For our study, participants shaped the decision tool and accompanying processes to better support them in their efforts to seek, understand, and use health information to meet their care needs. The approach used in this study was also designed to be culturally resonant by engaging the coach in a collaborative process, to be a ‘trusted’ rather than ‘neutral’ source of support, and to act as an agent with a stake in the process of decision making. There is currently little literature about the
health literacy skills of health care providers [18]; however,health care providers have the potential to create positive
change at a systems level through the critical exploration of assumptions underlying care systems in collaboration with their Aboriginal clients [2]. In our study, Battiste’s [21] postcolonial theoretical lens showed the ways in which health literacy is influenced by participant adaptations to the OPDG with the role of coaching and the resulting impact on support and/or awareness of individual skills, care systems and broader social, historical, and political contexts. As a tool supporting SDM, the adapted OPDG features the decision coach (a role which may be assumed by trained health care providers who are attuned to building a culturally secure environment) as an essential feature of its use, and as an interactive tool may lead to changes in critical health literacy of health care providers. If so, the result would be additional opportunities to address the unfair processes and issues in existence within care delivery systems, which for Aboriginal people are the results of colonization, and align health care providers with Aboriginal people as equitable partners in reorganizing healthcare.
For our study, participants shaped the decision tool and accompanying processes to better support them in their efforts to seek, understand, and use health information to meet their care needs. The approach used in this study was also designed to be culturally resonant by engaging the coach in a collaborative process, to be a ‘trusted’ rather than ‘neutral’ source of support, and to act as an agent with a stake in the process of decision making. There is currently little literature about thehealth literacy skills of health care providers [18]; however,health care providers have the potential to create positivechange at a systems level through the critical exploration of assumptions underlying care systems in collaboration with their Aboriginal clients [2]. In our study, Battiste’s [21] postcolonial theoretical lens showed the ways in which health literacy is influenced by participant adaptations to the OPDG with the role of coaching and the resulting impact on support and/or awareness of individual skills, care systems and broader social, historical, and political contexts. As a tool supporting SDM, the adapted OPDG features the decision coach (a role which may be assumed by trained health care providers who are attuned to building a culturally secure environment) as an essential feature of its use, and as an interactive tool may lead to changes in critical health literacy of health care providers. If so, the result would be additional opportunities to address the unfair processes and issues in existence within care delivery systems, which for Aboriginal people are the results of colonization, and align health care providers with Aboriginal people as equitable partners in reorganizing healthcare.
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