An Overview of Traumatic Brain & Spinal Cord Injuries (TBI/TSCI) Among Indigenous Populations in Canada, United States, Australia, and New Zealand
Notice bibliographique
Résumé
Background: Indigenous populations across Canada, the United States (US), Australia, and New Zealand (NZ) are disproportionately affected by traumatic brain injury (TBI) and traumatic spinal cord injury (TSCI), both of which can lead to a lifetime of ongoing treatment as well as physiological and psychological impacts. Despite this, a paucity of data exists related to the healthcare experiences within the pathways of care specific to Indigenous populations with TBI/TSCI. This scoping review aims to identify the types of research conducted for, with, and about Indigenous populations, while comparing existing knowledge gaps concerning TBI/TSCI among Indigenous populations across Canada, US, Australia, and NZ. Methods: This review was guided by a five-stage scoping review methodology. It was conducted by a collaborative team of Indigenous and non-Indigenous researchers and a Traditional Knowledge Keeper. We searched 9 databases for peer-reviewed articles related to TBI and/or TSCI and Indigenous populations across all four countries, published between 2000-2021. The initial search resulted in 2,110 sources, and two independent reviewers (EK & LR) screened all citations for inclusion. Overall, 75 articles were selected for the final review.
 Results: A total of 75 articles were included in the final review. 68 studies were focused exclusively on TBI, and 7 studies focused on TSCI. 23 of the included studies were from Australia, 24 from US, 15 from Canada, and 12 from NZ, and one paper was a commentary led by researchers in more than one country. The studies were focused across 5 main subject areas: epidemiology (n=33), rehabilitation (n=25), physician perspectives (n=5), patient knowledge (n=5), and full pathway of care (n=7). Across these themes, three sub-themes also emerged: patient experience (n=11), development of culturally appropriate tool/program (n=10), and cultural understandings of neurotrauma (n=3). Moreover, only 20 of the 75 studies included some form of Indigenous community engagement.
 Implications & Conclusion: Overall, this scoping review highlighted the types of research being done about TBI/TSCI within Indigenous populations, the current knowledge gaps, and how communities are involved within the research process. Global healthcare systems operate differently, and consequently, result in varying health outcomes. The results highlight that there is a lack of Indigenous-driven projects, and a gap within Indigenous-specific data collection strategies. This calls for future research to be driven by community-specific priorities and prioritize Indigenous data governance strategies.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 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 tête enseignante, 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 ».