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Grant: Health System Impact Embedded Early Career Researcher Award - Primary Care

University of Saskatchewan

$400,000.00

Integrating Clinical and Cultural Care: Relational Model for Coordinated Team-Based Care

FY 2025-26

Summary
This embedded research project supports the establishment, implementation, evaluation, and dissemination of a culturally grounded, integrated team-based relational care model, specifically to address HIV/STBBI inequities in Saskatchewan. The model integrates primary care with social and cultural supports, grounded in Indigenous self-determination, OCAP®/CARE principles, cultural safety, and trauma- and violence-informed, relational care. Guided by community-based participatory and Indigenous methodologies in a learning health system approach, the project emphasizes continuous co-design, real-time learning, and adaptive implementation. Indigenous governance, engaging Elders, people with lived experience, clinic staff, and community leaders will guide ethical engagement, data stewardship, analysis, and knowledge mobilization. This embedded researcher role in Saskatoon's inner city will support capacity building, training, and access for responsive community-based research and implementation studies. Milestone 1 focuses on relationship building and co-design, including establishing governance structures, conducting community-led needs assessments, mapping services, and negotiating OCAP®/CARE-compliant data agreements. Milestones 2 and 3 emphasize implementation, workforce training, capacity development, and iterative evaluation, alongside trainee placements and experiential learning. Milestone 4 focus on outcomes evaluation, knowledge mobilization, and sustainability. The knowledge mobilization plan is community-centred and includes sharing circles, plain-language reports, community-owned toolkits, policy briefs, and co-authored peer-reviewed publications. Equity and inclusion are integrated throughout the KM plan to understand how intersecting identities shape access, safety, and outcomes, and implementing adapted care pathways for women, men, gender-diverse people, Indigenous, Two-Spirit and socio-politically marginalized individuals.
Program
Health System Impact Embedded Early Career Researcher Award - Primary Care
Location
Saskatchewan, Canada
Recipient Type
Academia
Type
Grant
Source
CIHR Funding Decisions Database

As published

Id
571159
Name
Spence Cara J
Region
Saskatchewan
Country
Canada
Orgtype
Institution Paid; Research Institution
Instname2
Health Services and Policy Research
Theme2
Health systems / services
Prcname2
Health System Impact Embedded Early Career Researcher Award
Projecttitle
Integrating Clinical and Cultural Care: Relational Model for Coordinated Team-Based Care
Programtype2
Salary Programs
Orgnameinp2
University of Saskatchewan
Cihramount2
$400,000
Cihrequipment2
$0
Programname2
Health System Impact Embedded Early Career Researcher Award - Primary Care
Keyworddelim
Community Based Primary Health Care; Culturally Responsive; Learning Health System; Team-Based Care
Abstract
This embedded research project supports the establishment, implementation, evaluation, and dissemination of a culturally grounded, integrated team-based relational care model, specifically to address HIV/STBBI inequities in Saskatchewan. The model integrates primary care with social and cultural supports, grounded in Indigenous self-determination, OCAP®/CARE principles, cultural safety, and trauma- and violence-informed, relational care. Guided by community-based participatory and Indigenous methodologies in a learning health system approach, the project emphasizes continuous co-design, real-time learning, and adaptive implementation. Indigenous governance, engaging Elders, people with lived experience, clinic staff, and community leaders will guide ethical engagement, data stewardship, analysis, and knowledge mobilization. This embedded researcher role in Saskatoon's inner city will support capacity building, training, and access for responsive community-based research and implementation studies. Milestone 1 focuses on relationship building and co-design, including establishing governance structures, conducting community-led needs assessments, mapping services, and negotiating OCAP®/CARE-compliant data agreements. Milestones 2 and 3 emphasize implementation, workforce training, capacity development, and iterative evaluation, alongside trainee placements and experiential learning. Milestone 4 focus on outcomes evaluation, knowledge mobilization, and sustainability. The knowledge mobilization plan is community-centred and includes sharing circles, plain-language reports, community-owned toolkits, policy briefs, and co-authored peer-reviewed publications. Equity and inclusion are integrated throughout the KM plan to understand how intersecting identities shape access, safety, and outcomes, and implementing adapted care pathways for women, men, gender-diverse people, Indigenous, Two-Spirit and socio-politically marginalized individuals.
Competitiondate
202602
Approvedterm2
4 yrs 0 mth
Pinamesdelim
Spence, Cara J
Approvedterm
4 ans 0 mois
Cihrcontribution2
~ $400,000~ $0~