{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T16:16:09Z","timestamp":1770912969478,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T00:00:00Z","timestamp":1765843200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T00:00:00Z","timestamp":1765843200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["asmepublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Clinical Teacher"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>People experiencing homelessness face significant health inequities, yet their voices remain largely absent from medical education. Partnering with community\u2010based advocates enables the integration of lived experience and advocacy expertise into curriculum design and delivery.<\/jats:p>\n                    <jats:p>This study aimed to develop and evaluate a medical education module on homeless health that embeds community\u2010based advocacy and lived\u2010experience expertise to advance cultural safety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Approach<\/jats:title>\n                    <jats:p>A homelessness health module was collaboratively developed by clinical teachers, researchers, educators and community advocates with lived and professional experience of homelessness. Guided by Kern's Six Steps of Curriculum Development, a targeted needs assessment was conducted through a focus group with community advocates. Insights informed six learning objectives and the design of interactive teaching sessions. The module was delivered to second\u2010year graduate\u2010entry medical students and evaluated using open\u2010ended questionnaires exploring students' understanding of cultural safety and advocacy in homeless health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Evaluation<\/jats:title>\n                    <jats:p>Fifty\u2010three students (33%) submitted open\u2010ended questionnaires. Deductive content analysis confirmed alignment with themes identified during the needs assessment, with most students recognising life experiences (69%), demographic hardship (65%) and healthcare access barriers (69%) as central to homelessness. Inductive thematic analysis revealed additional themes related to survival priorities and medication adherence barriers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications<\/jats:title>\n                    <jats:p>Embedding community voices and patient perspectives shaped curriculum content, delivery and evaluation. Students developed compassion, reflexivity and a deeper awareness of inequities. This accessible, scalable model demonstrates how cultural safety can be embedded in inclusion health education.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/tct.70314","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T11:56:38Z","timestamp":1765886198000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Amplifying Marginalised Voices Through Advocacy: Community\u2010Informed Curriculum Development for Cultural Safety in Homeless Health"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-2428-1894","authenticated-orcid":false,"given":"Clare","family":"Puddifoot","sequence":"first","affiliation":[{"name":"Ulster University School of Medicine  Derry\u2010Londonderry UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eleanor","family":"Cape","sequence":"additional","affiliation":[{"name":"Ulster University School of Medicine  Derry\u2010Londonderry UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3186-4971","authenticated-orcid":false,"given":"Leanne\u00a0C","family":"Doherty","sequence":"additional","affiliation":[{"name":"Ulster University Student Success Centre  Derry\u2010Londonderry UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1508-1395","authenticated-orcid":false,"given":"Ayesha","family":"Jawwad","sequence":"additional","affiliation":[{"name":"Ulster University School of Medicine  Derry\u2010Londonderry UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5955-9293","authenticated-orcid":false,"given":"Suzanne","family":"Manning","sequence":"additional","affiliation":[{"name":"Ulster University School of Health Sciences  Derry\u2010Londonderry UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Doyle","sequence":"additional","affiliation":[{"name":"Western Health and Social Care Trust  Derry\u2010Londonderry UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3892-8002","authenticated-orcid":false,"given":"Gary","family":"Rutherford","sequence":"additional","affiliation":[{"name":"Addiction Recovery Coaching  Derry\u2010Londonderry UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,16]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.18356\/9789210028592"},{"key":"e_1_2_14_3_1","unstructured":"J.Burn\u2010Murdoch \u201cWhy Britain Is the World's Worst on Homelessness Financial Times \u201d (2024) accessed: 09 October 2025 https:\/\/www.ft.com\/content\/24117a03\u201037c2\u2010424a\u201097ed\u20106a5292f9e92e."},{"key":"e_1_2_14_4_1","volume-title":"Housing Act 1996, c 52","author":"United Kingdom","year":"1996"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.2307\/j.ctvqmp379"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)31959-1"},{"key":"e_1_2_14_7_1","first-page":"456","article-title":"Clinician Bias and Healthcare Access for People Experiencing Homelessness: A Qualitative Study","volume":"23","author":"Carmichael K. 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