Community directed assessment of pain in a northern Saskatchewan Cree community

Indigenous Elder advisors in Pelican Narrows, a Cree community in Northern Saskatchewan, have indicated that Western pain scales may not be responsive tools for pain assessments within their community. This study employed a mixed methods research design that involved two phases. Phase one was the de...

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Bibliographic Details
Published inInternational journal of circumpolar health Vol. 83; no. 1; p. 2300858
Main Authors Zhang, Tayah, Dorian, Elder Rose, Sewap, Sally, Johnson, Rachel, Foulds, Heather, Bath, Brenna, Lovo, Stacey
Format Journal Article
LanguageEnglish
Published United States Taylor & Francis 01.12.2024
Taylor & Francis Group
Subjects
chronic back pain
Communication
community-engaged research
Cree
culturally responsive care
Humans
Indigenous perspectives
Original
Pain
Pain assessment tools
Pain Measurement
Saskatchewan
Saskatchewan
culturally responsive care
chronic back pain
community-engaged research
Pain assessment tools
Cree
Indigenous perspectives
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Summary:Indigenous Elder advisors in Pelican Narrows, a Cree community in Northern Saskatchewan, have indicated that Western pain scales may not be responsive tools for pain assessments within their community. This study employed a mixed methods research design that involved two phases. Phase one was the development of a pain scale in collaboration with an Elder and a Knowledge Keeper. Phase two was a pilot of the CDPS utilised during virtual physiotherapy sessions for chronic back pain. Twenty-seven participants completed the pre-physiotherapy treatment questionnaires, and 10 participants engaged in semi-structured interviews (9 community members; 1 healthcare provider). A weighted kappa analysis yielded k = 0.696, indicating a good agreement between the CDPS and Faces Pain Scale-Revised in terms of documenting participants' pain. Qualitative data from interviews with community members revealed three major themes: 1) Learnings Regarding Pain Scales, 2) Patient Centered Care; and 3) Strength-Based Solutions for Improving Pain Communication. Two themes were uncovered through conversations with the HCP: 1) Perspectives on CDPS and 2) Healthcare Provider Experiences Communicating about Pain. Moreover, a patient-centredcentred approach is important to ensure comprehensive pain assessments.
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ISSN:2242-3982
1239-9736
2242-3982
DOI:10.1080/22423982.2023.2300858