Understanding racialised older adults’ experiences of the Canadian healthcare system, and codesigning solutions: protocol for a qualitative study in nine languages
Introduction Racialised immigrant older adults (RIOAs) in Canada have poorer self-rated health and are more likely to report chronic conditions, while they concurrently experience well-documented challenges in navigating and accessing the healthcare system. There is strong evidence that patient and...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-10-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/10/e068013.full |
| _version_ | 1811250613124595712 |
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| author | Joanie Sims-Gould Neil Arya Paul Stolee Jacobi Elliott Kelly Grindrod Catherine E Tong Kimberly J Lopez Diya Chowdhury |
| author_facet | Joanie Sims-Gould Neil Arya Paul Stolee Jacobi Elliott Kelly Grindrod Catherine E Tong Kimberly J Lopez Diya Chowdhury |
| author_sort | Joanie Sims-Gould |
| collection | DOAJ |
| description | Introduction Racialised immigrant older adults (RIOAs) in Canada have poorer self-rated health and are more likely to report chronic conditions, while they concurrently experience well-documented challenges in navigating and accessing the healthcare system. There is strong evidence that patient and caregiver engagement in their healthcare leads to improved management of chronic disease and better health outcomes. International research suggests that engagement has the potential to reduce health disparities and improve quality of care. We aim to (1) describe what role(s) RIOAs are/are not taking in their own healthcare, from the perspectives of participant groups (RIOAs, caregivers and healthcare providers (HCPs)); and (2) develop a codesign process with these participants, creating linguistically aligned and culturally aligned tools, resources or solutions to support patient engagement with RIOAs.Methods and analysis Using a cross-cultural participatory action research approach, our work will consist of three phases: phase 1, strengthen existing partnerships with RIOAs and appropriate agencies and cultural associations; phase 2, on receipt of informed consent, in-depth interviews with RIOAs and caregivers (n=~45) and HCPs (n=~10), professionally interpreted as needed. Phase 3, work with participants, in multiple interpreted sessions, to codesign culturally sensitive and linguistically sensitive/aligned patient engagement tools. We will conduct this research in the Waterloo-Wellington region of Ontario, in Arabic, Bangla, Cantonese, Hindi, Mandarin, Punjabi, Tamil and Urdu, plus English. Data will be transcribed, cleaned and entered into NVivo V.12, the software that will support team-based analysis. Analysis will include coding, theming and interpreting the data, and, preparing narrative descriptions that summarise each language group and each participant group (older adults, caregivers and HCPs), and illustrate themes.Ethics and dissemination Ethics clearance was obtained through the University of Waterloo Office of Research Ethics (ORE #43297). Findings will be disseminated through peer-reviewed publications, presentations and translated summary reports for our partners and participants. |
| first_indexed | 2024-04-12T16:07:11Z |
| format | Article |
| id | doaj.art-697a9e0084b549eaa3791183e43d2733 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-12T16:07:11Z |
| publishDate | 2022-10-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-697a9e0084b549eaa3791183e43d27332022-12-22T03:26:01ZengBMJ Publishing GroupBMJ Open2044-60552022-10-01121010.1136/bmjopen-2022-068013Understanding racialised older adults’ experiences of the Canadian healthcare system, and codesigning solutions: protocol for a qualitative study in nine languagesJoanie Sims-Gould0Neil Arya1Paul Stolee2Jacobi Elliott3Kelly Grindrod4Catherine E Tong5Kimberly J Lopez6Diya Chowdhury75 Department of Family Practice, The University of British Columbia, Vancouver, British Columbia, Canada3 Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada1 School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada1 School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada6 School of Pharmacy, University of Waterloo, Waterloo, Ontario, Canada1 School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada2 Department of Recreation and Leisure Studies, University of Waterloo, Waterloo, Ontario, Canada1 School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, CanadaIntroduction Racialised immigrant older adults (RIOAs) in Canada have poorer self-rated health and are more likely to report chronic conditions, while they concurrently experience well-documented challenges in navigating and accessing the healthcare system. There is strong evidence that patient and caregiver engagement in their healthcare leads to improved management of chronic disease and better health outcomes. International research suggests that engagement has the potential to reduce health disparities and improve quality of care. We aim to (1) describe what role(s) RIOAs are/are not taking in their own healthcare, from the perspectives of participant groups (RIOAs, caregivers and healthcare providers (HCPs)); and (2) develop a codesign process with these participants, creating linguistically aligned and culturally aligned tools, resources or solutions to support patient engagement with RIOAs.Methods and analysis Using a cross-cultural participatory action research approach, our work will consist of three phases: phase 1, strengthen existing partnerships with RIOAs and appropriate agencies and cultural associations; phase 2, on receipt of informed consent, in-depth interviews with RIOAs and caregivers (n=~45) and HCPs (n=~10), professionally interpreted as needed. Phase 3, work with participants, in multiple interpreted sessions, to codesign culturally sensitive and linguistically sensitive/aligned patient engagement tools. We will conduct this research in the Waterloo-Wellington region of Ontario, in Arabic, Bangla, Cantonese, Hindi, Mandarin, Punjabi, Tamil and Urdu, plus English. Data will be transcribed, cleaned and entered into NVivo V.12, the software that will support team-based analysis. Analysis will include coding, theming and interpreting the data, and, preparing narrative descriptions that summarise each language group and each participant group (older adults, caregivers and HCPs), and illustrate themes.Ethics and dissemination Ethics clearance was obtained through the University of Waterloo Office of Research Ethics (ORE #43297). Findings will be disseminated through peer-reviewed publications, presentations and translated summary reports for our partners and participants.https://bmjopen.bmj.com/content/12/10/e068013.full |
| spellingShingle | Joanie Sims-Gould Neil Arya Paul Stolee Jacobi Elliott Kelly Grindrod Catherine E Tong Kimberly J Lopez Diya Chowdhury Understanding racialised older adults’ experiences of the Canadian healthcare system, and codesigning solutions: protocol for a qualitative study in nine languages BMJ Open |
| title | Understanding racialised older adults’ experiences of the Canadian healthcare system, and codesigning solutions: protocol for a qualitative study in nine languages |
| title_full | Understanding racialised older adults’ experiences of the Canadian healthcare system, and codesigning solutions: protocol for a qualitative study in nine languages |
| title_fullStr | Understanding racialised older adults’ experiences of the Canadian healthcare system, and codesigning solutions: protocol for a qualitative study in nine languages |
| title_full_unstemmed | Understanding racialised older adults’ experiences of the Canadian healthcare system, and codesigning solutions: protocol for a qualitative study in nine languages |
| title_short | Understanding racialised older adults’ experiences of the Canadian healthcare system, and codesigning solutions: protocol for a qualitative study in nine languages |
| title_sort | understanding racialised older adults experiences of the canadian healthcare system and codesigning solutions protocol for a qualitative study in nine languages |
| url | https://bmjopen.bmj.com/content/12/10/e068013.full |
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