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Hiyare-Hewage A, Sinka V, Grande ED, Kerr M, Kim S, Mallitt KA, Dickson M, Jaure A, Wilson R, Craig JC, Stephens JH. The cultural safety of research reports on primary healthcare use by Indigenous Peoples: a systematic review. BMC Health Serv Res 2024; 24:873. [PMID: 39085815 PMCID: PMC11293170 DOI: 10.1186/s12913-024-11314-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Accepted: 07/15/2024] [Indexed: 08/02/2024] Open
Abstract
INTRODUCTION Community-driven research in primary healthcare (PHC) may reduce the chronic disease burden in Indigenous peoples. This systematic review assessed the cultural safety of reports of research on PHC use by Indigenous peoples from four countries with similar colonial histories. METHODS Medline, CINAHL and Embase were all systematically searched from 1st January 2002 to 4th April 2023. Papers were included if they were original studies, published in English and included data (quantitative, qualitative and/or mixed methods) on primary healthcare use for chronic disease (chronic kidney disease, cardiovascular disease and/or diabetes mellitus) by Indigenous Peoples from Western colonial countries. Study screening and data extraction were undertaken independently by two authors, at least one of whom was Indigenous. The baseline characteristics of the papers were analyzed using descriptive statistics. Aspects of cultural safety of the research papers were assessed using two quality appraisal tools: the CONSIDER tool and the CREATE tool (subset analysis). This systematic review was conducted in accordance with the Assessing the Methodological Quality of Systematic Reviews (AMSTAR) tool. RESULTS We identified 35 papers from Australia, New Zealand, Canada, and the United States. Most papers were quantitative (n = 21) and included data on 42,438 people. Cultural safety across the included papers varied significantly with gaps in adequate reporting of research partnerships, provision of clear collective consent from participants and Indigenous research governance throughout the research process, particularly in dissemination. The majority of the papers (94%, 33/35) stated that research aims emerged from communities or empirical evidence. We also found that 71.4% (25/35) of papers reported of using strengths-based approaches by considering the impacts of colonization on reduced primary healthcare access. CONCLUSION Research on Indigenous PHC use should adopt more culturally safe ways of providing care and producing research outputs which are relevant to community needs by privileging Indigenous voices throughout the research process including dissemination. Indigenous stakeholders should participate more formally and explicitly throughout the process to guide research practices, inclusive of Indigenous values and community needs.
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Affiliation(s)
- Amandi Hiyare-Hewage
- Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Adelaide, Australia.
| | - Victoria Sinka
- Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
- The Poche Centre for Indigenous Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
| | - Eleonora Dal Grande
- Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Adelaide, Australia
| | - Marianne Kerr
- Centre for Kidney Research, The Children's Hospital at Westmead, Sydney, Australia
| | - Siah Kim
- Centre for Kidney Research, The Children's Hospital at Westmead, Sydney, Australia
| | - Kylie-Ann Mallitt
- Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
- Centre for Kidney Research, The Children's Hospital at Westmead, Sydney, Australia
| | - Michelle Dickson
- Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
- The Poche Centre for Indigenous Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
| | - Allison Jaure
- Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
- Centre for Kidney Research, The Children's Hospital at Westmead, Sydney, Australia
| | - Rhonda Wilson
- Department of Nursing, RMIT University, Melbourne, Australia
| | - Jonathan C Craig
- Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Adelaide, Australia
| | - Jacqueline H Stephens
- Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Adelaide, Australia
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Forsythe LP, Carman KL, Szydlowski V, Fayish L, Davidson L, Hickam DH, Hall C, Bhat G, Neu D, Stewart L, Jalowsky M, Aronson N, Anyanwu CU. Patient Engagement In Research: Early Findings From The Patient-Centered Outcomes Research Institute. Health Aff (Millwood) 2019; 38:359-367. [DOI: 10.1377/hlthaff.2018.05067] [Citation(s) in RCA: 124] [Impact Index Per Article: 24.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- Laura P. Forsythe
- Laura P. Forsythe is director of the Evaluation and Analysis program at the Patient-Centered Outcomes Research Institute (PCORI), in Washington, D.C
| | - Kristin L. Carman
- Kristin L. Carman is director of the Public and Patient Engagement program at PCORI
| | - Victoria Szydlowski
- Victoria Szydlowski is a program associate in the Evaluation and Analysis program at PCORI
| | - Lauren Fayish
- Lauren Fayish is a program associate in the Evaluation and Analysis program at PCORI
| | - Laurie Davidson
- Laurie Davidson is medical librarian for the Evaluation and Analysis program at PCORI
| | - David H. Hickam
- David H. Hickam is director of the Clinical Effectiveness and Decision Sciences program at PCORI
| | - Courtney Hall
- Courtney Hall is a program assistant in the Evaluation and Analysis program at PCORI
| | - Geeta Bhat
- Geeta Bhat is a program associate in the Clinical Effectiveness and Decision Sciences program at PCORI
| | - Denese Neu
- Denese Neu is an engagement officer in the Public and Patient Engagement program at PCORI
| | - Lisa Stewart
- Lisa Stewart is an engagement officer in the Public and Patient Engagement program at PCORI
| | - Maggie Jalowsky
- Maggie Jalowsky is a research associate in the Healthcare Delivery and Disparities Research program at PCORI
| | - Naomi Aronson
- Naomi Aronson is executive director of clinical evaluation, innovation, and policy, Office of Clinical Affairs, at the Blue Cross Blue Shield Association, in Chicago, Illinois, and a member of the PCORI Methodology Committee
| | - Chinenye Ursla Anyanwu
- Chinenye Ursla Anyanwu is an engagement officer in the Public and Patient Engagement program at PCORI
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