Using OCAP and IQ as Frameworks to Address a History of Trauma in Indigenous Health Research

Mashford‐Pringle, Angela; Pavagadhi, Kira

doi:10.1001/amajethics.2020.868

Cited by 20 publications

(13 citation statements)

References 10 publications

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“…Over the last decades, a number of frameworks have advanced a better understanding of differential health outcomes [48,70,71], highlighting the role of research in identifying and addressing inequity [22,72]. Routine consideration of drivers of health inequities contributes to generating evidence for accountability in evolving political, social, and economic challenges and helps policymakers prioritise actions to maximize both overall population health and the distribution of health in the population [73].…”

Section: Discussionmentioning

confidence: 99%

Improving Social Justice in COVID-19 Health Research: Interim Guidelines for Reporting Health Equity in Observational Studies

Antequera

Lawson

Noorduyn

et al. 2021

IJERPH

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The COVID-19 pandemic has highlighted the global imperative to address health inequities. Observational studies are a valuable source of evidence for real-world effects and impacts of implementing COVID-19 policies on the redistribution of inequities. We assembled a diverse global multi-disciplinary team to develop interim guidance for improving transparency in reporting health equity in COVID-19 observational studies. We identified 14 areas in the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) checklist that need additional detail to encourage transparent reporting of health equity. We searched for examples of COVID-19 observational studies that analysed and reported health equity analysis across one or more social determinants of health. We engaged with Indigenous stakeholders and others groups experiencing health inequities to co-produce this guidance and to bring an intersectional lens. Taking health equity and social determinants of health into account contributes to the clinical and epidemiological understanding of the disease, identifying specific needs and supporting decision-making processes. Stakeholders are encouraged to consider using this guidance on observational research to help provide evidence to close the inequitable gaps in health outcomes.

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Section: Discussionmentioning

confidence: 99%

Improving Social Justice in COVID-19 Health Research: Interim Guidelines for Reporting Health Equity in Observational Studies

Antequera

Lawson

Noorduyn

et al. 2021

IJERPH

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“…The study design is also guided by the iCARE participant and family advisory group in accordance with the current guidelines for participatory action research with Indigenous populations. 21 …”

Section: Design and Methodsmentioning

confidence: 99%

Physical activity and cardiometabolic health in adolescents with type 2 diabetes: a cross-sectional study

Slaght

Wicklow

Dart

et al. 2021

BMJ Open Diab Res Care

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IntroductionYouth living with type 2 diabetes display increased risk of cardiovascular disease (CVD). It is unclear if regular physical activity (PA) modifies this risk.Research design and methodsWe compared CVD risk factors in a cross-sectional study of 164 youth with type 2 diabetes stratified according to weekly vigorous-intensity PA. Outcomes were hemoglobin A1c (HbA1c), ambulatory blood pressure (BP; ambulatory 24-hour readings), plasma lipoproteins, and albuminuria. The main exposure, vigorous-intensity PA, was quantified with the Adolescent Physical Activity Recall Questionnaire.ResultsYouth were 15±3 years, and 78% lived rurally and 68% were female, with a mean body mass index (BMI) Z-score of 2.4±1.1 and a mean HbA1c of 9.6% ±2.6%. Youth who participated in regular vigorous-intensity PA (40%; n=67) achieved nearly twice the dose of PA than peers who did not (62 vs 34 metabolic equivalent score-hour/week, p=0.001). After adjusting for duration of diabetes, BMI Z-score, sex, and smoking, youth who engaged in vigorous-intensity PA displayed lower HbA1c (9.1% vs 9.9%, p=0.052), diastolic BP (70 mm Hg vs 73 mm Hg, p=0.002), diastolic load (20% vs 26%, p=0.023), and mean arterial pressure (87.3 mm Hg vs 90.3 mm Hg, p<0.01), compared with youth who did not. Compared with youth who did not participate in regular vigorous-intensity PA, those who did also displayed lower odds of albuminuria after adjusting for duration of diabetes, sex, smoking, rural residence, and BMI Z-score (adjusted OR: 0.40, 95% CI 0.19 to 0.84).ConclusionsAmong youth with type 2 diabetes, participation in vigorous-intensity PA is associated with lower CVD risk.

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“…All evaluation frameworks should be based on Indigenous research methods and data sovereignty. 24 Using Indigenous research principles, such as OCAP and Inuit Qaujimajatuqangit, can ensure that an evaluation is culturally safe, that the analysis includes an Indigenous lens, and that recommendations and program changes are reflective of the Indigenous patients and their family’s needs. Evaluations can also provide a voice to Indigenous people who have used the IPN program(s) to determine success, challenges, and wise practices.…”

Section: Recommendationsmentioning

confidence: 99%

An environmental scan of Indigenous Patient Navigator programs in Ontario

Hiscock

Stutz

Mashford‐Pringle

et al. 2022

Healthc Manage Forum

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Indigenous people in Canada continue to experience barriers accessing healthcare services including systemic racism and disproportionate healthcare disparities. Indigenous Patient Navigators (IPNs) and programs may mitigate these barriers by providing culturally safe care and support for Indigenous patients and their families navigating healthcare systems. Unfortunately, few IPNs and IPN programs exist in Ontario. We conducted an environmental scan of IPN resources and programs in Canada. Our aim was to determine evaluation frameworks, training, responsibilities of IPNs, and current IPN programs in Canada. We found 97 web sites or documents that were gathered between January and March 2021. We offer gaps in knowledge uncovered during the environmental scan. We conclude with recommendations for the implementation of IPN programs. Indigenous patient navigators have the potential to improve Indigenous healthcare experiences. Specific and sustained action is required to improve and create an equitable health system for Indigenous people across Canada.

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Using OCAP and IQ as Frameworks to Address a History of Trauma in Indigenous Health Research

Cited by 20 publications

References 10 publications

Improving Social Justice in COVID-19 Health Research: Interim Guidelines for Reporting Health Equity in Observational Studies

Improving Social Justice in COVID-19 Health Research: Interim Guidelines for Reporting Health Equity in Observational Studies

Physical activity and cardiometabolic health in adolescents with type 2 diabetes: a cross-sectional study

An environmental scan of Indigenous Patient Navigator programs in Ontario

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