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Oppliger K, Blair S, Price R, Nahanee ML, Nahanee D, Duncan RTE, Lamont E, Beverly A, Dawson AS, Conklin AI. Promoting Slhánay̓ Sḵwálwen (Indigenous Women's Heart Health): Findings From Sharing Circles With Squamish Nation. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2024; 56:509-520. [PMID: 38888537 DOI: 10.1016/j.jneb.2024.04.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/10/2023] [Revised: 04/03/2024] [Accepted: 04/04/2024] [Indexed: 06/20/2024]
Abstract
OBJECTIVE To gather knowledge and experiences from Squamish Nation citizens to codevelop a model of foraging walks for Indigenous women's heart health. DESIGN Qualitative study (sharing circles). SETTING Vancouver, Canada (virtual). PARTICIPANTS Squamish Nation community members (n = 9), Elders or Knowledge Keepers (n = 5), and researchers (n = 2). INTERVENTION Community-led foraging walks as a culturally safe nutrition education strategy. MAIN OUTCOME MEASURE(S) Perspectives and experiences. ANALYSIS Content analysis and narrative synthesis. RESULTS Personal experiences of foraging walks or knowledge of traditional plants were limited for most participants, and all desired to learn more about traditional foods using land-based activities. Participants identified a lack of nutrition education surrounding heart health and common mistreatment and judgment from health professionals. Participants identified important elements of a future Squamish program, including who should be involved, how to implement it, and the most effective temporal and physical setting. All agreed foraging walks help promote 5 dimensions of heart health (physical, emotional, spiritual, mental, and social) through physical activity, purposeful nutrition, and connection to community and culture. Findings from the sharing circles were used in the creation of a template for future foraging sessions and contributed to plant identification cards for the whole community. CONCLUSIONS AND IMPLICATIONS Community-based pilot studies to test foraging walks as a culturally safe and environmental approach to nutrition education and cardiovascular health awareness for Indigenous communities are warranted. Research to examine the similarities and differences across Indigenous groups related to understanding heart health and land-based practices for nutrition education and heart health awareness is needed.
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Affiliation(s)
- Kitty Oppliger
- Department of Nutritional Sciences, School of Public Health, University of Michigan, Ann Arbor, MI
| | - Sammy Blair
- Food, Nutrition and Health Research Group, Faculty of Land and Food Systems, University of British Columbia, Vancouver, Canada
| | - Roberta Price
- Indigenous Health Initiative, Faculty of Nursing, University of British Columbia, Vancouver, Canada
| | | | - Delhia Nahanee
- Squamish (Sḵwx̱wú7mesh) Nation, North Vancouver and Squamish, British Columbia, Canada
| | | | - Evelyn Lamont
- Squamish (Sḵwx̱wú7mesh) Nation, North Vancouver and Squamish, British Columbia, Canada
| | - Alexandria Beverly
- Squamish (Sḵwx̱wú7mesh) Nation, North Vancouver and Squamish, British Columbia, Canada
| | | | - Annalijn I Conklin
- Food, Nutrition and Health Research Group, Faculty of Land and Food Systems, University of British Columbia, Vancouver, Canada; Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, Canada; Centre for Advancing Health Outcomes, Providence Health Care Research Institute, Vancouver, Canada.
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Rivers C, Haynes E, LoGiudice D, Smith K, Bessarab D. Best practice models of aged-care implemented for First Nations people: a systematic review aligned with the Good Spirit Good Life quality of life principles. BMC Geriatr 2024; 24:210. [PMID: 38424491 PMCID: PMC10905862 DOI: 10.1186/s12877-024-04781-0] [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: 04/17/2023] [Accepted: 02/05/2024] [Indexed: 03/02/2024] Open
Abstract
BACKGROUND Aged-care programs that are based in First Nations worldviews are believed to translate to improved quality of life for First Nations Elders. First Nations perspectives of health and well-being incorporates social and cultural determinants in addition to traditional Western biomedical approaches. This is exemplified by the Good Spirit Good Life (GSGL) framework, which comprises 12 strength-based factors determined by First Nations Elders as constituting culturally appropriate ageing. Our objective was to conduct a systematic review of existing aged care models of practice to determine the degree of alignment with the GSGL framework. Recommendations of the national Australian Royal Commission into Aged Care Quality and Safety informed this work. METHODS We conducted a systematic search of academic and grey literature in the PubMed, Scopus, Ovid Embase, and Informit online databases. Inclusion criteria comprised English language, original research describing the implementation of First Nations culturally appropriate aged care models, published before August 2022. Research that was not focused on First Nations Elders' perspectives or quality of life was excluded. We subsequently identified, systematically assessed, and thematically analyzed 16 articles. We assessed the quality of included articles using the Aboriginal and Torres Strait Islander Quality Assessment Tool (ATSIQAT), and the Joanna Briggs Institute (JBI) critical appraisal tool for qualitative research. RESULTS Most studies were of medium to high quality, while demonstrating strong alignment with the 12 GSGL factors. Nine of the included studies detailed whole service Models of care while 7 studies described a single program or service element. Thematic analysis of included studies yielded 9 enablers and barriers to implementing models of care. CONCLUSIONS Best-practice First Nations aged care requires a decolonizing approach. Programs with strong adherence to the 12 GSGL factors are likely to improve Elders' quality of life.
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Affiliation(s)
- Caleb Rivers
- Good Spirit Good Life Centre of Research Excellence, Centre for Aboriginal Medical and Dental Health, Medical School, University of Western Australia, Perth, Australia.
- Centre for Aboriginal Medical and Dental Health, Medical School, University of Western Australia, Perth, Australia.
- School of Medicine, M303, Crawley, WA, 6009, Australia.
| | - Emma Haynes
- Good Spirit Good Life Centre of Research Excellence, Centre for Aboriginal Medical and Dental Health, Medical School, University of Western Australia, Perth, Australia.
- Centre for Aboriginal Medical and Dental Health, Medical School, University of Western Australia, Perth, Australia.
| | - Dina LoGiudice
- Good Spirit Good Life Centre of Research Excellence, Centre for Aboriginal Medical and Dental Health, Medical School, University of Western Australia, Perth, Australia
- Department of Medicine, University of Melbourne, Melbourne, Australia
- Department of Aged Care, Royal Melbourne Hospital, Melbourne, Australia
| | - Kate Smith
- Good Spirit Good Life Centre of Research Excellence, Centre for Aboriginal Medical and Dental Health, Medical School, University of Western Australia, Perth, Australia
- Centre for Aboriginal Medical and Dental Health, Medical School, University of Western Australia, Perth, Australia
| | - Dawn Bessarab
- Good Spirit Good Life Centre of Research Excellence, Centre for Aboriginal Medical and Dental Health, Medical School, University of Western Australia, Perth, Australia
- Centre for Aboriginal Medical and Dental Health, Medical School, University of Western Australia, Perth, Australia
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Palmer VJ, Bibb J, Lewis M, Densley K, Kritharidis R, Dettmann E, Sheehan P, Daniell A, Harding B, Schipp T, Dost N, McDonald G. A co-design living labs philosophy of practice for end-to-end research design to translation with people with lived-experience of mental ill-health and carer/family and kinship groups. Front Public Health 2023; 11:1206620. [PMID: 38115850 PMCID: PMC10729814 DOI: 10.3389/fpubh.2023.1206620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2023] [Accepted: 10/31/2023] [Indexed: 12/21/2023] Open
Abstract
There is increased recognition that people with lived-experience of mental ill-health ought to be centred in research design, implementation and translation, and quality improvement and program evaluation of services. There is also an increased focus on ways to ensure that co-design processes can be led by people with lived-experience of mental ill-health. Despite this, there remains limited explanation of the physical, social, human, and economic infrastructure needed to create and sustain such models in research and service settings. This is particularly pertinent for all health service sectors (across mental and physical health and social services) but more so across tertiary education settings where research generation occurs for implementation and translation activities with policy and services. The Co-Design Living Labs program was established in 2017 as an example of a community-based embedded approach to bring people living with trauma and mental ill-health and carers/family and kinship group members together with university-based researchers to drive end-to-end research design to translation in mental healthcare and research sectors. The program's current membership is near to 2000 people. This study traces the evolution of the program in the context of the living labs tradition of open innovation. It overviews the philosophy of practice for working with people with lived-experience and carer/family and kinship group members-togetherness by design. Togetherness by design centres on an ethical relation of being-for that moves beyond unethical and transactional approaches of being-aside and being-with, as articulated by sociologist Zygmunt Bauman. The retrospective outlines how an initial researcher-driven model can evolve and transform to become one where people with lived-experience of mental ill-health and carer/family kinship group members hold clear decision-making roles, share in power to enact change, and move into co-researcher roles within research teams. Eight mechanisms are presented in the context of an explanatory theoretical model of change for co-design and coproduction, which are used to frame research co-design activities and provide space for continuous learning and evolution of the Co-Design Living Labs program.
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Affiliation(s)
- Victoria J. Palmer
- Primary Care Mental Health Research Program, The Department of General Practice and Primary Care, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia
- The ALIVE National Centre for Mental Health Research Translation, The University of Melbourne, Parkville, VIC, Australia
- Co-Design Living Labs Program Members, Primary Care Mental Health Research Program, The Department of General Practice and Primary Care, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia
| | - Jennifer Bibb
- Primary Care Mental Health Research Program, The Department of General Practice and Primary Care, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia
- The ALIVE National Centre for Mental Health Research Translation, The University of Melbourne, Parkville, VIC, Australia
- Co-Design Living Labs Program Members, Primary Care Mental Health Research Program, The Department of General Practice and Primary Care, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia
| | - Matthew Lewis
- Primary Care Mental Health Research Program, The Department of General Practice and Primary Care, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia
- The ALIVE National Centre for Mental Health Research Translation, The University of Melbourne, Parkville, VIC, Australia
- Co-Design Living Labs Program Members, Primary Care Mental Health Research Program, The Department of General Practice and Primary Care, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia
| | - Konstancja Densley
- Primary Care Mental Health Research Program, The Department of General Practice and Primary Care, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia
- The ALIVE National Centre for Mental Health Research Translation, The University of Melbourne, Parkville, VIC, Australia
- Co-Design Living Labs Program Members, Primary Care Mental Health Research Program, The Department of General Practice and Primary Care, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia
| | - Roxanne Kritharidis
- Primary Care Mental Health Research Program, The Department of General Practice and Primary Care, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia
- The ALIVE National Centre for Mental Health Research Translation, The University of Melbourne, Parkville, VIC, Australia
- Co-Design Living Labs Program Members, Primary Care Mental Health Research Program, The Department of General Practice and Primary Care, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia
| | - Elise Dettmann
- Primary Care Mental Health Research Program, The Department of General Practice and Primary Care, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia
- The ALIVE National Centre for Mental Health Research Translation, The University of Melbourne, Parkville, VIC, Australia
- Co-Design Living Labs Program Members, Primary Care Mental Health Research Program, The Department of General Practice and Primary Care, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia
| | - Pam Sheehan
- Primary Care Mental Health Research Program, The Department of General Practice and Primary Care, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia
- Co-Design Living Labs Program Members, Primary Care Mental Health Research Program, The Department of General Practice and Primary Care, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia
| | - Ann Daniell
- Primary Care Mental Health Research Program, The Department of General Practice and Primary Care, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia
- Co-Design Living Labs Program Members, Primary Care Mental Health Research Program, The Department of General Practice and Primary Care, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia
| | - Bev Harding
- Primary Care Mental Health Research Program, The Department of General Practice and Primary Care, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia
- Co-Design Living Labs Program Members, Primary Care Mental Health Research Program, The Department of General Practice and Primary Care, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia
| | - Tricia Schipp
- Primary Care Mental Health Research Program, The Department of General Practice and Primary Care, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia
- Co-Design Living Labs Program Members, Primary Care Mental Health Research Program, The Department of General Practice and Primary Care, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia
| | - Nargis Dost
- Primary Care Mental Health Research Program, The Department of General Practice and Primary Care, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia
- Co-Design Living Labs Program Members, Primary Care Mental Health Research Program, The Department of General Practice and Primary Care, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia
| | - Gregor McDonald
- Primary Care Mental Health Research Program, The Department of General Practice and Primary Care, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia
- The ALIVE National Centre for Mental Health Research Translation, The University of Melbourne, Parkville, VIC, Australia
- Co-Design Living Labs Program Members, Primary Care Mental Health Research Program, The Department of General Practice and Primary Care, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia
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