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Including Indigenous knowledge in biomedical research: a co-autoethnography.

Jessica O'Brien1, Toni Walker2, Sarah J Gutman3

  • 1School of Translational Medicine, Monash University, Melbourne, VIC, Australia; Department of Cardiology, Alfred Hospital, Melbourne, VIC, Australia; Gukwonderuk Indigenous Health Workforces Centre, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC, Australia; Global and Tropical Health Division, Menzies School of Health Research, Darwin, NT, Australia.

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Summary
This summary is machine-generated.

Adapting biomedical research for Indigenous peoples is challenging. Remodeling research systems, not just projects, is crucial for safe and effective collaboration with First Nations communities.

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Area of Science:

  • Biomedical research ethics
  • Indigenous health research
  • Qualitative methodologies

Background:

  • Improving biomedical research for safe inclusion of Indigenous peoples is critical.
  • Guidance for multisite, hospital-based research adaptation is lacking.
  • This study examined challenges in adapting a hospital-based biomedical project for acute rheumatic fever based on First Nations feedback.

Purpose of the Study:

  • To conduct a reflexive dialogue on challenges in adapting a hospital-based biomedical project.
  • To identify advancements for multisite, hospital-based research involving Indigenous peoples.
  • To explore project evolution in response to First Nations stakeholder feedback.

Main Methods:

  • Co-autoethnography involving collaborative researcher reflection on experiences.
  • Utilized First Nations' Yarning method for data generation by Aboriginal coauthors.
  • Data analysis involved collective writing, multiple revisions, and Yarning until consensus.

Main Results:

  • Seven key challenges were identified in honoring First Nations knowledge.
  • These included barriers in community engagement, project design, funding, ethics, and cultural safety.
  • Four project aspects were adapted: community consultation, design, consent, and team structure.

Conclusions:

  • Incorporated Indigenous ways of knowing into a biomedical project, but with difficulty.
  • The adaptation process placed undue burden on First Nations stakeholders.
  • Biomedical research systems need remodeling for effective and safe collaboration with First Nations peoples.