Research Library

Miscarriage is the most common pregnancy complication affecting 1 in 4 pregnancies. The loss of a baby can seriously impact women’s physical and mental health, leading to traumatic disorders such as anxiety, depression, anger, self-blame, and self-harm. Women who receive support after their miscarriage are more likely to manage their mental health well. Despite this, research shows many women do not have access to the support they need after a miscarriage. Immigrant women have more difficulties accessing support due to communication barriers, cultural barriers, differences in their religion compared to their host country, and living far from family and support networks. The objective of this thesis project is to investigate the areas where immigrant women lack support and determine how the design of a digital platform can provide this support helping to improve women’s well-being after a miscarriage. Semi-structured interviews were conducted with experts in the fields of obstetrics/gynecology, psychology, grief counselling, and user experience design to better understand 1) The challenges women experience after having a miscarriage, 2) How immigrants’ experience with miscarriage is different from the Canadian experience, and 3) How the design of an application could help women better manage their health physically and mentally after having a miscarriage. In addition, a co-design session with experts was held to find the design solutions and recommendations for creating a digital platform. Lastly, the data analysis from the interviews, analysis of existing miscarriage applications, co-design session with experts and literature review were employed to develop a mobile application called Miscarriage Corner. The application aims to support immigrant women through their healing journey after a miscarriage. This thesis project explores the potential benefits of employing technology to improve the accessibility and usability of a mobile application to provide a support system for immigrant women who have had a miscarriage. Miscarriage is the most common pregnancy complication affecting 1 in 4 pregnancies. The loss of a baby can seriously impact women’s physical and mental health, leading to traumatic disorders such as anxiety, depression, anger, self-blame, and self-harm. Women who receive support after their miscarriage are more likely to manage their mental health well. Despite this, research shows many women do not have access to the support they need after a miscarriage. Immigrant women have more difficulties accessing support due to communication barriers, cultural barriers, differences in their religion compared to their host country, and living far from family and support networks. The objective of this thesis project is to investigate the areas where immigrant women lack support and determine how the design of a digital platform can provide this support helping to improve women’s well-being after a miscarriage. Semi-structured interviews were conducted with experts in the fields of obstetrics/gynecology, psychology, grief counselling, and user experience design to better understand 1) The challenges women experience after having a miscarriage, 2) How immigrants’ experience with miscarriage is different from the Canadian experience, and 3) How the design of an application could help women better manage their health physically and mentally after having a miscarriage. In addition, a co-design session with experts was held to find the design solutions and recommendations for creating a digital platform. Lastly, the data analysis from the interviews, analysis of existing miscarriage applications, co-design session with experts and literature review were employed to develop a mobile application called Miscarriage Corner. The application aims to support immigrant women through their healing journey after a miscarriage. This thesis project explores the potential benefits of employing technology to improve the accessibility and usability of a mobile application to provide a support system for immigrant women who have had a miscarriage.
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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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The Canadian Society for Exercise Physiology (CSEP) Youth Physical Activity Guidelines are the national criterion standard for youth physical activity. Minimal research exists regarding CSEP Guideline adherence in immigrant youth despite this population’s significance in Canada. The purpose of this study was to foster an understanding of physical activity guideline adherence in Albertan immigrant youth. The study objectives were to determine Albertan immigrant youth’s adherence levels, barriers to adherence, recommendations to improve adherence, and the impact of the COVID-19 pandemic on adherence. A qualitative exploratory design was used. Purposive sampling from Edmonton community-agencies occurred to generate a sample of 6 community service-workers who have experience with Canadian immigrant youth and physical activity. Data collection occurred through virtual semi-structured interviews. Data analysis occurred via Braun and Clarke’s Six Thematic Analysis Steps. This study’s findings can optimize nursing health promotion efforts and organizational policies, inform health promotion protocols in nursing education, and guide further research that would enhance the breadth of current literature. Collectively, this study helps provide a foundation for promoting the health of Albertan immigrant youth. The Canadian Society for Exercise Physiology (CSEP) Youth Physical Activity Guidelines are the national criterion standard for youth physical activity. Minimal research exists regarding CSEP Guideline adherence in immigrant youth despite this population’s significance in Canada. The purpose of this study was to foster an understanding of physical activity guideline adherence in Albertan immigrant youth. The study objectives were to determine Albertan immigrant youth’s adherence levels, barriers to adherence, recommendations to improve adherence, and the impact of the COVID-19 pandemic on adherence. A qualitative exploratory design was used. Purposive sampling from Edmonton community-agencies occurred to generate a sample of 6 community service-workers who have experience with Canadian immigrant youth and physical activity. Data collection occurred through virtual semi-structured interviews. Data analysis occurred via Braun and Clarke’s Six Thematic Analysis Steps. This study’s findings can optimize nursing health promotion efforts and organizational policies, inform health promotion protocols in nursing education, and guide further research that would enhance the breadth of current literature. Collectively, this study helps provide a foundation for promoting the health of Albertan immigrant youth.
This publication has no Abstract to dispaly

Comprehensive sexual education (CSE) is defined by the United Nations Educational, Scientific, and Cultural Organization as “a curriculum-based process of teaching and learning about the cognitive, emotional, physical and social aspects of sexuality” (2018, p. 16). Given the social and cultural aspects of sexual education, my research posits that newcomer access to comprehensive sexual education could be crucial to settlement and inclusion processes in Canada. Thus, my research asks: where does immigration and settlement policy intersect with sexual education policy in Canada? How does newcomer and immigrant community access to sexual education impact immigration and settlement processes? To investigate the ways in which the policy areas of immigration and settlement and sexual education overlap, I examine how sexual education is delivered in Edmonton, Alberta, a city that has one of the most robust and multifaceted settlement frameworks in Canada. A key data source for this research includes interviews with settlement workers and others who administer social integration programming, to assess whether or not they think sexual education is integral to settlement and integration, what barriers might exist in providing these services, and relationships between organizations who work in these fields. Before engaging with interview findings, however, this thesis will first provide several contextual chapters. This includes discussion of how access to sexual education and sexual health for newcomers and immigrant communities are part of the landscapes of biopolitics and sexual citizenship in Canada, the multijurisdictional nature of immigration and settlement policy, the terrain of sexual education policy in Canada, and the capacity of comprehensive sexual education to engage in anti-racist approaches. This thesis establishes that sexual education does in fact overlap with immigration and settlement policy, as norms around sex and gender are woven into the immigration process. Although issues related to sexual education do arise in a settlement context, there are both structural and cultural barriers that hinder a more fulsome engagement with sexual education in the services and programs provided by settlement agencies. However, these barriers have been challenged by service providers with strategies that emphasize integrative and relational approaches to sexual education with clients, as well as framing sexual educational content around individual and family wellness. These strategies relate to approaches outlined by UNESCO for effective implementation of CSE, suggesting that settlement work can be conducive to CSE. This thesis also identifies key service gaps in the provision of settlement services at large, and thus sexual education in this context. The research also highlights service gaps from organizations invested in the implementation of CSE in serving newcomer and immigrant communities. The research culminates in recommendations to address these gaps and further areas of research to be pursued. Comprehensive sexual education (CSE) is defined by the United Nations Educational, Scientific, and Cultural Organization as “a curriculum-based process of teaching and learning about the cognitive, emotional, physical and social aspects of sexuality” (2018, p. 16). Given the social and cultural aspects of sexual education, my research posits that newcomer access to comprehensive sexual education could be crucial to settlement and inclusion processes in Canada. Thus, my research asks: where does immigration and settlement policy intersect with sexual education policy in Canada? How does newcomer and immigrant community access to sexual education impact immigration and settlement processes? To investigate the ways in which the policy areas of immigration and settlement and sexual education overlap, I examine how sexual education is delivered in Edmonton, Alberta, a city that has one of the most robust and multifaceted settlement frameworks in Canada. A key data source for this research includes interviews with settlement workers and others who administer social integration programming, to assess whether or not they think sexual education is integral to settlement and integration, what barriers might exist in providing these services, and relationships between organizations who work in these fields. Before engaging with interview findings, however, this thesis will first provide several contextual chapters. This includes discussion of how access to sexual education and sexual health for newcomers and immigrant communities are part of the landscapes of biopolitics and sexual citizenship in Canada, the multijurisdictional nature of immigration and settlement policy, the terrain of sexual education policy in Canada, and the capacity of comprehensive sexual education to engage in anti-racist approaches. This thesis establishes that sexual education does in fact overlap with immigration and settlement policy, as norms around sex and gender are woven into the immigration process. Although issues related to sexual education do arise in a settlement context, there are both structural and cultural barriers that hinder a more fulsome engagement with sexual education in the services and programs provided by settlement agencies. However, these barriers have been challenged by service providers with strategies that emphasize integrative and relational approaches to sexual education with clients, as well as framing sexual educational content around individual and family wellness. These strategies relate to approaches outlined by UNESCO for effective implementation of CSE, suggesting that settlement work can be conducive to CSE. This thesis also identifies key service gaps in the provision of settlement services at large, and thus sexual education in this context. The research also highlights service gaps from organizations invested in the implementation of CSE in serving newcomer and immigrant communities. The research culminates in recommendations to address these gaps and further areas of research to be pursued.
This publication has no Abstract to dispaly

This research report prepared for AAISA aims to answer, “What factors drive successful collaboration in Alberta’s Immigrant Settlement Sector?”, particularly for small centres. Through surveys and interviews, findings discuss key elements of collaborations, tensions to creating successful collaborations, a proposed model to use moving forwards and opportunities for change that AAISA can facilitate. This research report prepared for AAISA aims to answer, “What factors drive successful collaboration in Alberta’s Immigrant Settlement Sector?”, particularly for small centres. Through surveys and interviews, findings discuss key elements of collaborations, tensions to creating successful collaborations, a proposed model to use moving forwards and opportunities for change that AAISA can facilitate.
This publication has no Abstract to dispaly

A guide for individuals and organizations in Medicine Hat who work with newcomers, including employers, healthcare workers, private sponsors, educators, faith communities, etc. Resources, services and programs in Medicine Hat for newcomers are included across 20 different categories. A guide for individuals and organizations in Medicine Hat who work with newcomers, including employers, healthcare workers, private sponsors, educators, faith communities, etc. Resources, services and programs in Medicine Hat for newcomers are included across 20 different categories.
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A document created by the City of St. Albert that details the most commonly used resources for newcomers in the city. A document created by the City of St. Albert that details the most commonly used resources for newcomers in the city.
This publication has no Abstract to dispaly

Research is lacking on the intersection between being trans or non-binary and a racialized immigrant in Canada. Alberta, in particular, is one of the top 4 provinces where the most trans or non-binary immigrants reside. Racialized trans or non-binary participants reported alarmingly high levels of discrimination, violence, assault, fear, and negative experiences with the police and legal system. Findings from this research apply to Canada in general. Research is lacking on the intersection between being trans or non-binary and a racialized immigrant in Canada. Alberta, in particular, is one of the top 4 provinces where the most trans or non-binary immigrants reside. Racialized trans or non-binary participants reported alarmingly high levels of discrimination, violence, assault, fear, and negative experiences with the police and legal system. Findings from this research apply to Canada in general.
This publication has no Abstract to dispaly

Although Canada is recognized internationally as a leader in immigration policy, supports are not responsive to the traumatic experiences of many newcomers. Many mothers and children arriving in Canada are at elevated risk of homelessness. Individual and group interviews with 18 newcomer mothers with current or recent experiences with homelessness and with 16 service providers working in multiple sectors were conducted. Three main themes emerged: gendered and racialized pathways into homelessness; system failures, and pre- and post-migration trauma. This study revealed structural barriers rooted in preoccupation with economic success that negate and exacerbate the effects of violence and homelessness. The impacts of structural discrimination and violence are embedded in federal policy. It is critical to posit gender and culturally appropriate alternatives that focus on system issues. Although Canada is recognized internationally as a leader in immigration policy, supports are not responsive to the traumatic experiences of many newcomers. Many mothers and children arriving in Canada are at elevated risk of homelessness. Individual and group interviews with 18 newcomer mothers with current or recent experiences with homelessness and with 16 service providers working in multiple sectors were conducted. Three main themes emerged: gendered and racialized pathways into homelessness; system failures, and pre- and post-migration trauma. This study revealed structural barriers rooted in preoccupation with economic success that negate and exacerbate the effects of violence and homelessness. The impacts of structural discrimination and violence are embedded in federal policy. It is critical to posit gender and culturally appropriate alternatives that focus on system issues.
This publication has no Abstract to dispaly

This study investigated how refugees in Edmonton, Alberta descend into homelessness. We conducted interviews with 19 adult refugees from Afghanistan, Congo, Ethiopia, Iraq, Pakistan, Rwanda, Somalia, Sudan, and Syria. All of them experienced homelessness after their arrival. We also did focus groups with housing support workers. These conversations helped us to identify several types of critical incidents that can lead refugees to become homeless after migration. These incidents are: (a) abandonment by or conflict with their sponsor(s), (b) abandonment by settlement counsellors/housing case workers, (c) sudden rent increases, (d) discrimination by landlords or neighbors, and (e) property infestations. These incidents sometimes become paired with long waiting lists for subsidized housing and a lack of knowledge of Canada’s official languages and housing system. This combination create circumstances in which refugees are most likely to become homeless. This study also highlighted critical loopholes in immigration policy implementation. We argue that these loopholes need to be addressed as soon as possible to improve refugee housing outcomes. This study investigated how refugees in Edmonton, Alberta descend into homelessness. We conducted interviews with 19 adult refugees from Afghanistan, Congo, Ethiopia, Iraq, Pakistan, Rwanda, Somalia, Sudan, and Syria. All of them experienced homelessness after their arrival. We also did focus groups with housing support workers. These conversations helped us to identify several types of critical incidents that can lead refugees to become homeless after migration. These incidents are: (a) abandonment by or conflict with their sponsor(s), (b) abandonment by settlement counsellors/housing case workers, (c) sudden rent increases, (d) discrimination by landlords or neighbors, and (e) property infestations. These incidents sometimes become paired with long waiting lists for subsidized housing and a lack of knowledge of Canada’s official languages and housing system. This combination create circumstances in which refugees are most likely to become homeless. This study also highlighted critical loopholes in immigration policy implementation. We argue that these loopholes need to be addressed as soon as possible to improve refugee housing outcomes.
This publication has no Abstract to dispaly