Evidence map›Paper›PMID 35523458›Full record

ArticleFamily medicine and community health2022

Culturally safe interventions in primary care for the management of chronic diseases of urban Indigenous People: a scoping review.

Marie-Eve Poitras, Vanessa T Vaillancourt, Amanda Canapé, Amélie Boudreault, Kate Bacon, Sharon Hatcher

Open access · diamondAbstract readScoping Review
In one paragraph

Article in Family medicine and community health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
6.7field-weighted citation impact, top 4% of its field
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Addressing Social and Cultural Determinants of Health for Aboriginal and Torres Strait Islander People in Chronic Disease Programs: A Scoping Review.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025
    Article
  7. Indigenous oral health equity: The path forward.Canadian journal of dental hygiene : CJDH = Journal canadien de l'hygiene dentaire : JCHD · 2025
    Review
  8. Article
  9. Article
  10. 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 at 2 institutions in 1 country.

Marie-Eve PoitrasDepartment of Family and Emergency Medicine, Université de Sherbrooke, Chicoutimi, Quebec, Canada marie-eve.poitras@usherbrooke.ca.
Vanessa T VaillancourtDepartment of Family and Emergency Medicine, Université de Sherbrooke, Chicoutimi, Quebec, Canada.ORCID 0000-0002-9187-2300
Amanda CanapéPatient-Partner, Chicoutimi, Quebec, Canada.
Amélie BoudreaultDepartment of Family and Emergency Medicine, Université de Sherbrooke, Chicoutimi, Quebec, Canada.
Kate BaconPatient-Partner, Chicoutimi, Quebec, Canada.
Sharon HatcherDepartment of Family and Emergency Medicine, Université de Sherbrooke, Chicoutimi, Quebec, Canada.
Université de Sherbrooke · CAUniversité du Québec à Chicoutimi · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesChronic conditions represent an important source of major health issues among Indigenous People. The same applies to those, who live off-reserve and in urban areas. However, very few healthcare services are considered culturally safe, resulting in some avoidance of the public healthcare system. Our goal was to review the literature on culturally safe practices available to urban Indigenous People who suffer from chronic diseases.

designWe conducted a scoping review to determine what culturally safe healthcare services are currently offered for the management of chronic conditions in urban Indigenous populations, to contribute to a tailored, holistic and safe space in mainstream healthcare systems. ELIGIBILITY CRITERIA: Peer-reviewed original research articles had to be published by 27 October 2020, in English or French. INFORMATION SOURCE: In October 2020, we searched five academic databases (EBSCO, PsycArticles, SocINDEX, MEDLINE and PsycINFO) and also reviewed grey literature and the websites of organisations or governments. The data were extracted and collected in an EXCEL spreadsheet. Two reviewers independently screened 326 titles and abstracts, followed by an independent evaluation of 48 full text articles. A total of 19 studies were included in this scoping review, as well as 5 websites/documents from the grey literature.

resultsIn total, 19 studies were included in our analysis. We found that Elders, family and the assistance of an interpreter are crucial elements to include to make urban Indigenous feel safe when they seek healthcare services. With this scoping review, we report interventions that are successful in terms of healthcare delivery for this population. Our findings provide insight on what services should be in place in mainstream healthcare settings to create a culturally safe experience for urban Indigenous People.

conclusionsIn recent years, there appears to be a growing awareness of the need to provide culturally safe health services. This scoping review identified multiple strategies to promote cultural safety in this context, as well as barriers and facilitators to their implementation. These elements, which have been extensively documented in the literature, should be included in the chronic diseases management interventions to be developed by urban and primary care settings.

Indexed as

Delivery of Health CareIndigenous PeoplesAgedChronic DiseaseHumansPrimary Health CareUrban Populationchronic diseasehealth services, indigenoushealth services researchpatient acceptance of health careurban health services

Identifiers

PMID35523458
PMCPMC9083425
OpenAlexW4229052196

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.