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052 Co-creating a health decision aid with immigrant women in Quebec (Cohda – immigrant women)
  1. Roberta de Carvalho Corôa1,2,3,
  2. Laurie Arsenault-Paré4,
  3. Marielle M’Bangha5,
  4. Nataly E Suarez1,3,
  5. France Légaré1,2,3
  1. 1VITAM – Centre De Recherche En Santé Durable, Centre Intégré Universitaire De Santé Et Services Sociaux De La Capitale-Nationale, Quebec City, QC, Canada
  2. 2Unité De Soutien Au Système De Santé Apprenant Québec, Quebec City, QC, Canada
  3. 3Faculty of Medicine, Université Laval, Quebec City, QC, Canada
  4. 4Carrefour d’Action Interculturelle (CAI), Quebec City, QC, Canada
  5. 5Service De Référence En Périnatalité Pour Les Femmes Immigrantes De Québec

Abstract

Introduction Intersectional factors, notably the immigratory situation, significantly impact women’s health. This study aims to assess the specific health decisional needs of immigrant women in Quebec, Canada, and collaborate with them to develop a tailored decision aid (DA).

Methods Employing an Integrated Knowledge Translation approach, a steering committee comprising immigrant women, community-based organizations (CBOs), policymakers, health professionals, and researchers will be established. Following the Ottawa Decision Support Framework, interviews will be conducted to elucidate immigrant women’s health decisional needs. Additionally, a systematic review will identify existing DAs, evaluating their applicability within the targeted population and context. The most promising DA will be refined, incorporating new evidence as necessary, and uploaded onto the PADA collaborative platform for feedback from knowledge users. Subsequently, after integrating suggestions, a prototype of the DA will be developed.

Preliminary Results Initial engagements with potential steering committee members are in progress, with two CBOs committed to participation. They have underscored the pressing need for DAs customized to suit the nuanced challenges faced by immigrant women. Challenges, such as varying levels of vulnerability among women of diverse immigration statuses (e.g., refugees, temporary residents), along with individual socio-economic backgrounds and experiences (e.g., literacy, domestic violence), have been highlighted.

Discussion The immigration status profoundly influences women’s access to and experiences within health and social services, thereby shaping their decisional needs. Recognizing and addressing the diverse personal, cultural, and socio-economic backgrounds of these women is pivotal in facilitating shared decision-making within this demographic.

Conclusions Establishing collaborative partnerships with field experts who comprehend the multifaceted challenges of the real context is imperative for co-producing tailored DAs aimed at addressing the health decisional needs of immigrant women.

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