Project Overview
Indigenous methodologies: building capacity for telediabetes care in Urban Indigenous communities. (I’M T’CARE)
Among First Nations in Canada, diabetes prevalence peaks at age 55-64. These rates are almost four-fold higher than the general population (36.4% versus 9.9%) 1. Representing more than half of Indigenous peoples in Canada, urban (off-reserve) Indigenous people face disproportionately poorer diabetes-related outcomes secondary to access barriers, racism, structural violence, lack of culturally safe care 2-4. Geographic/jurisdictional challenges 5 also limit diabetes services such as telediabetes.
Telehealth is welcomed and cost-effective in those > 40 years old 6 but outcomes for Indigenous older adults (Elders) 7-9 are lacking due to minimal access to collaboratively developed culturally safe telediabetes programs; thus highlighting the community-driven needs 10.
Our CIHR grant, “Building Indigenous Pathways for Diabetes and Obesity Prevention and Management with Urban and Rural Communities in British Columbia” (IDOH2), partners with six urban Friendship (FC) and Métis Centers (MC) (off-reserve) in the BC Interior. These communities identified the need for e-health/telediabetes and electronic medical record (EMR) access.
Purpose: This 3-year project will examine, in partnership with IDOH2 Friendship/Metis partners and Advisory Teams, how multidisciplinary telediabetes “one-stop” care impacts access and health outcomes for urban Indigenous older adults and caregivers.
Outcomes: Indigenous physicians and local providers are trained as diabetes “experts”, culturally safe multidisciplinary telediabetes clinics are embedded within FC/MC programming; Indigenous older adults, and caregiver/families access and benefit from services; an Indigenous telediabetes “expert” training and implementation toolkit is disseminated across Canada and beyond.
Outputs
| Title |
Category |
Date |
Authors |
| I'M T' CARE Holistic/Two-Eyed Seeing Diabetes Art Piece This beautiful piece of art was created by an Indigenous artist and photographer: Denica Bleau.
It is meant to help visually identify the project and the Two-Eyed Seeing approach of the work. | KTEE - Knowledge Mobilization | 2020-03-04 | "Denica Bleau" |
| I'M T'CARE LogoThe I'M T' CARE Logo to be used on all KT materials along with the AGEWELL, Interior Health Authority, UBC and CIHR logos University of British Columbia | KTEE - Knowledge Mobilization | 2020-02-22 | Charlotte Jones, "Donna Kurtz", "Denica Bleau" |
| Telehealth Care ModelAn infographic depicting what a telehealth appointment taking place outside a standard medical setting might look like: from the Indigenous physician to the care provider, patient and family member/friend who are located in a culturally safe, private location. This will be used to help inform Indigenous community members what the clinic appointment might look like and provide a place to start from when getting their input on what the clinic set-up and function should look like. It will inform the general public and care providers as well. It wil University of British Columbia | KTEE - Knowledge Mobilization | 2019-06-06 | Charlotte Jones |
| Chella_Percy_HQP_Profile.docx Chella Percy profile: Chella has obtained her EPIC certificate | HQP Training | 2020-01-09 | Chella Percy |
| I'M t'CARE Project evaluation: Truth and Reconciliation Calls to ActionThis evaluation survey is to be completed by all stakeholders in the study: it is to assess how stakeholders BEST reflect on how they feel the I'M t'CARE Project responds to these TRC Calls for Action in relation to the community clinics, relationships, cultural safety, participant feedback, staff feedback, etc.
The information will help to make improvements, celebrate successes, and share with partner communities and organizations.
| KTEE - Knowledge Mobilization | 2021-01-15 | "Truth and Reconciliation Commission of Canada" |
| Process evaluation: Ways Tried and TrueWays Tried and True: the Aboriginal Methodological Framework for the Canadian Best Practices Initiative. This tool assesses participatory Indigenous methodological processes and is completed by research stakeholders annually. | KTEE - Knowledge Mobilization | 2021-01-15 | "Public Health Agency of Canada" |
| Co-creating a Collective Vision for Mental Wellness with Urban Indigenous Communities. June 3, 2021. : AGE-WELL EPIC CONFERENCE. University of Northern British Columbia, University of British Columbia | KTEE - Knowledge Mobilization | 2021-06-03 | Viviane Josewski, Charlotte Jones, Donna Kurtz |
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