{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T16:27:40Z","timestamp":1792772860692,"version":"4.5.0"},"reference-count":43,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Inequities in access, engagement, and outcomes persist across outpatient rehabilitation services in Canada, disproportionately affecting Indigenous Peoples, newcomers and refugees, gender\u2010 and sexually\u2010diverse individuals, and people with lower income. Although rehabilitation professionals report strong awareness of equity, diversity, inclusion, and cultural safety principles, a persistent gap remains between knowledge and day\u2010to\u2010day clinical practice. Existing resources largely focus on education without providing practical, clinic\u2010level tools or aligned patient\u2010facing supports to enable sustained practice change.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The Inclusive Rehabilitation Equity Assessment and Consensus Hub (iREACH) study aims to co\u2010design a national, evidence\u2010informed roadmap of prioritised, actionable strategies to enhance cultural safety and equity in outpatient rehabilitation, including physiotherapy, occupational therapy, and chiropractic settings across Canada.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The iREACH study will use a two\u2010phase, sequential co\u2010design approach. Phase 1 will employ qualitative methods guided by Interpretive Description, including semi\u2010structured interviews, to explore patients' experiences of cultural safety and unsafety in rehabilitation care. Participants will be purposefully sampled to reflect diversity across social identities and locations, geographic regions, and provider types. Data will be analysed using inductive Reflexive Thematic Analysis within the overarching framework of Interpretative Description. Phase 2 will involve a national co\u2010design workshop with an intersectional panel of patients, clinicians, and system leaders. Findings from Phase 1 and prior research will be collaboratively translated into prioritised strategies and practical clinician\u2010 and patient\u2010facing resources to support culturally safe and equitable rehabilitation care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Expected Outcomes<\/jats:title>\n                    <jats:p>The primary outcome will be a bilingual (English and French) co\u2010designed Shared Blueprint comprising prioritised, actionable strategies for clinicians, organisations, and health system leaders, together with complementary patient\u2010facing resources to support culturally safe and equitable rehabilitation care across Canada. By integrating lived experience, clinical perspectives, and system leadership, iREACH aims to bridge the gap between cultural safety intent and implementation, supporting more equitable, accessible, and patient\u2010centred rehabilitation care across Canada.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>Patient partner has been actively involved in the study design, including development of the research questions, interview guide, and co\u2010design approach. They will remain involved throughout the study as member of the research team contributing to data interpretation and the co\u2010development of study outputs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70874","type":"journal-article","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T07:31:16Z","timestamp":1789630276000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["From Awareness to Action: Co\u2010Designing Culturally Safe and Equitable Rehabilitation in Canada \u2013 Protocol for the Two\u2010Phase Ireach Qualitative Study"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4560-5877","authenticated-orcid":false,"given":"Nora","family":"Bakaa","sequence":"first","affiliation":[{"name":"School of Physical Therapy, Faculty of Health Sciences Western University London Ontario Canada"},{"name":"Institute for Disability and Rehabilitation Research 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Rehabilitation Research Ontario Tech University Oshawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4630-0112","authenticated-orcid":false,"given":"Fred","family":"Toy","sequence":"additional","affiliation":[{"name":"Patient Partner Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3841-5968","authenticated-orcid":false,"given":"Jasdeep","family":"Dhir","sequence":"additional","affiliation":[{"name":"School of Rehabilitation Science, Faculty of Health Science McMaster University Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4366-6713","authenticated-orcid":false,"given":"Yaad","family":"Shergill","sequence":"additional","affiliation":[{"name":"The Ottawa Hospital Research Institute Ottawa Ontario 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