Discussion
The adapted OPDG is a patient decision aid designed by and with Aboriginal people aimed at restructuring approaches to care with Aboriginal clients in Western health settings; in this study adaptations were conducted by a diverse (First Nations, Métis and Inuit) group of Aboriginal women from various parts of Canada and who are clients of Minwaashin Lodge. Focus groups and usability interviews with Aboriginal women were used to adapt, refine, and affirm the OPDG for use by decision coaches. Seven themes were identified that reflected the adaptations made by the participants to the original OPDG (Themes 1 through 4) or affirmed the adapted OPDG (Themes 5 through 7). Our findings demonstrated