Community directed assessment of pain in a northern Saskatchewan Cree community
Indigenous 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 de...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | International Journal of Circumpolar Health |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/22423982.2023.2300858 |
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| _version_ | 1846149188704796672 |
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| author | Tayah Zhang Elder Rose Dorian Sally Sewap Rachel Johnson Heather Foulds Brenna Bath Stacey Lovo |
| author_facet | Tayah Zhang Elder Rose Dorian Sally Sewap Rachel Johnson Heather Foulds Brenna Bath Stacey Lovo |
| author_sort | Tayah Zhang |
| collection | DOAJ |
| description | Indigenous 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. |
| format | Article |
| id | doaj-art-af0f237d228e4b4ca292d724f09e9430 |
| institution | Kabale University |
| issn | 2242-3982 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | International Journal of Circumpolar Health |
| spelling | doaj-art-af0f237d228e4b4ca292d724f09e94302024-11-29T19:53:25ZengTaylor & Francis GroupInternational Journal of Circumpolar Health2242-39822024-12-0183110.1080/22423982.2023.2300858Community directed assessment of pain in a northern Saskatchewan Cree communityTayah Zhang0Elder Rose Dorian1Sally Sewap2Rachel Johnson3Heather Foulds4Brenna Bath5Stacey Lovo6College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, CanadaAngelique Canada Health Center, Pelican Narrows, Saskatchewan, CanadaAngelique Canada Health Center, Pelican Narrows, Saskatchewan, CanadaAngelique Canada Health Center, Pelican Narrows, Saskatchewan, CanadaCollege of Kinesiology, University of Saskatchewan, Saskatoon, Saskatchewan, CanadaSchool of Rehabilitation Science, University of Saskatchewan, Saskatoon, Saskatchewan, CanadaSchool of Rehabilitation Science, University of Saskatchewan, Saskatoon, Saskatchewan, CanadaIndigenous 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.https://www.tandfonline.com/doi/10.1080/22423982.2023.2300858Pain assessment toolschronic back painIndigenous perspectivesCreecommunity-engaged researchculturally responsive care |
| spellingShingle | Tayah Zhang Elder Rose Dorian Sally Sewap Rachel Johnson Heather Foulds Brenna Bath Stacey Lovo Community directed assessment of pain in a northern Saskatchewan Cree community International Journal of Circumpolar Health Pain assessment tools chronic back pain Indigenous perspectives Cree community-engaged research culturally responsive care |
| title | Community directed assessment of pain in a northern Saskatchewan Cree community |
| title_full | Community directed assessment of pain in a northern Saskatchewan Cree community |
| title_fullStr | Community directed assessment of pain in a northern Saskatchewan Cree community |
| title_full_unstemmed | Community directed assessment of pain in a northern Saskatchewan Cree community |
| title_short | Community directed assessment of pain in a northern Saskatchewan Cree community |
| title_sort | community directed assessment of pain in a northern saskatchewan cree community |
| topic | Pain assessment tools chronic back pain Indigenous perspectives Cree community-engaged research culturally responsive care |
| url | https://www.tandfonline.com/doi/10.1080/22423982.2023.2300858 |
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