https://library.icmglt.org/files/original/1799368959e67e6531c0d45273c6945d.jpeg b24a071413b217c443082de216037f1e https://library.icmglt.org/files/original/e60808d7125e82a21c869bc7bf949e13.pdf 802c7d0b64824ed8853cb8fc4da7a636 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Multigenerational Legacies of Trauma of Indigenous Canadians (First Nations, Métis, Inuit) Electronic Resource View Source <a href="https://doi.org/10.1093/jcag/gwae059.177">https://doi.org/10.1093/jcag/gwae059.177</a> Document Type Journal article Author(s) U Teucher, D Jennings, A Gannon, M Andkhoie, C Brass, S Fowler, M Johnson-Jennings, J Osei, L Porter, R Porter, R Sanderson, A P Souza Lira, J Peña-Sánchez Volume Vol. 8 Issue No. Supplement_1 Publisher Oxford University Press Journal Name Journal of the Canadian Association of Gastroenterology Publication Date 2025 ISBN 25152092 Region Canada Language English Access Open Access Abstract Background There is limited evidence about inflammatory bowel disease (IBD) among Indigenous peoples (Inuit, Métis, and First Nations [FN]). Healthcare utilization inequities between FN and non-FN individuals with IBD have been documented. Aims We aimed to explore the perceptions of FN persons living with IBD, including identifying barriers and facilitators to access healthcare and understanding their expectations of healthcare for IBD. Methods Six FN community members shared their experiences and perspectives about IBD. Four were individuals living with IBD and two were parents of FN persons living with IBD. Participants were asked to make photos in response to: “What is IBD for you?”, “What does it mean to be healthy and unhealthy when living with the diagnosis of IBD?”, “What do you expect when looking for healthcare at a clinic or a hospital?”, and “What are your challenges when accessing care?”. Then, they participated in semi-structured group reflections about their photo selections. Reflexive thematic analysis was utilized to analyze photographs, questionnaires, and reflections. Results The analysis revealed five themes: 1. Diagnosing IBD; 2. Living with IBD; 3. The Health-Sickness Dichotomy; 4. Healthcare Enablers and Barriers; and 5. Advocacy. The 1st theme encapsulates participants’ experiences regarding delays in diagnosis, the tendency of healthcare practitioners to focus on symptoms rather than the underlying disease, and the emotional responses to receiving an IBD diagnosis. The 2nd theme traces participants’ experiences as they navigate a changed reality, confront issues of bodily betrayal, dignity, and resilience. The 3rd theme highlights the contrasts between health and illness as experienced through physical symptoms, dietary choices, and social interactions. The 4th theme captures participants’ experiences within the healthcare system, including their expectations, positive encounters, and challenges such as inadequate knowledge among some healthcare providers, negative interactions, finding adequate language and use of metaphors to speak about a stigmatizing illness, and the use of humor as a coping mechanism and a barrier. The 5th theme reflects participants’ experiences advocating for themselves or relying on supportive networks to advocate on their behalf. Participants recognized the value of patients and advocates as experts in navigating their health journeys. Conclusions Drawing on participants’ lived experiences, this study highlights the gaps in the healthcare system faced by Indigenous patients living with IBD, while revealing potential solutions to enhance their healthcare experiences and outcomes. Funding Agencies SHRF-SCPOR Cataloger Julia Arizono Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource A177 Resilience and Empowerment of Ingienous Persons Living with Inflammatory Bowel Disease: A Photovoice Study from Canada Subject The topic of the resource Inflammatory bowel diseases--Patients--Canada Canada Coping Diet Healthcare Indigenous peoples