Pub Date : 2023-07-13DOI: 10.32799/ijih.v18i1.39507
Carly Heck, Satya Cobos, F. Carnevale, M. Macdonald, Priscilla Pichette Polson
Many Indigenous communities view children as sacred gifts deserving of love and respect, and as the ones who will carry their collective ways of life forward. However, Indigenous young people within Canada face disproportionate challenges to their health and well-being, partly a result of ongoing colonial practices within professional services. In response to the Truth and Reconciliation Commission’s Calls to Action regarding improvements to professional education and training, our team conducted an international scoping review which identified that Indigenous pedagogy is rarely included in curricular development. We completed this scoping review’s consultation phase in two Anishinabeg communities. In this consultation, we posed the following questions: What are Anishinaabe perspectives on and experiences of child-focused professional practices? How are child-focused professionals currently prepared to work with young Anishinabeg peoples? How should they be prepared? Participants highlighted the importance of professionals learning Indigenous history and Anishinaabe culture, having field-based education, and engaging children with hands-on activities. Professionals encountered little to no Indigenous-focused content in their formal education, with most exposure occurring in continuing education settings. Our results suggest Indigenous ways of knowing can and should be honored in child-focused professional education, thereby supporting the development of effective and culturally-safe relationships between professionals and Indigenous peoples.
{"title":"Indigenous pedagogy on childhood: A consultation with the two Anishinabeg communities of Long Point First Nation and Rapid Lake, Quebec","authors":"Carly Heck, Satya Cobos, F. Carnevale, M. Macdonald, Priscilla Pichette Polson","doi":"10.32799/ijih.v18i1.39507","DOIUrl":"https://doi.org/10.32799/ijih.v18i1.39507","url":null,"abstract":"Many Indigenous communities view children as sacred gifts deserving of love and respect, and as the ones who will carry their collective ways of life forward. However, Indigenous young people within Canada face disproportionate challenges to their health and well-being, partly a result of ongoing colonial practices within professional services. In response to the Truth and Reconciliation Commission’s Calls to Action regarding improvements to professional education and training, our team conducted an international scoping review which identified that Indigenous pedagogy is rarely included in curricular development. We completed this scoping review’s consultation phase in two Anishinabeg communities. In this consultation, we posed the following questions: What are Anishinaabe perspectives on and experiences of child-focused professional practices? How are child-focused professionals currently prepared to work with young Anishinabeg peoples? How should they be prepared? Participants highlighted the importance of professionals learning Indigenous history and Anishinaabe culture, having field-based education, and engaging children with hands-on activities. Professionals encountered little to no Indigenous-focused content in their formal education, with most exposure occurring in continuing education settings. Our results suggest Indigenous ways of knowing can and should be honored in child-focused professional education, thereby supporting the development of effective and culturally-safe relationships between professionals and Indigenous peoples.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44241001","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}
Pub Date : 2023-07-13DOI: 10.32799/ijih.v18i1.39512
Sujane Kandasamy, A. D. Davis, P. Ritvo, D. Desai, Julie Wilson, R. D. de Souza, S. Anand, G. Wahi
This is a qualitative description of the perspectives and experiences of 15 mothers from the Indigenous Birth Cohort Study as it relates to barriers and facilitators to building and sustaining healthy active living practices. Our findings illustrate six themes: 1) Systemic reinforcements of a colonial legacy; 2) Self-perceived roles as caregivers to young children; 3) Social support and family support systems; 4) Health histories (personal, family, community); 5) Locally-tailored programs and services; 6) Access to digital resources and technology. Participants also discussed solutions, which we illustrate across individual, program-level, and broader community perspectives. When suggesting or making recommendations for future interventions, programs, or new solutions, it is vital to make considerations through a lens that considers the distal (individual), intermediate (program-level), and proximal (broader community-level) barriers and facilitators for individuals with young families.
{"title":"Perspectives of nutrition and physical activity among families of an Indigenous Birth Cohort: a qualitative analysis exploring the barriers to and facilitators of healthy active living","authors":"Sujane Kandasamy, A. D. Davis, P. Ritvo, D. Desai, Julie Wilson, R. D. de Souza, S. Anand, G. Wahi","doi":"10.32799/ijih.v18i1.39512","DOIUrl":"https://doi.org/10.32799/ijih.v18i1.39512","url":null,"abstract":"This is a qualitative description of the perspectives and experiences of 15 mothers from the Indigenous Birth Cohort Study as it relates to barriers and facilitators to building and sustaining healthy active living practices. Our findings illustrate six themes: 1) Systemic reinforcements of a colonial legacy; 2) Self-perceived roles as caregivers to young children; 3) Social support and family support systems; 4) Health histories (personal, family, community); 5) Locally-tailored programs and services; 6) Access to digital resources and technology. Participants also discussed solutions, which we illustrate across individual, program-level, and broader community perspectives. When suggesting or making recommendations for future interventions, programs, or new solutions, it is vital to make considerations through a lens that considers the distal (individual), intermediate (program-level), and proximal (broader community-level) barriers and facilitators for individuals with young families.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45407764","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}
Pub Date : 2023-07-13DOI: 10.32799/ijih.v18i1.39520
Krista Stelkia, Anita Manshadi, Evan M. Adams, Cornelia Wieman, J. Reading
In Canada and across the globe, indicators play a fundamental role in measuring, tracking, and reporting on the overall health of the population. Mainstream population health indicators used to measure the health and well-being of First Nations peoples are constrained by the Western biomedical paradigm which focuses solely on illness and disease. These indicators are limited and fail to capture aspects of cultural, spiritual, and interconnected aspects of Indigenous health such as spirit, ceremony, and the connection to land. To advance First Nations self-determination in the healthcare system, it is essential for Indigenous narratives and knowledges to thrive in population health data and reporting. Five promising practices are shared to guide the development of First Nations health and wellness indicators and reporting: (1) be culturally relevant and centred on First Nations worldviews on health and wellness (2) must honour Indigenous knowledges and methods; (3) must involve respectful relationships & meaningful engagement with Indigenous peoples’; (4) “Nothing about us, without us”- Indigenous leadership and self-determination at all stages of indicator development; and (5) taking a strength-based approach & contextualizing indicators within historical, socio-political contexts. The co-development of indicators between the [First Nations Health Organization] and the [Office of the Executive Health Officer] in the Province of [Name of Canadian Province] are discussed as promising practices in action. Celebrating the strength and resilience of First Nations health which is required to pave a new way forward in Indigenous grounded population health.
{"title":"Weaving Promising Practices to Transform Indigenous Population Health and Wellness Reporting by Indigenizing Indicators in First Nations Health","authors":"Krista Stelkia, Anita Manshadi, Evan M. Adams, Cornelia Wieman, J. Reading","doi":"10.32799/ijih.v18i1.39520","DOIUrl":"https://doi.org/10.32799/ijih.v18i1.39520","url":null,"abstract":"In Canada and across the globe, indicators play a fundamental role in measuring, tracking, and reporting on the overall health of the population. Mainstream population health indicators used to measure the health and well-being of First Nations peoples are constrained by the Western biomedical paradigm which focuses solely on illness and disease. These indicators are limited and fail to capture aspects of cultural, spiritual, and interconnected aspects of Indigenous health such as spirit, ceremony, and the connection to land. To advance First Nations self-determination in the healthcare system, it is essential for Indigenous narratives and knowledges to thrive in population health data and reporting. Five promising practices are shared to guide the development of First Nations health and wellness indicators and reporting: (1) be culturally relevant and centred on First Nations worldviews on health and wellness (2) must honour Indigenous knowledges and methods; (3) must involve respectful relationships & meaningful engagement with Indigenous peoples’; (4) “Nothing about us, without us”- Indigenous leadership and self-determination at all stages of indicator development; and (5) taking a strength-based approach & contextualizing indicators within historical, socio-political contexts. The co-development of indicators between the [First Nations Health Organization] and the [Office of the Executive Health Officer] in the Province of [Name of Canadian Province] are discussed as promising practices in action. Celebrating the strength and resilience of First Nations health which is required to pave a new way forward in Indigenous grounded population health.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42129064","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}
Pub Date : 2023-07-13DOI: 10.32799/ijih.v18i1.39518
Miigis B. Gonzalez, Rachel I. Steinberg, Forrest Bruce, J. Ullrich, Melissa L. Walls
Language and cultural revitalization are vital in developing the self-healing capacity of Indigenous Peoples. This study emphasized the perspective of 1st language speaking Elders, our knowledge keepers and community leaders, to critically examine what it means to be well for one Indigenous Nation in the Midwest. Semi-structured interviews with Elders were administered in the Anishinaabe language by fluent second language speakers. The interviews were transcribed in Anishinaabe and translated into English with the guidance of the Elders. The Anishinaabe and English transcripts were used simultaneously in analysis. The conceptualization of wellbeing for these Elders was a complex and interrelated system grounded in spiritual connectedness and guided by Anishinaabe language and ways of life. The results broaden the perspectives available on Indigenous wellbeing and are important to consider as we study culture as healing and implement cultural-based health programs within Indigenous communities.
{"title":"Indigenous Elders' Conceptualization of Wellbeing: An Anishinaabe Worldview Perspective","authors":"Miigis B. Gonzalez, Rachel I. Steinberg, Forrest Bruce, J. Ullrich, Melissa L. Walls","doi":"10.32799/ijih.v18i1.39518","DOIUrl":"https://doi.org/10.32799/ijih.v18i1.39518","url":null,"abstract":"Language and cultural revitalization are vital in developing the self-healing capacity of Indigenous Peoples. This study emphasized the perspective of 1st language speaking Elders, our knowledge keepers and community leaders, to critically examine what it means to be well for one Indigenous Nation in the Midwest. Semi-structured interviews with Elders were administered in the Anishinaabe language by fluent second language speakers. The interviews were transcribed in Anishinaabe and translated into English with the guidance of the Elders. The Anishinaabe and English transcripts were used simultaneously in analysis. The conceptualization of wellbeing for these Elders was a complex and interrelated system grounded in spiritual connectedness and guided by Anishinaabe language and ways of life. The results broaden the perspectives available on Indigenous wellbeing and are important to consider as we study culture as healing and implement cultural-based health programs within Indigenous communities. ","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45800873","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}
Pub Date : 2023-07-13DOI: 10.32799/ijih.v18i1.39428
Sonja C Wicklum, Erin Cameron, Tia Black, Loretta Tuttauk, Lynden Crowshoe, Levi Frehlich, Yunqi Ji, Christina Armeniakou, K. McBrien, Jessica Zhang, R. Henderson
Objective Indigenous women experience structural barriers to wellness rooted in colonialism and related socio-political processes, making participation in physical activity and access to balanced nutrition challenging. In response, a holistic wellness program was developed in Lloydminster, Alberta, and multiple program iterations have since been completed in urban and rural (including reserve) settings in Alberta, Canada: Onion Lake Cree Nation, Lloydminster and Calgary. The program includes physical activity, nutrition education, bridging to local healthcare support and sharing circles to facilitate reflection. This article collates three years of qualitative data between programs to answer the question: “What does the program do?” Methods Between 2017 and 2019, twenty-four participants, four facilitators and three community champions completed post-program interviews. A mixed-methods, qualitative, two-part analysis was completed involving thematic analysis of transcripts followed by a structured consensus-building approach called nominal group technique (NGT). Results Collaborative analyses revealed that the program enables: 1) self-actualization through collective effort – development of knowledge, skills, beliefs, and behaviours needed to manage one’s own health, 2) improved personal wellness, and 3) access to social and cultural supports. Cultural relevancy and safety were identified as key elements of the context that supported these changes. Conclusion The wellness program for Indigenous women demonstrates positive impacts on the health and well-being of participants. Benefits naturally extend to participant families as well as to communities involved through capacity building. The environment of the program, not simply the education and resources offered within it, also contributes to this positive impact.
目标土著妇女在健康方面遇到了植根于殖民主义和相关社会政治进程的结构性障碍，这使得参与体育活动和获得均衡营养具有挑战性。作为回应，在阿尔伯塔省的Lloyadminster制定了一项全面的健康计划，此后在加拿大阿尔伯塔省（包括保护区）的城市和农村环境中完成了多次计划迭代：Onion Lake Cree Nation、Lloydminster和卡尔加里。该计划包括体育活动、营养教育、与当地医疗支持的联系以及促进反思的共享圈子。本文整理了三年来各项目之间的定性数据，以回答以下问题：“项目做什么？”方法在2017年至2019年间，24名参与者、4名主持人和3名社区冠军完成了项目后访谈。完成了一种混合方法，定性，分为两部分的分析，包括转录本的主题分析，然后是一种称为名义小组技术（NGT）的结构化共识建立方法。结果合作分析显示，该计划能够：1）通过集体努力实现自我——发展管理自身健康所需的知识、技能、信念和行为，2）改善个人健康，3）获得社会和文化支持。文化相关性和安全性被确定为支持这些变化的背景的关键因素。结论土著妇女健康计划对参与者的健康和福祉产生了积极影响。福利自然延伸到参与家庭以及通过能力建设参与的社区。该项目的环境，不仅仅是其中提供的教育和资源，也有助于产生这种积极影响。
{"title":"Evaluating the Impact of a Holistic, Community-Driven, Physical Activity-Based Wellness Program for Indigenous Women using Nominal Group Technique","authors":"Sonja C Wicklum, Erin Cameron, Tia Black, Loretta Tuttauk, Lynden Crowshoe, Levi Frehlich, Yunqi Ji, Christina Armeniakou, K. McBrien, Jessica Zhang, R. Henderson","doi":"10.32799/ijih.v18i1.39428","DOIUrl":"https://doi.org/10.32799/ijih.v18i1.39428","url":null,"abstract":"Objective \u0000 Indigenous women experience structural barriers to wellness rooted in colonialism and related socio-political processes, making participation in physical activity and access to balanced nutrition challenging. In response, a holistic wellness program was developed in Lloydminster, Alberta, and multiple program iterations have since been completed in urban and rural (including reserve) settings in Alberta, Canada: Onion Lake Cree Nation, Lloydminster and Calgary. The program includes physical activity, nutrition education, bridging to local healthcare support and sharing circles to facilitate reflection. This article collates three years of qualitative data between programs to answer the question: “What does the program do?” \u0000 \u0000Methods \u0000 Between 2017 and 2019, twenty-four participants, four facilitators and three community champions completed post-program interviews. A mixed-methods, qualitative, two-part analysis was completed involving thematic analysis of transcripts followed by a structured consensus-building approach called nominal group technique (NGT). \u0000 \u0000Results \u0000 Collaborative analyses revealed that the program enables: 1) self-actualization through collective effort – development of knowledge, skills, beliefs, and behaviours needed to manage one’s own health, 2) improved personal wellness, and 3) access to social and cultural supports. Cultural relevancy and safety were identified as key elements of the context that supported these changes. \u0000 \u0000Conclusion \u0000 The wellness program for Indigenous women demonstrates positive impacts on the health and well-being of participants. Benefits naturally extend to participant families as well as to communities involved through capacity building. The environment of the program, not simply the education and resources offered within it, also contributes to this positive impact.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44169722","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}
Pub Date : 2023-07-13DOI: 10.32799/ijih.v18i1.39503
Mayhève Clara Rondeau, Keira A. Loukes, M. Robidoux
At the outset of the COVID-19 pandemic, it was believed that Indigenous peoples in Canada would be disproportionately affected due to inequities across social determinants of health as a result of the ongoing processes of colonization. High levels of overcrowding, higher burden of chronic disease, reduced access to clean drinking water, healthcare, and food security in many rural and remote First Nations across northern Canada increased vulnerability to COVID-19. In the Nishnawbe Aski Region of northern Ontario, data from the Sioux Lookout First Nations Health Authority indicates that First Nations communities were able to limit COVID -19 infection and had an overall fatality rate that was lower than the general Canadian population. The focus of this research was to analyze public health data, media reports, and research to determine how the pandemic impacted First Nations throughout northern Ontario. The research highlights that as a direct result of rapid and strength-based responses, First Nations in Northern Ontario have managed the pandemic with limited serious illness, hospitalizations, and fatalities.
{"title":"Community collaboration in the face of the COVID-19 Pandemic: Examples of How Remote First Nations in Northern Ontario Managed the Pandemic","authors":"Mayhève Clara Rondeau, Keira A. Loukes, M. Robidoux","doi":"10.32799/ijih.v18i1.39503","DOIUrl":"https://doi.org/10.32799/ijih.v18i1.39503","url":null,"abstract":"At the outset of the COVID-19 pandemic, it was believed that Indigenous peoples in Canada would be disproportionately affected due to inequities across social determinants of health as a result of the ongoing processes of colonization. High levels of overcrowding, higher burden of chronic disease, reduced access to clean drinking water, healthcare, and food security in many rural and remote First Nations across northern Canada increased vulnerability to COVID-19. In the Nishnawbe Aski Region of northern Ontario, data from the Sioux Lookout First Nations Health Authority indicates that First Nations communities were able to limit COVID -19 infection and had an overall fatality rate that was lower than the general Canadian population. The focus of this research was to analyze public health data, media reports, and research to determine how the pandemic impacted First Nations throughout northern Ontario. The research highlights that as a direct result of rapid and strength-based responses, First Nations in Northern Ontario have managed the pandemic with limited serious illness, hospitalizations, and fatalities.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44613014","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}
Pub Date : 2023-07-13DOI: 10.32799/ijih.v18i1.39511
Erica Samms Hurley, Keith King, M. Jackson, V. Caine
How a nurse understands and integrates their understanding of place is important to nursing practice. In this paper we explore the concept of place in relation to our varied backgrounds and with the understanding and idea that the concept of place differs from one person to another depending upon their experiences. By purposefully coming together to talk about place and its intersection between our common circumstances, interests and beliefs we share and discuss the realm of place as home, relationship(s), and holding memories. Each of our unique and distinct identities, such as being Mi’kmaw, Métis, Jewish, and a Newcomer to Canada, brought varied perspectives of how place is integrated into our lives and our work as nurses. When we pay close attention, we can begin to understand that nursing research, practice and education is entwined with place and through this with spirit, and healing, having implications for health and wellbeing.
{"title":"Contemplating Place in Nursing: Ontological Understandings","authors":"Erica Samms Hurley, Keith King, M. Jackson, V. Caine","doi":"10.32799/ijih.v18i1.39511","DOIUrl":"https://doi.org/10.32799/ijih.v18i1.39511","url":null,"abstract":"How a nurse understands and integrates their understanding of place is important to nursing practice. In this paper we explore the concept of place in relation to our varied backgrounds and with the understanding and idea that the concept of place differs from one person to another depending upon their experiences. By purposefully coming together to talk about place and its intersection between our common circumstances, interests and beliefs we share and discuss the realm of place as home, relationship(s), and holding memories. Each of our unique and distinct identities, such as being Mi’kmaw, Métis, Jewish, and a Newcomer to Canada, brought varied perspectives of how place is integrated into our lives and our work as nurses. When we pay close attention, we can begin to understand that nursing research, practice and education is entwined with place and through this with spirit, and healing, having implications for health and wellbeing.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46049907","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}
Pub Date : 2023-07-13DOI: 10.32799/ijih.v18i1.39255
V. Signal, Rhiannon J Jones, Cheryl Davies, J. Stairmand, Moira Smith, Jonathan L. Adler, J. Gurney
This study investigated the experiences of pain and pain management among Māori with cancer in Aotearoa New Zealand. Using a qualitative study design underpinned by kaupapa Māori research principles, focus group hui and interviews were held with Māori with cancer and their whānau (n=24). We identified themes relating to holistic experiences of pain and pain management, the importance of appropriate support and good communication, and intertwined cancer and pain journeys that impact holistically on Māori with cancer and their whānau. We argue that Aotearoa’s health care system must expand the scope of what pain and pain management means in the context of cancer and act accordingly by adequately supporting Te Ao Māori-centred approaches. The health care system must also heed the call for culturally responsive pain management for Māori, which is especially important when caring for whānau with a disease where pain - both physical and non-physical - is a common and significant symptom.
这项研究调查了新西兰奥特罗阿癌症毛利人的疼痛和疼痛管理经验。采用以kaupapa毛利人研究原则为基础的定性研究设计，对癌症毛利人及其whānau（n=24）进行了焦点小组hui和访谈。我们确定了与疼痛和疼痛管理的整体体验、适当支持和良好沟通的重要性以及相互交织的癌症和疼痛之旅相关的主题，这些主题对患有癌症的毛利人及其whānau产生了全面影响。我们认为，Aotearoa的医疗保健系统必须扩大疼痛和疼痛管理在癌症背景下的意义，并通过充分支持Te Ao Māori为中心的方法采取相应行动。卫生保健系统还必须重视对毛利人进行文化响应性疼痛管理的呼吁，这在照顾患有身体和非身体疼痛是常见和重要症状的患者时尤为重要。
{"title":"It’s more than just physical: Experiences of pain and pain management among Māori with cancer and their whānau.","authors":"V. Signal, Rhiannon J Jones, Cheryl Davies, J. Stairmand, Moira Smith, Jonathan L. Adler, J. Gurney","doi":"10.32799/ijih.v18i1.39255","DOIUrl":"https://doi.org/10.32799/ijih.v18i1.39255","url":null,"abstract":"This study investigated the experiences of pain and pain management among Māori with cancer in Aotearoa New Zealand. Using a qualitative study design underpinned by kaupapa Māori research principles, focus group hui and interviews were held with Māori with cancer and their whānau (n=24). We identified themes relating to holistic experiences of pain and pain management, the importance of appropriate support and good communication, and intertwined cancer and pain journeys that impact holistically on Māori with cancer and their whānau. We argue that Aotearoa’s health care system must expand the scope of what pain and pain management means in the context of cancer and act accordingly by adequately supporting Te Ao Māori-centred approaches. The health care system must also heed the call for culturally responsive pain management for Māori, which is especially important when caring for whānau with a disease where pain - both physical and non-physical - is a common and significant symptom.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48417284","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}
Pub Date : 2023-07-13DOI: 10.32799/ijih.v18i1.39510
Matt Ignacio, Sarah Sense-Wilson, Daniel L. Lucero, Quinton Antone, Tony Locklear, Rana Crowder, Jane J. Lee, Amelia R. Gavin, Michael Spencer
Indigenous adults (18 years or older) including parents, staff, and volunteers of an urban Indigenous youth after-school program participated in individual interviews (n = 10) as part of a community-based participatory research (CBPR) Indigenous harm reduction study to identify alcohol and other drug (AOD) content to include in prevention programming for youth participants. Adult findings were organized using a risk environment framework to identify culturally relevant social, physical, policy, and economic AOD risk factors for youth. We report where adult findings intersect with previously described youth results to establish a list of core content (i.e., culturally relevant AOD prevention activities and discussion topics) to guide program implementation. Core content includes intergenerational Indigenous perspectives (i.e., youth, adult, and elder) to reflect Indigenous cultural lifeways and values of protecting future generations. Findings may be highly relevant to other Indigenous after-school groups or others who wish to develop harm reduction prevention programming for urban Indigenous youth in the Pacific Northwest or beyond.
{"title":"Establishing Core Content for Culturally Grounded Harm Reduction Intervention for Urban Indigenous After-School Youth in the Pacific Northwest","authors":"Matt Ignacio, Sarah Sense-Wilson, Daniel L. Lucero, Quinton Antone, Tony Locklear, Rana Crowder, Jane J. Lee, Amelia R. Gavin, Michael Spencer","doi":"10.32799/ijih.v18i1.39510","DOIUrl":"https://doi.org/10.32799/ijih.v18i1.39510","url":null,"abstract":"Indigenous adults (18 years or older) including parents, staff, and volunteers of an urban Indigenous youth after-school program participated in individual interviews (n = 10) as part of a community-based participatory research (CBPR) Indigenous harm reduction study to identify alcohol and other drug (AOD) content to include in prevention programming for youth participants. Adult findings were organized using a risk environment framework to identify culturally relevant social, physical, policy, and economic AOD risk factors for youth. We report where adult findings intersect with previously described youth results to establish a list of core content (i.e., culturally relevant AOD prevention activities and discussion topics) to guide program implementation. Core content includes intergenerational Indigenous perspectives (i.e., youth, adult, and elder) to reflect Indigenous cultural lifeways and values of protecting future generations. Findings may be highly relevant to other Indigenous after-school groups or others who wish to develop harm reduction prevention programming for urban Indigenous youth in the Pacific Northwest or beyond.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45413798","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}
Pub Date : 2023-06-01Epub Date: 2023-07-13DOI: 10.32799/ijih.v18i1.39403
Amanda D Boyd, Ashley F Railey, Ying-Chia Hsu, Alex W Kirkpatrick, Amber Fyfe-Johnson, Clemma Muller, Dedra Buchwald
Patients, health professionals, and communities use social media to communicate information about health determinants and associated risk factors. Studies have highlighted the potential for social media to reach underserved populations, suggesting these platforms can be used to disseminate health information tailored for diverse and hard-to-reach populations. Little is known, however, about the use of social media among American Indian and Alaska Native populations. The objective of this cross-sectional study is to better understand the use of social media platforms to disseminate information across these populations. Our team surveyed 429 American Indian and Alaska Native adults attending cultural events in Washington State on their use of various types of social media. We used logistic regressions to assess participant use of Twitter, Snapchat, Facebook, and Instagram as related to participant demographics, including age, gender, education, and their place of residence (on-reservation, rural off-reservation areas, or large metropolitan areas). Findings showed that Facebook was used by more participants than other platforms (79%), followed by Instagram (31%). Nearly half of participants used only one social media platform (48%). Age was negatively associated with using Instagram (0.8 OR, 95% CI: 0.7, 0.9) and Snapchat (0.6 OR, 95% CI: 0.5, 0.7). College education was associated with higher odds of using an additional social media platform compared to those without any college education (2.0 OR, 95% CI: 1.1, 3.6). Most participants used social media platforms, which suggests these platforms may be a useful tool in disseminating information to American Indian and Alaska Native peoples. Further research should document how social media can be used to effectively disseminate risk and health information and assess whether it can influence health knowledge and behaviors among these populations.
{"title":"Social Media Use among American Indian and Alaska Native People: Implications for Health Communication Strategies.","authors":"Amanda D Boyd, Ashley F Railey, Ying-Chia Hsu, Alex W Kirkpatrick, Amber Fyfe-Johnson, Clemma Muller, Dedra Buchwald","doi":"10.32799/ijih.v18i1.39403","DOIUrl":"10.32799/ijih.v18i1.39403","url":null,"abstract":"<p><p>Patients, health professionals, and communities use social media to communicate information about health determinants and associated risk factors. Studies have highlighted the potential for social media to reach underserved populations, suggesting these platforms can be used to disseminate health information tailored for diverse and hard-to-reach populations. Little is known, however, about the use of social media among American Indian and Alaska Native populations. The objective of this cross-sectional study is to better understand the use of social media platforms to disseminate information across these populations. Our team surveyed 429 American Indian and Alaska Native adults attending cultural events in Washington State on their use of various types of social media. We used logistic regressions to assess participant use of Twitter, Snapchat, Facebook, and Instagram as related to participant demographics, including age, gender, education, and their place of residence (on-reservation, rural off-reservation areas, or large metropolitan areas). Findings showed that Facebook was used by more participants than other platforms (79%), followed by Instagram (31%). Nearly half of participants used only one social media platform (48%). Age was negatively associated with using Instagram (0.8 OR, 95% CI: 0.7, 0.9) and Snapchat (0.6 OR, 95% CI: 0.5, 0.7). College education was associated with higher odds of using an additional social media platform compared to those without any college education (2.0 OR, 95% CI: 1.1, 3.6). Most participants used social media platforms, which suggests these platforms may be a useful tool in disseminating information to American Indian and Alaska Native peoples. Further research should document how social media can be used to effectively disseminate risk and health information and assess whether it can influence health knowledge and behaviors among these populations.</p>","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11293626/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44508549","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}
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