Approaches to working with Aboriginal adults with acquired brain injury : exploring perspectives of speech-language pathologists
Bibliographic record
Abstract
Efforts to raise awareness of culturally safe speech-language pathology services for Aboriginal populations have grown in recent years. However, while most of the literature focuses on Aboriginal children and families, few studies are tailored towards the adult population. Furthermore, little is known in Canada or internationally about approaches to providing culturally safe care to Aboriginal adults with acquired brain injury in a speech-language pathology context. The purpose of this qualitative study is to explore perspectives of speech-language pathologists working with Aboriginal adults with acquired brain injury (ABI) to develop an understanding of the supports, barriers, and facilitators in working with this population. Semi-structured, participant-driven interviews were conducted with seven speech-language pathologists from different geographical locations and health care settings across British Columbia. The data were interpreted using a method called thematic analysis to identify common topics and themes. A wide range of participant perspectives highlighted the diversity in participants’ experiences. A total of four topics were identified: (1) a description of service delivery for adults in British Columbia revealing various barriers and facilitators; (2) working with patients and families within the context of service delivery; (3) participants’ concerns that they considered to be specific to Aboriginal peoples; and (4) participants’ perspectives on cultural safety. Seven themes that reflect participants’ personal statements emerged from the second, third, and fourth topic: building relationships with patients; family and community support; Aboriginal languages, culture, and identity; awareness of the impacts of colonization in health care; move towards holistic practice; participants’ feelings of uncertainty; and role of building relationships in the provision of culturally safe care. This study shows the need for broader research to develop a deeper understanding and explore Aboriginal views on cultural safety in speech-language pathology practice with Aboriginal peoples with ABI. It is also critical for clinicians to become culturally competent through continuing education in order to increase their ability to provide culturally safe care.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.015 | 0.014 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.028 | 0.017 |
| Scholarly communication | 0.006 | 0.003 |
| Open science | 0.003 | 0.012 |
| Research integrity | 0.003 | 0.007 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".