Research Library

The entire healthcare system, including primary healthcare (PHC) services, has been disrupted since the onset of the COVID-19 pandemic. As the crisis threatens all citizens significantly, further barriers to accessing care exist for those who are most vulnerable, experience marginalization, and have pre-existing challenges. We aimed to explore immigrants’ lived experiences in accessing and receiving PHC services during the pandemic. A multiphase mixed-methods study using a sequential explanatory design was employed. The first study includes a systematic review that synthesizes the evidence on the experiences that immigrant patients have receiving PHC. Study two provides insights from a recently employed “COVID-19 Experiences and Impacts Survey” data and compares the experiences of Albertans that were born in and outside Canada. Descriptive statistics and multivariable logistic regression were performed, using STATA. The third study is a qualitative inquiry that aims to gain a deeper understanding of the newcomers’ (living in Canada ≤5 years) and providers’ experiences in PHC during the pandemic. A thematic analysis was applied, using NVivo software. Immigrants reported many challenges in accessing and receiving PHC, and these challenges have been increased since the COVID-19 pandemic. The results of this thesis yielded six recommendations that can inform PHC quality improvement initiatives and PHC policy. The entire healthcare system, including primary healthcare (PHC) services, has been disrupted since the onset of the COVID-19 pandemic. As the crisis threatens all citizens significantly, further barriers to accessing care exist for those who are most vulnerable, experience marginalization, and have pre-existing challenges. We aimed to explore immigrants’ lived experiences in accessing and receiving PHC services during the pandemic. A multiphase mixed-methods study using a sequential explanatory design was employed. The first study includes a systematic review that synthesizes the evidence on the experiences that immigrant patients have receiving PHC. Study two provides insights from a recently employed “COVID-19 Experiences and Impacts Survey” data and compares the experiences of Albertans that were born in and outside Canada. Descriptive statistics and multivariable logistic regression were performed, using STATA. The third study is a qualitative inquiry that aims to gain a deeper understanding of the newcomers’ (living in Canada ≤5 years) and providers’ experiences in PHC during the pandemic. A thematic analysis was applied, using NVivo software. Immigrants reported many challenges in accessing and receiving PHC, and these challenges have been increased since the COVID-19 pandemic. The results of this thesis yielded six recommendations that can inform PHC quality improvement initiatives and PHC policy.
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Children with disabilities are among the most at-risk groups for marginalization due to compounded disadvantages from the intersection of risk factors such as refugee status and disability status. Despite this high risk, there is no systematic data collected on this group and scant literature on the topic contributing to a feeling of invisibility. We conducted a narrative inquiry on the experiences of two Syrian refugee families with children living with disabilities. Narrative inquiry is a way to understand experience as a storied phenomenon. In order to understand the complexities of the experience as a refugee with a child living with disabilities, attending to the lived and told stories is essential. In hearing the narration of these experiences across time, place, and social contexts various narrative threads emerged. The narrative threads that resonated across the experiences of two families included waiting and a struggle for agency, as well as disruption and continuity. Children with disabilities are among the most at-risk groups for marginalization due to compounded disadvantages from the intersection of risk factors such as refugee status and disability status. Despite this high risk, there is no systematic data collected on this group and scant literature on the topic contributing to a feeling of invisibility. We conducted a narrative inquiry on the experiences of two Syrian refugee families with children living with disabilities. Narrative inquiry is a way to understand experience as a storied phenomenon. In order to understand the complexities of the experience as a refugee with a child living with disabilities, attending to the lived and told stories is essential. In hearing the narration of these experiences across time, place, and social contexts various narrative threads emerged. The narrative threads that resonated across the experiences of two families included waiting and a struggle for agency, as well as disruption and continuity.
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People from South Sudan arrived in Edmonton as landed immigrants in the early 1990s from countries that hosted them as refugees from the Second Sudanese Civil War. Today, Edmonton is home to more than 5,000 people from South Sudan. Alberta alone houses almost 30,000, the largest South Sudanese Canadian community in the country. Here, many South Sudanese work in nursing homes and meat-packaging plants. This, alongside high COVID death rates in the community, language barriers, financial strain, and mental health stigma, resulted in Edmonton’s South Sudanese community being disproportionately affected by COVID-19. People from South Sudan arrived in Edmonton as landed immigrants in the early 1990s from countries that hosted them as refugees from the Second Sudanese Civil War. Today, Edmonton is home to more than 5,000 people from South Sudan. Alberta alone houses almost 30,000, the largest South Sudanese Canadian community in the country. Here, many South Sudanese work in nursing homes and meat-packaging plants. This, alongside high COVID death rates in the community, language barriers, financial strain, and mental health stigma, resulted in Edmonton’s South Sudanese community being disproportionately affected by COVID-19.
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The Islamic Family and Social Services Association (IFSSA) conducted a survey of Edmonton’s Muslim community to understand their specific needs and challenges during the COVID-19 pandemic. Just under 20% of the community had partial knowledge, no knowledge, or an uncertain amount of knowledge about COVID-19, where the two most popular information sources were the government and social media. A third of respondents did not have adequate resources for physical distancing. Mental health was the highest reported concern for the community, and the IFSSA proposes recommendations for improving mental healthcare access and information sharing. The Islamic Family and Social Services Association (IFSSA) conducted a survey of Edmonton’s Muslim community to understand their specific needs and challenges during the COVID-19 pandemic. Just under 20% of the community had partial knowledge, no knowledge, or an uncertain amount of knowledge about COVID-19, where the two most popular information sources were the government and social media. A third of respondents did not have adequate resources for physical distancing. Mental health was the highest reported concern for the community, and the IFSSA proposes recommendations for improving mental healthcare access and information sharing.
This publication has no Abstract to dispaly

This thesis examined the narrative abilities of bilingual, English L2 newcomer and immigrant children with Autism Spectrum Disorder (ASD), Developmental Language Disorder (DLD) and Typical Development (TD). Compared to the monolingual research, there have been fewer studies examining narratives in clinical bilingual groups, especially bilinguals with ASD, and no study so far has compared bilinguals with ASD to bilinguals with DLD. This thesis asked: (1) Is macrostructure an area of weakness in DLD? (2) Do children with ASD experience difficulties with structural language, i.e., morphology and syntax? (3) Are narrative skills requiring perspective-taking abilities equally vulnerable in ASD and DLD? (4) Do bilinguals with ASD and DLD use the second language input they receive to the same as bilinguals with TD? Identified differences between newcomer children with ASD, DLD or TD can be utilized to create tailored interventions. This thesis examined the narrative abilities of bilingual, English L2 newcomer and immigrant children with Autism Spectrum Disorder (ASD), Developmental Language Disorder (DLD) and Typical Development (TD). Compared to the monolingual research, there have been fewer studies examining narratives in clinical bilingual groups, especially bilinguals with ASD, and no study so far has compared bilinguals with ASD to bilinguals with DLD. This thesis asked: (1) Is macrostructure an area of weakness in DLD? (2) Do children with ASD experience difficulties with structural language, i.e., morphology and syntax? (3) Are narrative skills requiring perspective-taking abilities equally vulnerable in ASD and DLD? (4) Do bilinguals with ASD and DLD use the second language input they receive to the same as bilinguals with TD? Identified differences between newcomer children with ASD, DLD or TD can be utilized to create tailored interventions.
This publication has no Abstract to dispaly

Canadian immigrant policies have systemically excluded individuals with disabilities from immigrating to Canada due to ‘excessive demand’ and ‘medical inadmissibility’ clauses. Ableism, racism, and colonialism affect all aspects of pre-application, application, settlement and integration. However, a gap in resources and knowledge of working with newcomers with disabilities exists. This reports on the training program requested by Immigrant Services Calgary on supporting newcomers with disabilities. Canadian immigrant policies have systemically excluded individuals with disabilities from immigrating to Canada due to ‘excessive demand’ and ‘medical inadmissibility’ clauses. Ableism, racism, and colonialism affect all aspects of pre-application, application, settlement and integration. However, a gap in resources and knowledge of working with newcomers with disabilities exists. This reports on the training program requested by Immigrant Services Calgary on supporting newcomers with disabilities.
This publication has no Abstract to dispaly

The home language environment and language abilities were compared between children with autism spectrum disorder (ASD) and children with typical development, both from newcomer families in Edmonton. Children were in elementary school, mostly 6 and 7 year olds. The goal was to understand if there were differences in bilingual development between children with ASD and children with typical development at the same age. Specifically, we wanted to understand if children with ASD have the capacity to become bilingual and whether this is supported by their communities, clinicians and educators. We conclude that children with ASD are more at risk than children with typical development for losing their heritage language. In other words, children with ASD have the capacity to be bilingual, but have limited opportunities to develop their heritage language. The home language environment and language abilities were compared between children with autism spectrum disorder (ASD) and children with typical development, both from newcomer families in Edmonton. Children were in elementary school, mostly 6 and 7 year olds. The goal was to understand if there were differences in bilingual development between children with ASD and children with typical development at the same age. Specifically, we wanted to understand if children with ASD have the capacity to become bilingual and whether this is supported by their communities, clinicians and educators. We conclude that children with ASD are more at risk than children with typical development for losing their heritage language. In other words, children with ASD have the capacity to be bilingual, but have limited opportunities to develop their heritage language.
This publication has no Abstract to dispaly

The benefits of green space and nature experiences are increasingly being recognised and translated into public health policy and practice. Alongside this trend, inclusion of all people into parks and nature has been an important area of parks and recreation practice. Nature inclusion for those with disabilities, youth, seniors and immigrants has become a focus of Alberta in Western Canada. This study was designed to examine the influence of two such government supported nature interventions, including day trips and a more extensive weekend or week-long nature experience, on mental well-being outcomes. Findings show a positive trend towards improved depression markers, greater health satisfaction, improved social relationships (in particular, love and friendship), as well as satisfaction with a sense of community and experiences of helping. The benefits of green space and nature experiences are increasingly being recognised and translated into public health policy and practice. Alongside this trend, inclusion of all people into parks and nature has been an important area of parks and recreation practice. Nature inclusion for those with disabilities, youth, seniors and immigrants has become a focus of Alberta in Western Canada. This study was designed to examine the influence of two such government supported nature interventions, including day trips and a more extensive weekend or week-long nature experience, on mental well-being outcomes. Findings show a positive trend towards improved depression markers, greater health satisfaction, improved social relationships (in particular, love and friendship), as well as satisfaction with a sense of community and experiences of helping.
This publication has no Abstract to dispaly