Community directed assessment of pain in a northern Saskatchewan Cree community
| Autor: | Tayah Zhang, Elder Rose Dorian, Sally Sewap, Rachel Johnson, Heather Foulds, Brenna Bath, Stacey Lovo |
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| Jazyk: | angličtina |
| Rok vydání: | 2024 |
| Předmět: | |
| Zdroj: | International Journal of Circumpolar Health, Vol 83, Iss 1 (2024) |
| Druh dokumentu: | article |
| ISSN: | 22423982 2242-3982 |
| DOI: | 10.1080/22423982.2023.2300858 |
| Popis: | ABSTRACTIndigenous Elder advisors in Pelican Narrows, a Cree community in Northern Saskatchewan, have indicated that Western pain scales may not be responsive tools for pain assessments within their community. This study employed a mixed methods research design that involved two phases. Phase one was the development of a pain scale in collaboration with an Elder and a Knowledge Keeper. Phase two was a pilot of the CDPS utilised during virtual physiotherapy sessions for chronic back pain. Twenty-seven participants completed the pre-physiotherapy treatment questionnaires, and 10 participants engaged in semi-structured interviews (9 community members; 1 healthcare provider). A weighted kappa analysis yielded k = 0.696, indicating a good agreement between the CDPS and Faces Pain Scale-Revised in terms of documenting participants’ pain. Qualitative data from interviews with community members revealed three major themes: 1) Learnings Regarding Pain Scales, 2) Patient Centered Care; and 3) Strength-Based Solutions for Improving Pain Communication. Two themes were uncovered through conversations with the HCP: 1) Perspectives on CDPS and 2) Healthcare Provider Experiences Communicating about Pain. Moreover, a patient-centredcentred approach is important to ensure comprehensive pain assessments. |
| Databáze: | Directory of Open Access Journals |
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