Evidence map›Paper›PMID 30324174›Full record

ArticlePain reports2018

Creating a safe space for First Nations youth to share their pain.

Margot Latimer, John R Sylliboy, Emily MacLeod, Sharon Rudderham, Julie Francis, Daphne Hutt-MacLeod, Katherine Harman, Gordon Allen Finley

Abstract read
In one paragraph

Article in Pain reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Experiences of Pain Among Indigenous Peoples Globally: A Qualitative Systematic Review.The International journal of health planning and management · 2026
    Pooled it
  2. Pooled it
  3. Reflecting on the use ofInternational journal of circumpolar health · 2024
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  15. Humanizing Indigenous Peoples' engagement in health care.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Margot LatimerDalhousie University School of Nursing, Halifax, Nova Scotia, Canada.
John R SylliboyIWK Health Centre, Centre for Pediatric Pain Research, Halifax, Nova Scotia, Canada.
Emily MacLeodIWK Health Centre, Centre for Pediatric Pain Research, Halifax, Nova Scotia, Canada.
Sharon RudderhamEskasoni Community Health Centre, Eskasoni First Nation, Nova Scotia, Canada.
Julie FrancisEskasoni Community Health Centre, Eskasoni First Nation, Nova Scotia, Canada.
Daphne Hutt-MacLeodEskasoni Community Health Centre, Eskasoni First Nation, Nova Scotia, Canada.
Katherine HarmanSchool of Physiotherapy, Faculty of Health, Dalhousie University, Halifax, Nova Scotia, Canada.
Gordon Allen FinleyIWK Health Centre, Centre for Pediatric Pain Research, Halifax, Nova Scotia, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIndigenous children and youth may be quiet about the way they express their pain and hurt which is in contrast to how health professionals are trained to assess it.

objectivesThe aim was to understand how youth from 4 First Nation communities express pain using narratives and art-based methods to inform culturally appropriate assessment and treatment.

methodsThis qualitative investigation used a community-based participatory action methodology to recruit 42 youth between 8 and 17 years of age to share their perspectives of pain using ethnographic techniques including a Talking Circle followed by a painting workshop. Physical pain perspectives were prominent in circle conversations, but emotional pain, overlapping with physical, mental, and spiritual pain perspectives, was more evident through paintings. Art themes include causes of pain and coping strategies, providing a view into the pain and hurt youth may experience. Youth were more comfortable expressing emotional and mental pain through their artwork, not sharing verbally in conversation.

resultsCircle sessions and artwork data were themed using the Indigenous Medicine Wheel. Content of the circle conversations centered on physical pain, whereas paintings depicted mainly emotional pain (eg, crying or loneliness; 74% n = 31) with some overlap with physical pain (eg, injuries; 54%), mental pain (eg, coping strategies; 31%), and spiritual pain (eg, cultural symbols; 30%). Common threads included hiding pain, resilience, tribal consciousness, persistent pain, and loneliness.

conclusionOnce a safe space was created for First Nation youth, they provided a complex, culturally based understanding of the pain and coping experience from both an individual and community perspective. These engaging, culturally sensitive research methods provide direction for health providers regarding the importance of creating a safe space for young people to share their perspectives.

Indexed as

ArtCultural safetyIndigenousInnovationPainYouth

Identifiers

PMID30324174
PMCPMC6172818

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.