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. 2023 Mar;90(1):4-14.
doi: 10.1177/00084174221116638. Epub 2022 Aug 9.

Knowledge Gaps Regarding Indigenous Health in Occupational Therapy: A Delphi Process

Claire C Jacek, Kassandra M Fritz, Monique E Lizon, Tara L Packham

Knowledge Gaps Regarding Indigenous Health in Occupational Therapy: A Delphi Process

Claire C Jacek et al. Can J Occup Ther. 2023 Mar.

Abstract
in English, French

Background. The occupational therapy profession needs to respond to the calls to action from the Truth and Reconciliation Commission (TRC) to engage in the process of reconciliation with Indigenous populations. Purpose. To inform development of a survey intended to determine the knowledge gaps of occupational therapists in relation to Indigenous health. Method. A Delphi process engaging 18 occupational therapists with membership in an Indigenous health network was used to prioritize and refine potential themes identified via literature review. Findings. Results of three consensus rounds and Dunn-Bonferroni post-hoc testing demonstrated three statistically distinct hierarchical tiers of 10 priority themes to inform survey development. Implications. The consensus prioritized themes from the literature to underpin further research on occupational therapists' knowledge in relation to Indigenous health and can provide a learning scaffold for occupational therapists to support a continued response to the TRC calls to action.

Description. Les ergothérapeutes doivent répondre aux appels à l’action de la Commission de vérité et réconciliation (CVR) pour s’engager sur la voie de la réconciliation avec les Autochtones. But. Aider à l’élaboration d’un sondage visant à déterminer les lacunes dans les connaissances des ergothérapeutes en matière de santé des Autochtones. Méthodologie. Un processus Delphi avec 18 ergothérapeutes membres d’un réseau sur la santé des Autochtones a été utilisé pour hiérarchiser et affiner les thèmes potentiels recensés par l’entremise d’une revue de la littérature. Résultats. Les résultats de trois tours de consultation et du test post hoc de Dunn-Bonferroni démontrent trois niveaux hiérarchiques statistiquement distincts de 10 thèmes prioritaires pour l’élaboration du sondage. Conséquences. Des thèmes issus de la littérature ont été priorisés pour étayer de futures recherches sur les connaissances des ergothérapeutes en matière de santé des Autochtones et aider les ergothérapeutes à évoluer dans leurs apprentissages pour offrir une réponse continue aux appels à l’action de la CVR.

Keywords: Consensus; Healthcare disparities; Mixed methods; Priority setting‌; Reconciliation; disparités en santé; méthodes mixtes; réconciliation; établissement des priorités.

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Figures

Figure 1.
Figure 1.
PRISMA flow diagram (Page et al., 2021).
Figure 2.
Figure 2.
Mean rankings for each theme from the second and third rounds of the Delphi method. The highest priority themes are listed at the top of the figure and organized in descending priority.
See this image and copyright information in PMC

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References

    1. Bartlett C., Marshall M., Marshall A. (2012). Two-eyed seeing and other lessons learned within a co-learning journey of bringing together indigenous and mainstream knowledges and ways of knowing. Journal of Environmental Studies and Sciences, 2(4), 331–340. 10.1007/s13412-012-0086-8 - DOI
    1. Beagan B. L. (2015). Approaches to culture and diversity: A critical synthesis of occupational therapy literature: Des approches en matière de culture et de diversité: une synthèse critique de la littérature en ergothérapie. Canadian Journal of Occupational Therapy, 82(5), 272–282. 10.1177/0008417414567530 - DOI - PubMed
    1. Braun V., Clarke V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. 10.1191/1478088706qp063oa - DOI
    1. Canadian Association of Occupational Therapists. (2018). CAOT Position Statement: Occupational therapy and Indigenous peoples. Retrieved on March 10, 2021 from https://www.caot.ca/document/3700/O%20%20OT%20and%20Aboriginal%20Health.pdf
    1. Canadian Association of Occupational Therapists (CAOT). (2016). Occupational therapy and Indigenous health network. Retrieved on May 4, 2022 from https://www.caot.ca/site/pd/otn/otahn?nav=sidebar