Culturally Safe Falls Prevention Program for Inuvialuit Elders in Inuvik, Northwest Territories, Canada: Considerations for Development and Implementation

Abstract

RÉSUMÉLa théorie postcoloniale a été utilisée dans cette étude pour identifier les recommandations actuelles en matière de prévention des chutes qui sont proposées par les programmeurs locaux en prévention des chutes (PLPC), afin de réduire les taux de chutes chez les aînés inuvialuits à Inuvik, dans les Territoires du Nord-Ouest (Canada), et en vue de comprendre comment co-créer avec les participants des programmes de prévention des chutes qui soient culturellement sûrs pour les aînés inuvialuits. Les résultats ont montré que les aînés inuvialuits et les PLPC à Inuvik recommandent d’ajouter aux programmes existants des évaluations et des modifications environnementales, de l’activité physique et de la formation pour les aînés et les soignants. Pour que les programmes de prévention des chutes soient culturellement sûrs, les aînés considéraient aussi que ces programmes devraient inclure les stratégies suivantes : établir des liens de confiance et des relations au sein de la communauté, intégrer des interventions autochtones et non autochtones dans ces programmes, et assurer une formation sur les pratiques culturellement sécuritaires.

The use of co-design in developing physical activity interventions for older adults: a scoping review

“…• Utilizing community organizations or creating community advisory boards to assist with recruitment [ 51 , 57 ]…”

“…• Lack of literature on co-creation governance and frameworks [53] • Requiring participants to complete interventions before participating in co-design [68] • Complexity of data collection measures [36] • Combining appreciative action and reflection, or an integrated knowledge translation approach with normalization process theory [50,62] • User experience honeycomb model [43] • Participatory action research [51] • Photo-elicitation [69] • Training workshop and focus group facilitators in co-creation [52] • Fieldwork tasks [53] • Involving participants early, frequently, and throughout various stages [55,59] Logistics • Open-ended questions [60] • Novice facilitators [60] • Hypothetical scenarios [39,60] • Strategies to ensure members who belong to minority or socially disadvantaged groups are time intensive [57] • Role and workshop aim clarification [53,55,62] • Debrief sessions for facilitators [62] • Sharing workshop summaries with participants [43,52] • Utilizing community organizations or creating community advisory boards to assist with recruitment [51,57] • Formal committee name and constitution [56] Relationships • Time and resources required to build trust within community of interest [57] • Bias arises from a desire to please and maintain group dynamics [36,46] • Participatory Action Research approach may create a power differential [51] • Seniors require longer interviews [36] • Building group dynamics (meeting in person, allowing time to socialize, and demonstrating appreciation for participation) [38,55,59] Participation • Fatigue/loss of concentration…”

Connecting and reconnecting to a community, with a sense of belonging – Exploring Aboriginal Elders’ perspectives of engaging in a physical activity program

“…Racism and colonialism have been found to be significant barriers to older Indigenous people engaging in PA programs 7,44 . This research highlights that a PA program that is underpinned by an Indigenous methodology can result in positive experiences for older Indigenous peoples.…”

“…However, older people are less likely to be physically active than any other age group 3‐6 . Older Aboriginal and Torres Strait Islander peoples do not regularly engage in mainstream PA programs because the features and characteristics of these programs do not attract them and programs rarely address cultural safety, security and competencies 7,8 . Health care systems are designed for the dominant society and hence many PA programs still adopt a Western worldview rather than privileging an Indigenous worldview, 9 and addressing cultural competencies to facilitate Indigenous peoples’ access 7 .…”

Shifting paradigm from biomedical to decolonised methods in Inuit public health research in Canada: a scoping review

“…The most common type of collaboration was between southern-based academic researchers with health and political representatives at the national, regional and local levels (Hamlet, Council) (n=177). Thirty-nine studies21 32 39 41 44 47 48 65 67 71–73 75–98 established an advisory committee to oversee the research and to provide feedback on the research protocols.…”