Evidence map›Paper›PMID 41400150›Full record

ArticleThe clinical teacher2026

Amplifying Marginalised Voices Through Advocacy: Community-Informed Curriculum Development for Cultural Safety in Homeless Health.

Clare Puddifoot, Eleanor Cape, Leanne C Doherty, Ayesha Jawwad, Suzanne Manning, Michelle Doyle, Gary Rutherford

Abstract read
In one paragraph

Article in The clinical teacher, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

7 authors.

Clare PuddifootUlster University School of Medicine, Derry-Londonderry, UK.ORCID https://orcid.org/0009-0008-2428-1894
Eleanor CapeUlster University School of Medicine, Derry-Londonderry, UK.
Leanne C DohertyUlster University Student Success Centre, Derry-Londonderry, UK.ORCID https://orcid.org/0000-0003-3186-4971
Ayesha JawwadUlster University School of Medicine, Derry-Londonderry, UK.ORCID https://orcid.org/0000-0003-1508-1395
Suzanne ManningUlster University School of Health Sciences, Derry-Londonderry, UK.ORCID https://orcid.org/0009-0001-5955-9293
Michelle DoyleWestern Health and Social Care Trust, Derry-Londonderry, UK.
Gary RutherfordAddiction Recovery Coaching, Derry-Londonderry, UK.ORCID https://orcid.org/0000-0002-3892-8002

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeople experiencing homelessness face significant health inequities, yet their voices remain largely absent from medical education. Partnering with community-based advocates enables the integration of lived experience and advocacy expertise into curriculum design and delivery. This study aimed to develop and evaluate a medical education module on homeless health that embeds community-based advocacy and lived-experience expertise to advance cultural safety. APPROACH: A homelessness health module was collaboratively developed by clinical teachers, researchers, educators and community advocates with lived and professional experience of homelessness. Guided by Kern's Six Steps of Curriculum Development, a targeted needs assessment was conducted through a focus group with community advocates. Insights informed six learning objectives and the design of interactive teaching sessions. The module was delivered to second-year graduate-entry medical students and evaluated using open-ended questionnaires exploring students' understanding of cultural safety and advocacy in homeless health. EVALUATION: Fifty-three students (33%) submitted open-ended questionnaires. Deductive content analysis confirmed alignment with themes identified during the needs assessment, with most students recognising life experiences (69%), demographic hardship (65%) and healthcare access barriers (69%) as central to homelessness. Inductive thematic analysis revealed additional themes related to survival priorities and medication adherence barriers. IMPLICATIONS: Embedding community voices and patient perspectives shaped curriculum content, delivery and evaluation. Students developed compassion, reflexivity and a deeper awareness of inequities. This accessible, scalable model demonstrates how cultural safety can be embedded in inclusion health education.

Indexed as

Cultural CompetencyCurriculumIll-Housed PersonsPatient AdvocacyFemaleFocus GroupsHumansMaleNeeds AssessmentStudents, Medicalcase‐based learningcultural humilityhomelessness healthinclusion healthmedical curriculumpatient and public involvement

Identifiers

PMID41400150
PMCPMC12706823

What OpenQuestion holds

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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.