21. obesity management with indigenous peoples

Question 1

Healthcare professionals
should consider the following contextual factors when providing obesity care for Indigenous peoples:

Answer 1

1. structural inequities
2. overwhelming stress from social & systemic exclusion
3. exploration of the patient’s social reality
4. reflection on assumptions about seeming apathy
5. validation of a patient’s experiences of inequity
6. culture and relationships facilitate learning of complex knowledge

Question 2

expect patient mistrust in health systems; reposition yourself as a [helper / expert]?

Answer 2

helper

Question 3

When resistance, seeming apathy and paralysis are encountered, explore patient what helath needs?

Answer 3

mental and emotional

Question 4

Build complex knowledge by _____ relationships

Answer 4

healing

Question 5

What are promising models of care adaptations for
Indigenous patients with obesity?

Answer 5

Patient-centred, culture-based and structural competency-based approaches; emerging
pharmacotherapy; geography; technology; wrap-around supports; models of health
behaviour change; shared decision-making; motivational interviewing

Question 6

What are the healthcare experiences of Indigenous
patients with obesity?

Answer 6

Access; quality; bias/prejudice; patient-centred approaches; culture and cultural
culture- and cultural-safety-based approaches; structural competency-based
approaches

Question 7

What are the impacts of structural- and psychosocial-based
interventions specific to Indigenous populations with
obesity?

Answer 7

Colonization; inequity; racism; adverse life experiences; resource disparities;
intergenerational trauma; psychosocial (population health level and psychological
level); stress and stress response; implications for clinical practice