Evidence map›Paper›PMID 32306912›Full record

ArticleBMC geriatrics2020

Identifying and understanding the health and social care needs of Indigenous older adults with multiple chronic conditions and their caregivers: a scoping review.

Sharlene Webkamigad, Robyn Rowe, Shanna Peltier, Amanda Froehlich Chow, Katherine S McGilton, Jennifer D Walker

Abstract readScoping Review
In one paragraph

Article in BMC geriatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Supportive care needs and assessment tools for family caregivers of Indigenous people with cancer: a narrative review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Review
  6. Models of Care for Older People: A Scoping Review.Journal of the American Geriatrics Society · 2025
    Article
  7. Article
  8. BMC digital health · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Reclaiming Indigenous Health in the US: Moving beyond the Social Determinants of Health.International journal of environmental research and public health · 2022
    Article
  15. Article
  16. Article
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

6 authors.

Sharlene WebkamigadSchool of Rural and Northern Health, Laurentian University, Sudbury, Ontario, P3E 2C6, Canada.
Robyn RoweSchool of Rural and Northern Health, Laurentian University, Sudbury, Ontario, P3E 2C6, Canada.
Shanna PeltierOntario Institute for Studies in Education, University of Toronto, Toronto, ON, Canada.
Amanda Froehlich ChowCanadian Centre for Health and Safety in Agriculture, University of Saskatchewan, Saskatoon, SK, Canada.
Katherine S McGiltonToronto Rehabilitation Institute - University Health Network, Toronto, ON, Canada.
Jennifer D WalkerSchool of Rural and Northern Health, Laurentian University, Sudbury, Ontario, P3E 2C6, Canada. Jenniferwalker@laurentian.ca.

Funding

CIHR NKS - 150581
6 · The paper itself

Abstract

backgroundIndigenous people continue to experience high rates of multiple chronic conditions (MCC) at younger ages than other populations, resulting in an increase in health and social care needs. Those who provide services designed to address MCC for Indigenous communities require synthesized information to develop interventions that meet the needs of their older adult population. This review seeks to answer the research question: What are the health and social care needs, priorities and preferences of Indigenous older adults (living outside of long-term care settings) with MCC and their caregivers?

methodsA scoping review, guided by a refinement of the Arksey & O'Malley framework, was conducted. Articles were included if the authors reported on health and social care needs and priorities of older Indigenous adults. We also included articles that focused on Indigenous conceptions of wellness, resilience, well-being, and/or balance within the context of aging, and articles where authors drew from Indigenous specific worldviews, ways of knowing, cultural safety, cultural competence, cultural appropriateness, cultural relevance and community needs.

resultsThis scoping review included 9 articles that were examined using an Indigenous determinants of health (IDH) theoretical framework to analyze the needs of older adults and CGs. Five areas of needs were identified: accessible health services; building community capacity; improved social support networks; preservation of cultural values in health care; and wellness-based approaches.

conclusionThe review highlights key determinants of health that influenced older adults' needs: education and literacy, ethnicity, and social support/network (proximal); health promotion and health care (intermediate); and a combination of historical and contemporary structures (distal). The findings highlight the importance of local Indigenous knowledge and perspectives to improve accessibility of culturally relevant health and social services.

Indexed as

Culturally Competent CareHealth Services AccessibilitySocial Determinants of HealthSocial NetworkingSocial SupportAgedAged, 80 and overAustraliaCaregiversDelivery of Health CareFemaleHumansMultiple Chronic ConditionsCaregiversDeterminants of healthHealth care providersIndigenousMultimorbidityNeedsOlder adultsScoping reviewWell-being

Identifiers

PMID32306912
PMCPMC7168986

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.