Browsing by Author "Ody, Meagan"

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    Advancing Indigenous-Centred Dementia Care: A Qualitative Study
    (2024-11-22) Ody, Meagan; Roach, Pamela; Markides, Jennifer; Goodarzi, Zahra
    Indigenous populations in Canada are experiencing increased rates of dementia compared to non-Indigenous populations, yet there remains a lack of culturally safe, Indigenous-centred dementia care. The current dementia care system is ineffective and does not address the care and treatment needs of Indigenous people living with dementia and their care partners. The aims of this project were to gain an understanding of the experiences of dementia for Indigenous people living with dementia, their care partners, families, and communities and to determine the foundational principles of culturally safe approaches to Indigenous-centred dementia care. This work is framed within an Indigenous worldview and informed by Indigenous paradigms of relationality. This research used a Métis methodological approach, Keeoukaywin (The Visiting Way) and qualitative semi-structured interviews to collect in-depth data with 12 participants throughout Alberta. Participants included Indigenous people living with dementia, care partners, and community members and used thematic analysis to create a framework to improve culturally safe dementia care. The framework includes three domains that inform Indigenous-centred dementia care including relationality, being well, and safety. Each of these three domains include subdomains including social, cultural, and physical characteristics informed by participant experiences. This framework provides a foundation that can be integrated into the creation of an Indigenous-centred dementia care approach.
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    Understanding virtual primary healthcare with Indigenous populations: a rapid evidence review
    (2023-03-29) Fitzpatrick, Kayla M.; Ody, Meagan; Goveas, Danika; Montesanti, Stephanie; Campbell, Paige; MacDonald, Kathryn; Crowshoe, Lynden; Campbell, Sandra; Roach, Pamela
    Abstract Background Virtual care has become an increasingly useful tool for the virtual delivery of care across the globe. With the unexpected emergence of COVID-19 and ongoing public health restrictions, it has become evident that the delivery of high-quality telemedicine is critical to ensuring the health and wellbeing of Indigenous peoples, especially those living in rural and remote communities. Methods We conducted a rapid evidence review from August to December 2021 to understand how high quality Indigenous primary healthcare is defined in virtual modalities. After completing data extraction and quality appraisal, a total of 20 articles were selected for inclusion. The following question was used to guide the rapid review: How is high quality Indigenous primary healthcare defined in virtual modalities? Results We discuss key limitations to the delivery of virtual care, including the increasing cost of technology, lack of accessibility, challenges with digital literacy, and language barriers. This review further yielded four main themes that highlight Indigenous virtual primary healthcare quality: (1) limitations and barriers of virtual primary healthcare, (2) Indigenous-centred virtual primary healthcare, (3) virtual Indigenous relationality, (4) collaborative approaches to ensuring holistic virtual care. Discussion: For virtual care to be Indigenous-centred, Indigenous leadership and users need to be partners in the development, implementation and evaluation of the intervention, service or program. In terms of virtual models of care, time must be allocated to educate Indigenous partners on digital literacy, virtual care infrastructure, benefits and limitations. Relationality and culture must be prioritized as well as digital health equity. Conclusion These findings highlight important considerations for strengthening virtual primary healthcare approaches to meet the needs of Indigenous peoples worldwide.