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Woods C, Settee C, Beaucage M, Robinson-Settee H, Desjarlais A, Adams E, Turner C, King M, Pokiak L, Wilson M, Voyageur E, Large C, McGavock J, Kappel J, Chiu H, Beardy T, Flett I, Scholey J, Harris H, Jones J, Nahanee LM, Nahanee D. Ensuring Indigenous co-leadership in health research: a Can-SOLVE CKD case example. Int J Equity Health 2023; 22:234. [PMID: 37941003 PMCID: PMC10634060 DOI: 10.1186/s12939-023-02044-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2023] [Accepted: 10/21/2023] [Indexed: 11/10/2023] Open
Abstract
BACKGROUND Indigenous people are insightful and informed about their own health and wellness, yet their visions, strengths and knowledge are rarely incorporated into health research. This can lead to subpar engagement or irrelevant research practices, which exacerbates the existing health inequities Indigenous people experience compared to the non-Indigenous population. Data consistently underscores the importance of Indigenous self-determination in research as a means to address health inequities. However, there are few formal methods to support this goal within the existing research context, which is dominated by Western perspectives. MAIN TEXT Canadians Seeking Solutions and Innovations to Overcome Chronic Kidney Disease (Can-SOLVE CKD) is a patient-oriented research network in Canada that recognizes the need to create the space to facilitate Indigenous self-determination in research. Indigenous members of the network therefore created and evolved a unique group, called the Indigenous Peoples' Engagement and Research Council (IPERC). IPERC plays a critical role in informing Can-SOLVE CKD research priorities, as well as creating tools to support Indigenous-specific research and engagement. This approach ensures that Indigenous voices and knowledge are critical threads within the fabric of the network's operations and research projects. Here, we describe the methods taken to create a council such as IPERC, and provide examples of initiatives by the council that aim to increase Indigenous representation, participation and partnership in research. We share lessons learned on what factors contribute to the success of IPERC, which could be valuable for other organizations interested in creating Indigenous-led research councils. CONCLUSION Indigenous self-determination in research is critical for addressing health inequities. Here, we present a unique model, led by a council of diverse Indigenous people, which could help reduce health equities and lead to a better era of research for everyone.
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Affiliation(s)
- Cathy Woods
- Canadians Seeking Solutions and Innovations to Overcome Chronic Kidney Disease (Can-SOLVE CKD), Vancouver, Canada
| | - Craig Settee
- Canadians Seeking Solutions and Innovations to Overcome Chronic Kidney Disease (Can-SOLVE CKD), Vancouver, Canada
| | - Mary Beaucage
- Canadians Seeking Solutions and Innovations to Overcome Chronic Kidney Disease (Can-SOLVE CKD), Vancouver, Canada
- Canadian Donation and Transplantation Research Program, Edmonton, Canada
| | - Helen Robinson-Settee
- Canadians Seeking Solutions and Innovations to Overcome Chronic Kidney Disease (Can-SOLVE CKD), Vancouver, Canada
| | - Arlene Desjarlais
- Canadians Seeking Solutions and Innovations to Overcome Chronic Kidney Disease (Can-SOLVE CKD), Vancouver, Canada
| | - Evan Adams
- First Nations Health Authority (BC), Vancouver, Canada
| | - Catherine Turner
- Canadians Seeking Solutions and Innovations to Overcome Chronic Kidney Disease (Can-SOLVE CKD), Vancouver, Canada
- First Nations Health Authority (BC), Vancouver, Canada
| | - Malcolm King
- Canadians Seeking Solutions and Innovations to Overcome Chronic Kidney Disease (Can-SOLVE CKD), Vancouver, Canada
- Community Health and Epidemiology, University of Saskatchewan, Saskatoon, Canada
- Saskatchewan Centre for Patient-Oriented Research, Saskatoon, Canada
| | - Letitia Pokiak
- Canadians Seeking Solutions and Innovations to Overcome Chronic Kidney Disease (Can-SOLVE CKD), Vancouver, Canada
| | - Mary Wilson
- Canadians Seeking Solutions and Innovations to Overcome Chronic Kidney Disease (Can-SOLVE CKD), Vancouver, Canada
| | - Evelyn Voyageur
- Canadians Seeking Solutions and Innovations to Overcome Chronic Kidney Disease (Can-SOLVE CKD), Vancouver, Canada
| | - Chantel Large
- Canadians Seeking Solutions and Innovations to Overcome Chronic Kidney Disease (Can-SOLVE CKD), Vancouver, Canada
| | - Jonathan McGavock
- Department of Pediatrics and Child Health, DREAM Research Theme, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada
| | - Joanne Kappel
- Canadians Seeking Solutions and Innovations to Overcome Chronic Kidney Disease (Can-SOLVE CKD), Vancouver, Canada
- University of Saskatchewan, Saskatoon, Canada
| | | | - Tamara Beardy
- Canadians Seeking Solutions and Innovations to Overcome Chronic Kidney Disease (Can-SOLVE CKD), Vancouver, Canada
- Department of Pediatrics and Child Health, DREAM Research Theme, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada
- Diabetes Action Canada, Toronto, Canada
| | - Isabelle Flett
- Canadians Seeking Solutions and Innovations to Overcome Chronic Kidney Disease (Can-SOLVE CKD), Vancouver, Canada
| | - James Scholey
- Canadians Seeking Solutions and Innovations to Overcome Chronic Kidney Disease (Can-SOLVE CKD), Vancouver, Canada
| | - Heather Harris
- Canadians Seeking Solutions and Innovations to Overcome Chronic Kidney Disease (Can-SOLVE CKD), Vancouver, Canada
| | - Jocelyn Jones
- Canadians Seeking Solutions and Innovations to Overcome Chronic Kidney Disease (Can-SOLVE CKD), Vancouver, Canada.
| | - Latash Maurice Nahanee
- Canadians Seeking Solutions and Innovations to Overcome Chronic Kidney Disease (Can-SOLVE CKD), Vancouver, Canada
| | - Delhia Nahanee
- Canadians Seeking Solutions and Innovations to Overcome Chronic Kidney Disease (Can-SOLVE CKD), Vancouver, Canada
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Hillier DR, Tang M, Clark W, MacDonald C, Connolly C, Large C, King M, Singer J, Levin A, Manns B, Konvalinka A, Scholey J, Rosenblum ND. A Framework to Ensure Patient Partners Have Equal and Contributing Voices Throughout the Research Program Evaluation Process. Can J Kidney Health Dis 2020; 7:2054358120970093. [PMID: 33294204 PMCID: PMC7705288 DOI: 10.1177/2054358120970093] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2020] [Accepted: 09/27/2020] [Indexed: 11/15/2022] Open
Abstract
PURPOSE OF PROGRAM Traditionally, peer review was a closed process conducted only by individuals working in the research field. To establish a more integrated and patient-centered approach, one of Canada's largest kidney research networks (Can-SOLVE CKD) has created a Research Operations Committee (ROC) that includes patients as key members. The ROC represents one way for achieving meaningful patient-oriented research (POR). SOURCE OF INFORMATION Can-SOLVE CKD, a network created as part of the Canadian Institutes of Health Research (CIHR) Strategy for Patient-Oriented Research (SPOR). METHODS The ROC consists of patients, physicians, scientists, Indigenous partners, experts in research methodology, and a member of Can-SOLVE CKD's operational team. On an annual basis, Can-SOLVE CKD's research teams provide the ROC with a review package, which incorporates information from patient engagement check-in calls and surveys, the project's knowledge translation plan and products, and a progress report written by the project team. The ROC evaluates the review package and provides feedback and recommendations accordingly. KEY FINDINGS The transparent nature of the process, regular feedback and review, along with an overt accountability and scoring system, has been embraced by both patients and researchers. As a result of the ROC process, the number of patient leads for each project has grown over a 3-year period and more researchers have received POR and cultural sensitivity training. LIMITATIONS While anecdotal evidence suggests this approach is beneficial for achieving POR, formal mechanisms of evaluation are currently lacking. IMPLICATIONS This ROC framework ensures patients are active contributors throughout the research process and could be adopted by other organizations to achieve a more patient-centered approach to research.
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Affiliation(s)
| | - Mila Tang
- The University of British Columbia,
Vancouver, Canada
| | - William Clark
- Department of Medicine, London Health
Sciences Centre, ON, Canada
| | | | | | | | | | - Joel Singer
- The University of British Columbia,
Vancouver, Canada
| | | | - Braden Manns
- University of Calgary, AB, Canada
- Foothills Medical Centre, Calgary, AB,
Canada
| | | | - James Scholey
- University of Toronto, ON, Canada
- University Health Network, Toronto, ON,
Canada
| | - Norman D. Rosenblum
- Department of Paediatrics, The
Hospital for Sick Children, Toronto, ON, Canada
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Smekal M, Gil S, Donald M, Beanlands H, Straus S, Herrington G, Sparkes D, Harwood L, Tong A, Grill A, Tu K, Waldvogel B, Large C, Large C, Novak M, James M, Elliott M, Delgado M, Brimble S, Samuel S, Hemmelgarn BR. Content and Quality of Websites for Patients With Chronic Kidney Disease: An Environmental Scan. Can J Kidney Health Dis 2019; 6:2054358119863091. [PMID: 31391944 PMCID: PMC6668187 DOI: 10.1177/2054358119863091] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2019] [Accepted: 06/11/2019] [Indexed: 12/12/2022] Open
Abstract
Background: Although numerous websites for patients with chronic kidney disease (CKD) are available, little is known about their content and quality. Objective: To evaluate the quality of CKD websites, and the degree to which they align with information needs identified by patients with CKD. Methods: We identified websites by entering “chronic kidney disease” in 3 search engines: Google.com (with regional variants for Australia, Canada, the United Kingdom, and the United States), Bing.com, and Yahoo.com. We included the first 50 unique English-language sites from each search. We evaluated website content using a 30-point scale comprising 8 priority content domains identified by patients with CKD (understanding CKD, diet, symptoms, medications, mental/physical health, finances, travel, and work/school). We used standardized tools to evaluate usability, reliability, and readability (DISCERN, HONcode, LIDA, Reading Ease, and Reading Grade Level). Two reviewers independently conducted the search, screen, and evaluation. Results: Of the 2093 websites identified, 115 were included. Overall, sites covered a mean (SD) of 29% (17.8) of the CKD content areas. The proportion of sites covering content related to understanding CKD, symptoms, and diet was highest (97%, 80%, and 72%, respectively). The proportion of sites covering travel, finances, and work/school content was lowest (22%, 12%, and 12%, respectively). The mean (SD) scores for DISCERN, LIDA and HONcode were 68% (14.6), 71% (14.4), and 75% (17.2), respectively, considered above average for usability and reliability. The mean (SD) Reading Grade Level was 10.6 (2.8) and Reading Ease was 49.8 (14.4), suggesting poor readability. Conclusions: Although many CKD web sites were of reasonable quality, their readability was poor. Furthermore, most sites covered less than 30% of the content patients identified as important for CKD self-management. These results will inform content gaps in internet-accessible information on CKD self-management that should be addressed by future eHealth web-based tools.
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Affiliation(s)
- Michelle Smekal
- Department of Medicine, Cumming School of Medicine, University of Calgary, AB, Canada
| | - Sarah Gil
- Department of Medicine, Cumming School of Medicine, University of Calgary, AB, Canada
| | - Maoliosa Donald
- Department of Medicine, Cumming School of Medicine, University of Calgary, AB, Canada.,Department of Community Health Sciences, University of Calgary, AB, Canada
| | - Heather Beanlands
- Daphne Cockwell School of Nursing, Ryerson University, Toronto, ON, Canada
| | - Sharon Straus
- Department of Medicine, University of Toronto, ON, Canada.,Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada
| | - Gwen Herrington
- Can-SOLVE CKD Network Patient Partners, Vancouver, BC, Canada
| | - Dwight Sparkes
- Can-SOLVE CKD Network Patient Partners, Vancouver, BC, Canada
| | | | - Allison Tong
- Sydney School of Public Health, The University of Sydney, NSW, Australia
| | - Allan Grill
- Department of Family & Community Medicine, University of Toronto, ON, Canada
| | - Karen Tu
- Department of Family & Community Medicine, University of Toronto, ON, Canada
| | - Blair Waldvogel
- Can-SOLVE CKD Network Patient Partners, Vancouver, BC, Canada
| | - Chantel Large
- Can-SOLVE CKD Network Patient Partners, Vancouver, BC, Canada
| | - Claire Large
- Can-SOLVE CKD Network Patient Partners, Vancouver, BC, Canada
| | - Marta Novak
- Department of Psychiatry, University of Toronto, ON, Canada
| | - Matthew James
- Department of Medicine, Cumming School of Medicine, University of Calgary, AB, Canada.,Department of Community Health Sciences, University of Calgary, AB, Canada
| | - Meghan Elliott
- Department of Medicine, Cumming School of Medicine, University of Calgary, AB, Canada
| | - Maria Delgado
- Can-SOLVE CKD Network Patient Partners, Vancouver, BC, Canada
| | - Scott Brimble
- Department of Medicine, McMaster University, Hamilton, ON, Canada
| | - Susan Samuel
- Department of Community Health Sciences, University of Calgary, AB, Canada.,Department of Pediatrics, University of Calgary, AB, Canada
| | - Brenda R Hemmelgarn
- Department of Medicine, Cumming School of Medicine, University of Calgary, AB, Canada.,Department of Community Health Sciences, University of Calgary, AB, Canada
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Hillier D, Tang M, Clark W, Connolly C, Large C, King M, Singer J, Levin A, Manns B, Konvalinka A. SUN-214 COLLABORATIVE PEER-REVIEW MODEL: PATIENT PARTNERS AS EQUAL AND CONTRIBUTING VOICES IN PATIENT-ORIENTED RESEARCH. Kidney Int Rep 2019. [DOI: 10.1016/j.ekir.2019.05.618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Large C, Robinson-Settee H, Settee C, Settee K, Turner C, Woods C, Levin A. SUN-341 RESPECTFUL ENGAGEMENT OF INDIGENOUS PEOPLES IN A PAN-CANADIAN KIDNEY RESEARCH NETWORK. Kidney Int Rep 2019. [DOI: 10.1016/j.ekir.2019.05.752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Ramsey C, Large C, Scaperoth D, Arwood D, McDonald W. The dosimetric consequences of intra-fraction prostate motion in intensity modulation. Int J Radiat Oncol Biol Phys 2001. [DOI: 10.1016/s0360-3016(01)02215-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Horsburgh K, McCulloch J, Nilsen M, McCracken E, Large C, Roses AD, Nicoll JA. Intraventricular infusion of apolipoprotein E ameliorates acute neuronal damage after global cerebral ischemia in mice. J Cereb Blood Flow Metab 2000; 20:458-62. [PMID: 10724109 DOI: 10.1097/00004647-200003000-00003] [Citation(s) in RCA: 58] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
The ability of intraventricular infusion of apolipoprotein E (apoE) to reduce neuronal damage after global cerebral ischemia was investigated in apoE-deficient and wild-type mice. ApoE (5 microg/mL lipid-conjugated derived from human plasma; 1 microL/h, continuous infusion) significantly reduced neuronal damage in the caudate nucleus and CA2 pyramidal cell layer by approximately 50% in apoE-deficient mice after global ischemia compared to vehicle infusion. In wild-type mice infused with apoE, there was a trend for ischemic neuronal damage to be reduced. ApoE-infused mice had a marked reduction in 4-hydroxynonenal immunoreactivity, as a marker of lipid peroxidation. The results show that the presence of apoE at or after the time of injury can be neuroprotective, possibly via an anti-oxidant mechanism.
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Affiliation(s)
- K Horsburgh
- University Department of Neuropathology, Institute of Neurological Sciences, South Glasgow University Hospitals NHS Trust, University of Glasgow, UK
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Lundstrom K, Turpin MP, Large C, Robertson G, Thomas P, Lewell XQ. Mapping of dopamine D3 receptor binding site by pharmacological characterization of mutants expressed in CHO cells with the Semliki Forest virus system. J Recept Signal Transduct Res 1998; 18:133-50. [PMID: 9651882 DOI: 10.3109/10799899809047741] [Citation(s) in RCA: 41] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Nine mutants and the wild-type human dopamine D3 receptor were expressed at high levels in BHK and CHO cells using the Semliki Forest virus system and were analysed for receptor binding with several structurally different dopamine D3 ligands. The mutation His349Leu showed a significant decrease in pKi values for raclopride, dopamine and GR218231, but an increase in affinity for GR99841. Thr369Val had an increase in pKi for both GR99841 and 7-OH-DPAT. The receptor modelling based on sequence alignment with bacteriorhodopsin indicated that Thr369 and His349 are located on the inside of the ligand binding pocket and the effect of the mutagenesis was therefore expected. The change in binding affinity for Thr369Val could be due to the location in the transmembrane domain VII close to the aspartate residue in domain III, the postulated counter ion for dopamine.
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Affiliation(s)
- K Lundstrom
- Glaxo-Wellcome Medicines Research Centre, Stevenage, Herts, UK.
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Shapiro RA, Farrell A, Hallinan J, Large C, Raynes R. Signal system for ambulance-to-hospital communication. EMT J 1978; 2:73-4. [PMID: 10306678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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