Grant: Planning and Dissemination Grant - Institute Community Support

This study focuses on understanding the challenges and facilitators for First Nations and Inuit people in Montreal who need care for diabetic foot ulcers (DFUs). DFUs are serious sores on the feet that can happen to people with diabetes, especially if they don't get timely or culturally respectful care. Without proper treatment, these sores can lead to severe complications, including amputation. First Nations and Inuit people in urban areas like Montreal often face unique challenges in accessing the care they need. To explore these issues, we'll use a method called *Photovoice*, which allows participants to tell their stories through photographs. People in the study will take pictures that show both the challenges they face in getting foot care and any resources that help them. These photos will be used to guide conversations in follow-up interviews, where participants can explain their experiences and what the images mean to them. This approach lets people share their own perspectives and raise awareness about their needs and strengths in ways that are sometimes difficult to express. By highlighting the real experiences of Indigenous people with diabetes, we aim to help healthcare providers understand what changes are needed to improve services and to co-develop a future project that addresses issues arisen during this activity. Ultimately, this project will provide important information to reduce DFU complications and improve foot health for First Nations and Inuit people in Montreal. A viewing of the pictures will be hosted by the Indigenous Health Centre of Tiohtià:ke and invite researchers, providers and the public. This will allow us to continue partnering with Indigenous organizations, healthcare providers, and policy leaders to plan activities, build partnerships, and better understand how health research can support Indigenous health goals. .