospital admissions, length of stay, emergency department presentations and outpatient appointments was used for the analysis Findings suggest it is health outcomes for l children by engaging families with health services, improving communication between health service providers, and coordinating First Nation service provider led care. ****
6 R.Eley 2010
Victoria Australia
To give young First Nation people a knowledge and understanding of asthma and greater management over their asthma through a culturally safe and enjoyable process. Quantitative measurement using medical reviews and spirometry and qualitive research using community based participatory research First nation young people aged between 5 and 17 yrs. Study 1. Analysis of respiratory data were compared at different time intervals.
Study 2. Interviews of participants were documented and a thematic analysis was also used
Study 1.
There was an improvement in respiratory function.
Study 2.
The participants knowledge of asthma increased, asthma action plans were developed and there was greater compliance with medication. Other health benefits also achieved included the removal of barriers to accessing further medical services.
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  1. **MMAT Score 25-50%, ***MMAT Score 50-75%, ****MMAT Score 75-100%