Lorrilee McGregor
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View article: Trends in the dispensing of opioids for pain and concurrent benzodiazepine use among First Nations People in Ontario, Canada, from 2013 to 2021
Trends in the dispensing of opioids for pain and concurrent benzodiazepine use among First Nations People in Ontario, Canada, from 2013 to 2021 Open
Objectives To investigate dispensing trends and the characteristics of First Nations People in Ontario dispensed an opioid for pain and concurrent benzodiazepine treatment. Methods We conducted a population-based serial cross-sectional stu…
View article: Retention in Opioid Agonist Therapy Among First Nations People
Retention in Opioid Agonist Therapy Among First Nations People Open
Importance First Nations people are disproportionately impacted by the opioid crisis in Canada. While many First Nation communities have expanded access to treatment, there is a need to better understand the factors associated with early d…
View article: A Framework for Doing Things <i>in a Good Way</i>: Insights on Mshiikenh (Freshwater Turtle) Conservation Through Weaving Western Science and Indigenous Knowledge in Whitefish River First Nation
A Framework for Doing Things <i>in a Good Way</i>: Insights on Mshiikenh (Freshwater Turtle) Conservation Through Weaving Western Science and Indigenous Knowledge in Whitefish River First Nation Open
Co‐developed conservation programs for Species At‐Risk, created in partnership between Indigenous Nations and non‐Indigenous researchers, represent a vital shift toward effective species recovery strategies that are culturally respectful a…
View article: Culturally appropriate consent processes for community-driven indigenous child health research: a scoping review
Culturally appropriate consent processes for community-driven indigenous child health research: a scoping review Open
Background Current requirements for ethical research in Canada, specifically the standard of active or signed parental consent, can leave Indigenous children and youth with inequitable access to research opportunities or health screening. …
View article: Evaluating the Effectiveness of Indigenous Health Curricula: Validation and Application of the NOSM CAST Instrument
Evaluating the Effectiveness of Indigenous Health Curricula: Validation and Application of the NOSM CAST Instrument Open
OBJECTIVES In recent years, Indigenous health curricula have been integrated into medical education in response to international calls to improve Indigenous health care. Instruments to evaluate Indigenous health education are urgently need…
View article: Community-based screening and triage connecting First Nations children and youth to local supports: a cross-sectional study
Community-based screening and triage connecting First Nations children and youth to local supports: a cross-sectional study Open
The ACHWM screening process identified needs for support among 35 children, and the associated triage process connected them to local services; the similarity of EQS in the NIN and TT groups highlights the value of community screening to o…
View article: Towards meaningful research and engagement: Indigenous knowledge systems and Great Lakes governance
Towards meaningful research and engagement: Indigenous knowledge systems and Great Lakes governance Open
For thousands of years, Indigenous peoples governed their relations in the Great Lakes region, guided by distinct political, legal, governance, and knowledge systems. Despite historic and ongoing exclusion of Indigenous peoples from Great …
View article: Culturally Safe Practices in the Co-creation of Medical Education Curriculum with Indigenous Animators: Outcomes From an Indigenous Learning Circle
Culturally Safe Practices in the Co-creation of Medical Education Curriculum with Indigenous Animators: Outcomes From an Indigenous Learning Circle Open
OBJECTIVES To explore the experiences of Indigenous patient actors who co-created and enacted Indigenous patient scenarios in collaboration with medical school faculty. We critically examine the structures and systems in a medical school t…
View article: Drawing on Anishinaabek knowledge to protect water
Drawing on Anishinaabek knowledge to protect water Open
Whitefish River First Nation (WRFN) is an Anishinaabek (Ojibway) community that is surrounded by Georgian Bay and Lake Huron. After being excluded from a provincial planning process, WRFN developed its own source water protection plan base…
View article: Teaching Culturally Safe Care in Simulated Cultural Communication Scenarios During the COVID-19 Pandemic: Virtual Visits with Indigenous Animators
Teaching Culturally Safe Care in Simulated Cultural Communication Scenarios During the COVID-19 Pandemic: Virtual Visits with Indigenous Animators Open
Clinical learning activities involving Indigenous patient actors that specifically address the development of culturally safe care skills among medical students are important in order to improve health care for Indigenous people. In 2020, …
View article: Intimate Partner Violence Against Indigenous Men in Heterosexual Relationships: Toward a Culturally Safe Response in Primary Health Care Settings
Intimate Partner Violence Against Indigenous Men in Heterosexual Relationships: Toward a Culturally Safe Response in Primary Health Care Settings Open
Most Indigenous intimate partner violence (IPV) research and interventions are geared toward women, while the experiences of Indigenous men as survivors of IPV are not well investigated or understood. Indigenous men are typically por…
View article: Co-creating Simulated Cultural Communication Scenarios with Indigenous Animators: An Evaluation of Innovative Clinical Cultural Safety Curriculum
Co-creating Simulated Cultural Communication Scenarios with Indigenous Animators: An Evaluation of Innovative Clinical Cultural Safety Curriculum Open
Background: Building on partnerships with Indigenous communities and with the support of the Northern Ontario School of Medicine, faculty created groundbreaking, authentic cultural immersion curriculum designed to foster culturally safe in…
View article: Health profiles of First Nations children living on-reserve in Northern Ontario: a pooled analysis of survey data
Health profiles of First Nations children living on-reserve in Northern Ontario: a pooled analysis of survey data Open
This paper presents initial estimates for child health scores based on self-report from a large sample of First Nations children living on reserve. These results establish benchmarks to aid interpretation of the ACHWM scores in these and o…
View article: Keeping kids safe: caregivers' perspectives on the determinants of physical activity in rural Indigenous communities
Keeping kids safe: caregivers' perspectives on the determinants of physical activity in rural Indigenous communities Open
There is a dynamic interrelationship among the proximal, intermediate and distal determinants of children's physical activity with colonial policies continuing to have impacts in the participating First Nation communities. Community genera…
View article: Giishpin Nonagzwaat Binoojiinyik Kanim Na Majiishkaami: determinants of obesity among indigenous children in six First Nations Communities in Northeastern Ontario
Giishpin Nonagzwaat Binoojiinyik Kanim Na Majiishkaami: determinants of obesity among indigenous children in six First Nations Communities in Northeastern Ontario Open
Background: Worldwide, childhood obesity rates are high and even higher among Indigenous children. Childhood obesity is of concern as it can result in metabolic conditions. Much has been written about the causes of obesity, usually focusin…
View article: Caregivers’ Perspectives on the Determinants of Dietary Decisions in Six First Nation Communities
Caregivers’ Perspectives on the Determinants of Dietary Decisions in Six First Nation Communities Open
Colonialism is a fundamental determinant of Indigenous people’s health in Canada, yet little is known about its effects on food systems and dietary decisions in First Nation communities. A socioecological approach was used to explore the d…
View article: A Participatory Action Research Approach to Participation With Young People Within Mental Health Settings
A Participatory Action Research Approach to Participation With Young People Within Mental Health Settings Open
Poor mental health is a growing issue for young people (YP) in the UK with 75% of all mental health issues occurring by age 24 (Kessler et al., 2005). YP are one of society’s most oppressed groups (Sidanius & Pratto, 1999). Oppression disr…
View article: Relevance of the Aboriginal Children’s Health and Well-being Measure Beyond Wiikwemkoong
Relevance of the Aboriginal Children’s Health and Well-being Measure Beyond Wiikwemkoong Open
The ACHWM has been improved through a detailed review process in four additional communities/agencies and resulted in a stable 62-question version of the survey. This process has demonstrated the relevance of the ACHWM to a variety of Abor…
View article: Ethics of Biological Sampling Research with Aboriginal Communities in Canada
Ethics of Biological Sampling Research with Aboriginal Communities in Canada Open
BACKGROUND: The objective of this paper is to identify key ethical issues associated with biological sampling in Aboriginal populations in Canada and to recommend approaches that can be taken to address these issues.METHODS: Our work inclu…