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Area of Science:

  • Indigenous Health
  • Rehabilitation Sciences
  • Community Health Needs Assessment

Background:

  • File Hills Qu'Appelle Tribal Council (FHQTC) communities in Saskatchewan, Canada, report decreasing access to physical and occupational therapy.
  • A community-driven needs assessment was conducted to understand patient experiences and identify barriers to rehabilitation services.

Purpose of the Study:

  • To identify barriers and facilitators to accessing rehabilitation services within FHQTC communities.
  • To gather community perspectives on desired rehabilitation care models.

Main Methods:

  • A community-directed needs assessment using sharing circles and semi-structured interviews conducted virtually via Webex.
  • Qualitative data analysis using an iterative thematic approach with NVIVO software.
  • An overarching theme of culture contextualized five primary themes.

Main Results:

  • Identified key themes including barriers to care, impacts on family and quality of life, calls for services, strength-based supports, and ideal care models.
  • Culture emerged as a central contextualizing theme influencing all aspects of rehabilitation service access and experience.

Conclusions:

  • Five recommendations were developed to improve culturally responsive rehabilitation services.
  • Recommendations focus on staffing, cultural integration, practitioner education, patient-centered care, and evaluation.