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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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Getchell LE, Fowler E, Reich M, Allu S, Boucher C, Burns K, Desjarlais A, L’Esperance A, Elliott M, Robinson-Settee H, Chiu HHL, Rosenblum ND, Settee C, Murdoch A, Dew S, Green A, Franson L, Bernstein E, Sparkes D, Turner C, Fernandez N, Sapir-Pichhadze R. Program Report: Can-SOLVE CKD Network Presents an Inclusive Method for Developing Patient-Oriented Research Tools. Can J Kidney Health Dis 2022; 9:20543581221074566. [PMID: 35173970 PMCID: PMC8842461 DOI: 10.1177/20543581221074566] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2021] [Accepted: 12/09/2021] [Indexed: 11/21/2022] Open
Abstract
Purpose of program: Given the growing interest in patient-oriented research (POR) initiatives, there is a need to provide relevant training and education on how to engage with patients as partners on research teams. Sources of information: As part of its mandate to develop appropriate training materials, the patient-oriented renal research network, Canadians Seeking Solutions and Innovations to Overcome Chronic Kidney Disease (Can-SOLVE CKD), established a training and Mentorship Committee (TMC). Methods: The committee brings together a unique combination of Indigenous and non-Indigenous patient partners (including caregivers, family members, and living donors), researchers, as well as patient engagement and knowledge translation experts, combining a multitude of perspectives and expertise. Following an assessment of training needs within the network, the TMC undertook the co-development of 5 learning modules to address the identified gaps. Subsequently, the committee divided into working groups tasked with developing content using a consultive and iterative approach informed by the DoTTI framework for building web-based tools for patients. In addition, the TMC embodied the guiding principles of inclusiveness, support, mutual respect, and co-building as set out by the Patient Engagement Framework through the Strategy for Patient-Oriented Research (SPOR) of the Canadian Institutes of Health Research. Key findings: The 5 new modules include: A Patient Engagement Toolkit, Storytelling for Impact, Promoting Kidney Research in Canada (KidneyPRO), Wabishki Bizhiko Skaanj Learning Pathway, and Knowledge Translation. The TMC’s approach to developing these modules demonstrates how a diverse group of stakeholders working together can create tools to support high-quality POR. This also provides a roadmap for other health research entities interested in developing similar tools within their unique domains. Limitations: The landscape of patient engagement in research is constantly evolving. This underscores the need for sustained resources to keep POR tools and training relevant and up-to-date. Sustaining such resources may not be feasible for all research entities. Implications: Collaborative approaches integrating patients in the development of POR tools ensure the content is relevant and meaningful to patients. Broader adoption of such approaches has great potential to address existing gaps and enhance the Canadian POR landscape.
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Affiliation(s)
| | | | | | - Selina Allu
- Can-SOLVE CKD Network, Vancouver, BC, Canada
- University of Calgary, Medicine, AB, Canada
| | | | - Kevin Burns
- Can-SOLVE CKD Network, Vancouver, BC, Canada
- Department of Nephrology, The Ottawa Hospital, ON, Canada
| | | | - Audrey L’Esperance
- Can-SOLVE CKD Network, Vancouver, BC, Canada
- Centre of Excellence on Partnership With Patients and the Public, Quebec, QC, Canada
| | - Meghan Elliott
- Can-SOLVE CKD Network, Vancouver, BC, Canada
- University of Calgary, Medicine, AB, Canada
| | | | - Helen Hoi-Lun Chiu
- Can-SOLVE CKD Network, Vancouver, BC, Canada
- BC Renal, Vancouver, BC, Canada
| | - Norman D. Rosenblum
- Can-SOLVE CKD Network, Vancouver, BC, Canada
- Hospital for Sick Children, Toronto, ON, Canada
| | | | | | - Simone Dew
- Can-SOLVE CKD Network, Vancouver, BC, Canada
| | | | | | | | | | | | - Nicolas Fernandez
- Can-SOLVE CKD Network, Vancouver, BC, Canada
- Department of Family Medicine and Emergency Medicine, Université de Montréal, QC, Canada
| | - Ruth Sapir-Pichhadze
- Can-SOLVE CKD Network, Vancouver, BC, Canada
- Division of Nephrology and Multiorgan Transplant Program, Department of Medicine, McGill University, Montreal, QC, Canada
- Centre for Outcomes Research and Evaluation, Research Institute of McGill University Health Centre, Montreal, QC, Canada
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TURNER C, McLeod L, Beaucage M, Robinson-Settee H, Settee C, Kappel J. POS-993 KNOWLEDGE KEEPERS IN RESEARCH VIRTUAL BOOK. Kidney Int Rep 2022. [DOI: 10.1016/j.ekir.2022.01.1036] [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: 10/19/2022] Open
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Robinson-Settee H, Settee C, King M, Beaucage M, Smith M, Desjarlais A, Chiu HHL, Turner C, Kappel J, McGavock JM. Wabishki Bizhiko Skaanj: a learning pathway to foster better Indigenous cultural competence in Canadian health research. Can J Public Health 2021; 112:912-918. [PMID: 34008136 PMCID: PMC8523643 DOI: 10.17269/s41997-020-00468-2] [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] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Accepted: 12/21/2020] [Indexed: 11/17/2022]
Abstract
Objective In Canada, Indigenous people experience racism across diverse settings, including within the health sector. This has negatively impacted both the quality of care that Indigenous people receive as well as how research related to Indigenous populations is conducted. Therefore, an Indigenous-led council at a kidney research network, in partnership with other key stakeholders, sought to create a learning pathway that aims to distill the racism that Indigenous people face, and build cultural competence, within the health sector. Participants The learning pathway was designed for researchers, health care providers, patient partners and administrators. Setting Various components of the pathway are established trainings in healthcare and research settings at provincial and national levels. Provincially, some components are implemented in British Columbia, Alberta, Saskatchewan, Manitoba and Ontario. Intervention The pathway, called Wabishki Bizhiko Skaanj (meaning “White Horse” in Anishinaabemowin), involves six key steps: a culturally tailored blanket exercise that walks participants through the history of local Indigenous Nations/peoples; a more detailed online training program (San’yas); a series of webinars on Indigenous research ethics and protocols; an educational booklet about engaging Knowledge Keepers in research, as well as sharing details about their traditional knowledge and culture; two certification programs about Indigenous ownership of data; and a “book club,” wherein the conversation of racism—and the goal for finding solutions—is continually discussed. Outcomes Wabishki Bizhiko Skaanj is working to build cultural competence in the Canadian health sector. Implications This learning pathway has the potential to address racial disparities across the country and improve health outcomes for Indigenous peoples.
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Affiliation(s)
- Helen Robinson-Settee
- Wabishki Bizhiko Skaanj Learning Pathway, Can-SOLVE CKD Network, Vancouver, BC, Canada.,Indigenous Peoples' Engagement and Research Council, Can-SOLVE CKD Network, Vancouver, Canada.,Patient Governance Circle, Can-SOLVE CKD, Vancouver, Canada.,Can-SOLVE CKD, Vancouver, Canada
| | - Craig Settee
- Indigenous Peoples' Engagement and Research Council, Can-SOLVE CKD Network, Vancouver, Canada.
| | - Malcolm King
- Department of Community Health and Epidemiology, University of Saskatchewan, Saskatoon, SK, Canada.,Saskatchewan Centre for Patient-Oriented Research, Saskatoon, Canada
| | - Mary Beaucage
- Wabishki Bizhiko Skaanj Learning Pathway, Can-SOLVE CKD Network, Vancouver, BC, Canada.,Indigenous Peoples' Engagement and Research Council, Can-SOLVE CKD Network, Vancouver, Canada.,Patient Governance Circle, Can-SOLVE CKD, Vancouver, Canada.,Can-SOLVE CKD, Vancouver, Canada
| | - Mary Smith
- School of Nursing, Queen's University, Kingston, ON, Canada
| | - Arlene Desjarlais
- Wabishki Bizhiko Skaanj Learning Pathway, Can-SOLVE CKD Network, Vancouver, BC, Canada.,Indigenous Peoples' Engagement and Research Council, Can-SOLVE CKD Network, Vancouver, Canada.,Patient Governance Circle, Can-SOLVE CKD, Vancouver, Canada.,Can-SOLVE CKD, Vancouver, Canada
| | - Helen Hoi-Lun Chiu
- Can-SOLVE CKD, Vancouver, Canada.,Patient-Centred Performance Improvement, BC Renal, Vancouver, Canada
| | | | - Joanne Kappel
- Division of Nephrology, Faculty of Medicine, University of Saskatchewan, Saskatoon, Canada
| | - Jonathon M McGavock
- Diabetes Research Envisioned and Accomplished in Canada (DREAM) theme, Winnipeg, MB, Canada.,Department of Pediatrics and Child Health, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada
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Settee C, Robinson-Settee H, Desjarlais A, Turner C, King M. POS-828 WABISHKI BIZHIKO SKAANJ: A LEARNING PATHWAY TO FOSTER BETTER INDIGENOUS CULTURAL COMPETENCE WITHIN CANADIAN KIDNEY RESEARCH. Kidney Int Rep 2021. [DOI: 10.1016/j.ekir.2021.03.865] [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: 11/16/2022] Open
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Getchell L, Bernstein E, Fowler E, Franson L, Reich M, Sparkes D, Desjarlais A, Banai S, Pollock G, Lord-Fontaine S, Settee C, Robinson-Settee H, Murdoch A, Fernandez N, Sapir-Pichhadze R. Program Report: KidneyPRO, a Web-based Training Module for Patient Engagement in Kidney Research. Can J Kidney Health Dis 2021; 7:2054358120979255. [PMID: 33425371 PMCID: PMC7755936 DOI: 10.1177/2054358120979255] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [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: 07/24/2020] [Accepted: 10/29/2020] [Indexed: 11/25/2022] Open
Abstract
Purpose of report: Over the recent years, there has been increasing support and traction for patient-oriented research (POR). Such an approach ensures that health research is focused on what matters most: improving outcomes for patients. Yet the realm of health research remains enigmatic for many patients in Canada who are not familiar with research terms and practices, highlighting the need for focused capacity-building efforts, including the development of novel educational tools to support patients to meaningfully engage in the research enterprise. The need for disease-specific training in POR was identified by the network dedicated to advancing patient-oriented kidney research in Canada, Canadians Seeking Solutions and Innovations to Overcome Chronic Kidney Disease (Can-SOLVE CKD), during the early years of the network’s inception. In this report, we describe the development of KidneyPRO, an online learning module that orients patients and families to kidney research in Canada, and outlines ways to get involved. In line with the Patient Engagement framework of the Strategy for Patient Oriented Research, KidneyPRO was co-developed with the network’s patient partners. Sources of information: The need for KidneyPRO was identified through a review of feedback from network participants of Canadian Institutes of Health Research’s (CIHR) Foundations in Patient-Oriented Research Module 2—Health Research in Canada and a network-wide survey of Can-SOLVE CKD that was conducted in June 2017 and assessed training needs of key stakeholders. This 2017 survey ranked the need for tools providing introductory knowledge on Canadian kidney research as third in the network’s top 5 capacity-building priorities. Methods: At Can-SOLVE CKD, a dedicated multi-stakeholder team was formed from the Training & Mentorship Committee (the network’s core infrastructure for POR capacity building) to determine the learning objectives, content, and user interface. The team consisted of 3 patient partners, Director of Research for the Kidney Foundation of Canada, a kidney clinician-scientist, the network’s Patient Partnerships & Training Lead, Can-SOLVE CKD’s Indigenous People’s Engagement and Research Council Coordinator, and a project coordinator. With permission, content from CIHR’s Foundations in Patient-Oriented Research, along with resources from the Kidney Foundation of Canada’s research arm and network project teams, was used to form the basis of the tool. The working group adapted a DoTTI (Design and develOpment, Testing early iterations, Testing for Effectiveness, Integration, and implementation) framework and iteratively identified, created, and refined the content and user interface in consultation with the Training and Mentorship Committee and the Can-SOLVE CKD Patient Governance Circle. Key findings: In this article, we describe the development, deployment, and evaluation of KidneyPRO, a web-based training module that helps patients understand general, patient-oriented, and kidney-specific research within Canada. KidneyPRO aims to support patient engagement in studies as partners and/or participants and empower them to take part in the research process in an active and meaningful way. It was co-designed and vetted by patients, which helps to ensure clear, useful content and a user-friendly interface. In addition, the module includes links to kidney research opportunities within the Can-SOLVE CKD Network and beyond. A literature review established that KidneyPRO fills an important gap in kidney-specific POR. Ongoing collection of website metrics and postcompletion surveys from users will be used to evaluate the effectiveness of the tool. Limitations: As an online tool, people who do not have adequate Internet access will not be able to use KidneyPRO. Currently, the tool is not compliant with all Web Content Accessibility Guidelines. Given how the landscape of patient partnership in research is constantly evolving, the content in KidneyPRO needs to be updated on a regular basis. Implications: Canadians with or at high risk of CKD now have access to an educational tool when seeking to engage as partners and/or participants in innovative kidney research.
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Affiliation(s)
| | | | | | | | | | | | | | - Sara Banai
- Can-SOLVE CKD Network, Vancouver, BC, Canada
| | | | | | | | | | | | - Nicolas Fernandez
- Can-SOLVE CKD Network, Vancouver, BC, Canada.,Department of Family Medicine and Emergency Medicine, University of Montreal, QC, Canada
| | - Ruth Sapir-Pichhadze
- Can-SOLVE CKD Network, Vancouver, BC, Canada.,Division of Nephrology and Multi-Organ Transplant Program, Department of Medicine, McGill University, Montreal, QC, Canada.,Centre for Outcomes Research and Evaluation, Research Institute of McGill University Health Centre, Montreal, QC, Canada
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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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