Adapting Child Health Knowledge Translation Tools for Indigenous Communities: A Qualitative Exploration of Indigenous Healthcare Provider Perspectives (Preprint)
Notice bibliographique
Résumé
BACKGROUND Background - Our research groups have developed a number of parent knowledge translation (KT) tools to help families and caregivers understand common childhood illnesses and make informed decisions regarding when to seek urgent care. We have developed a series of videos to help parents understand how to manage common acute childhood illnesses at home and when to contact emergency healthcare services. It is unclear whether the videos in their current form and language are useful for a wider scope of populations, including Indigenous groups. OBJECTIVE Objectives - The purpose of this study was to explore if and understand how our KT tools could be adapted for use with Indigenous communities. METHODS Methods - Healthcare providers (HCPs) serving Indigenous families in Alberta were asked to review two of our KT tools (one on croup and one on acute otitis media), complete a demographic survey, and participate in a one-on-one semi-structured interview. HCPs were asked to reflect on the usability of our KT tools within their practice, and what cultural adaptation considerations they felt would be needed to develop KT tools that meet the needs of Indigenous clients. Audio recordings from the interviews were transcribed verbatim and analyzed for relevant themes using thematic analysis. RESULTS Results - Eighteen HCPs (15 women and 3 men) from various health professions (e.g., doctor, registered nurse, licensed practical nurse, etc.) were interviewed. Seven HCPs self-identified as Indigenous. Four key overarching themes were identified as important when considering how to adapt KT tools for Indigenous communities: accessibility, relatability, KT design, and relationship building. Access to tangible resources and personal and professional connections were considered important. Accessibility impacts the types of KT tools that can be obtained or utilized by various individuals and communities, and the extent to which they can implement recommendations given in those KT tools. Additionally, the extent to which users relate to the depictions and content within KT tools must be considered. The environments, portrayals of characters, and cultural norms and values presented within KT tools should be relevant to users to increase relatability and uptake of recommendations. Most importantly, fostering genuine and sustainable relationships with users and communities is a vital consideration for KT tool developers. CONCLUSIONS Conclusion - These findings serve to cultivate a greater understanding of the various components to consider when developing and/or culturally adapting KT tools for Indigenous families. This information will help support the effective adaptation and distribution of KT tools for use by a broad audience. Careful consideration of the themes identified in this study highlights the importance of working together with the knowledge users when developing KT tools.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,026 | 0,027 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,002 | 0,002 |
| Études des sciences et des technologies | 0,012 | 0,007 |
| Communication savante | 0,004 | 0,003 |
| Science ouverte | 0,002 | 0,007 |
| Intégrité de la recherche | 0,001 | 0,003 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».