Abstract
There is a need to add to the limited knowledge base regarding how developmental screening tools can be used in effective and culturally safe ways with Indigenous children and families. The purpose of the current study was to explore the developmental screening experiences of home visitors in a culturally grounded early childhood program (The Early Years Program). We sought to examine Visitors’ experiences with and perceptions of the Ages and Stages Questionnaire-Third Edition (ASQ-3). Using a qualitative descriptive method and a community-based participatory approach, we conducted focus groups with Early Years Visitors. Findings centered around two categories — (1) logistical considerations and (2) enacting a relational process – with several subcategories within each. Findings highlight the diverse functions of the ASQ-3, including as a medium for strengthening relationships and understanding developmental pathways, a catalyst for strengths-focused conversations with families, and an evaluation tool. The tool’s efficacy is deeply intertwined with the nature of its administration; participants emphasized the value of relational dynamics, preparatory measures, and adaptability of the developmental screening process. Findings add to the limited literature base regarding usage of the ASQ-3 with Indigenous families along with practical considerations for other programs seeking to use this tool.