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Reason For Research
Many people living in Canada with rheumatoid arthritis, especially those living in rural areas, immigrants, people with lower incomes, LGBTQ+ individuals, French speakers outside Quebec, and people with mobility challenges, face significant barriers getting from their first symptoms to seeing a specialist. These delays can lead to irreversible joint damage and reduced quality of life.
Execution of Research
We will bring together people with rheumatoid arthritis from underserved communities (rural areas, immigrants, people with lower incomes, LGBTQ+ individuals, French speakers outside Quebec) with healthcare providers, researchers, and health system leaders through online workshops. Together, we will create visual “journey maps” that show what happens from when someone first notices symptoms through getting diagnosed and starting treatment. These maps will highlight where the largest barriers exist and what resources are needed.
People with arthritis will lead these sessions and will share their experiences and identifying what support they needed at each stage. These journey maps will then provide immediate practical tools for healthcare providers to better support patients and help community organizations to assist people seeking care. The maps will also identify specific priority areas for future projects that change how the healthcare system works, catalyzing real-world improvements to reduce barriers and inequities in arthritis care access.
Involvement
This project brings together people living with rheumatoid arthritis from underserved communities, health and social care professionals, researchers, and community partner organizations. People with rheumatoid arthritis serve as co-researchers, not just participants, and are supported by two experienced Patient Research Partner Mentors with lived experience of rheumatoid arthritis.
People with rheumatoid arthritis have been involved since the design stage and will lead this project throughout. Two Patient Research Partner Mentors with lived experience reviewed recruitment materials before ethics submission and will co-facilitate sessions and mentor incoming Patient Research Partners. The 15–18 Patient Research Partners recruited will lead the journey mapping sessions, drawing directly on their own care experiences. Patient engagement is formally evaluated at each phase using a validated scale (PEIRS-22).
The six target communities were chosen because they face the greatest barriers to rheumatoid arthritis care and are least represented in research. Many participants will belong to more than one underserved group, and the journey mapping process is designed to capture how overlapping identities shape care experiences. All sessions are virtual, with interpretation, cultural support, technology loans, and honoraria available to remove barriers to participation. Patient-facing materials are reviewed by people with lived experience before use.
Principal Investigators:
Allyson Jones, PT, PhD, Affiliate Scientist, Arthritis Research Canada (University of Alberta)
Claire Barber, MD, PhD, FRCPC, Research Scientist, Rheumatology, Arthritis Research Canada (University of Calgary)
Neil Drummond, PhD (University of Alberta)
Co-investigators:
Sharon Koehn, PhD, Project Coordinator (Simon Fraser University)
Diane Lacaille, MDCM, MHSc, FRCPC, Scientific Director, Arthritis Research Canada (University of British Columbia)
Hongmei Tong MSW PhD, (MacEwan University)
Denise Cloutier PhD (University of Victoria)
Doug Klein MD MSc FCFP (University of Alberta)
Knowledge Users:
Ehren Ackerman, Patient Research Partner Mentor
Carolyn Goard, PhD, Arthritis Society Canada
Jennifer Lorca, Patient Research Partner Mentor
Laurie Proulx, Canadian Arthritis Patient Alliance
Monika Szpunar, MSc, PhD, Knowledge Mobilization Associate, Arthritis Research Canada
Collaborators:
Lara Nixon, MD (University of Calgary)
Lisa Jasper, PT, PhD (University of Alberta)
Partner Agencies: