Pre-Phase 1 | Post-Phase 2 | Change | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Strongly Disagree | Disagree | Neutral | Agree | Strongly Agree | Strongly Disagree | Disagree | Neutral | Agree | Strongly Agree | Wilcoxon signed rank test | |
GENERAL | |||||||||||
Q1 – I am satisfied with my Indigenous patients’ clinical outcomes | 1 | 1 | 2 | 3 | 0 | 0 | 4 | 0 | 3 | 3 | 1.00 |
Q2 – My level of confidence has improved with regards to providing care to Indigenous patients with arthritis | 0 | 0 | 1 | 5 | 1 | 0 | 0 | 0 | 4 | 3 | 0.18 |
Q3 – I modify my arthritis care approach when working with Indigenous patients | 0 | 0 | 0 | 4 | 3 | 0 | 1 | 0 | 1 | 5 | 0.70 |
SOCIAL FACTORS | |||||||||||
Q4 – When treating Indigenous patients with arthritis, I routinely and specifically inquire about socioeconomic conditions | 0 | 1 | 2 | 0 | 4 | 0 | 0 | 2 | 4 | 1 | 0.79 |
Q5 – I explore with patients how stress, trauma and recurrent adverse life experiences have potential impacts on their arthritis outcomes | 0 | 3 | 0 | 4 | 0 | 0 | 0 | 1 | 3 | 3 | 0.02 |
Q6 – I advocate for social resources that are key for my Indigenous patients with arthritis | 0 | 0 | 1 | 2 | 4 | 0 | 0 | 0 | 5 | 2 | 0.65 |
CULTURALLY INFORMED | |||||||||||
Q7 -I am knowledgeable about Indigenous healing traditions | 1 | 2 | 2 | 2 | 0 | 0 | 0 | 3 | 4 | 0 | 0.05 |
Q8 – I am skilled at eliciting patients’ use of and preferences for culture-based healing methods | 1 | 2 | 2 | 2 | 0 | 0 | 0 | 1 | 4 | 2 | 0.02 |
Q9 – I am skilled at providing culturally sensitive patient education and interventions | 0 | 3 | 2 | 2 | 0 | 0 | 0 | 2 | 3 | 2 | 0.02 |
FACILITATING RELATIONSHIPS | |||||||||||
Q10 – I am aware of my own cultural and professional identities | 0 | 1 | 1 | 4 | 1 | 0 | 0 | 1 | 2 | 3 | 0.08 |
Q11 – I am an effective communicator with Indigenous patients | 0 | 0 | 4 | 2 | 1 | 0 | 0 | 1 | 4 | 2 | 0.05 |
Q12 – I employ cultural factors in my approach to building a therapeutic relationship with Indigenous patients | 0 | 3 | 3 | 0 | 1 | 0 | 0 | 1 | 2 | 4 | 0.03 |
ADDRESSING INEQUITY | |||||||||||
Q13 – I am knowledgeable of the impact of racism and prejudice in healthcare experienced by Indigenous populations | 0 | 0 | 0 | 4 | 3 | 0 | 0 | 0 | 3 | 4 | 0.32 |
Q14 – I am aware of my own stereotypes of Indigenous peoples | 0 | 0 | 1 | 6 | 0 | 0 | 0 | 0 | 3 | 4 | 0.03 |
Q15 – I have an understanding of colonization and its’ impact on Indigenous health outcomes | 0 | 1 | 0 | 3 | 3 | 0 | 0 | 0 | 3 | 4 | 0.32 |